HomeMy Public PortalAbout5008TEMPLE CITY BLVD_Electrical (2) _ r
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eeAeescR .ae lenu APPLICATION FOR-ELECTRICAL PERMIT
COUNTY OF LOS ANGELES ' BUILDING AND SAFETY
J� gS
FOR A LICANTTO FILL IN AOpDDRESS O O
New Residential Bldgs &Pools - �`� t'TO FEE
1 &2 Family Sq F S 025 — b LOCALITY
Multi family Sq Ft -02 — NEAREST
- -
ST
ResidentialdeResidential25 00 al Swimming Pools WN
IRM NAME
Outlets Rec�''22Lightl*Sw .1. MAIL -
First 20 50Z:!61ADDRESS
Total No Additional 30 CITY Tel No
PLAN CHECK
_ APPLICANT
Lighting FuturesFvsr 20 50 ADDRESS
Additional 30
Tocol No AddCITY _--- Tel No — -ITO
Fixed Appliances Not Over I HP P ITRange_Hearer�D WAPPLICANT
Oven_Dryer�WM - ADDRESSTop _FAU _ W H CITY _ No Hood_Fan _Other_ LICENSEORDisp _Room Ait Cond 250 REG NUMBERClasse1 HEREBY ACKNOWLEDGE THA I HAVE READ THIS APPPower Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGRESize&Type HP KW KVAor KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE-
2 50 REGULATING ELECTRICAL WIRING
Up to I Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over I to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl 1250 CALIFORNIA OR THAT I AM THE Al. OWNER OF THE ABOVE
Over 50 to 100 Inc
2500MD'
SCRIBED RESID -�
Over 100 40 00RM ITEE _
GNATURE
Services STRICT NO P D BY -�
0 200 Amp Under 600V 1250
201 1000 Amp Under 600 V 25006
Over 1000 Amp or Over 600 V 5000 ,._._J_Temp Power Pole&Appurtenances 1000NSign with One Branch Circuit 1000Additional Sgn Branch Circuits 200INSPECTIONMist Conduits&Conductors 1000NFORMATION5$99A
Other(See Complete Fee Schedule)_ ON REVERSE
SIDE a e,. . e 2
2 • • 5(130
PERMIT FEE ISub Totoll • • • 5(13 0 3
PLAN CHECKING FEE (One Fourth Permit Feel Q Q 0 2—7 9
PERMIT ISSUING FEE r $700 7D7
TOTAL FEE s ;
INSPECTION FINALED
date //�/�ji 7
f By � � � l e,