HomeMy Public PortalAbout5015TEMPLE CITY BLVD_Electrical (2) TDASaS CEBOB 10 02 APPLICATION FOR ELECTRIL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS .S >4 IO
JOHN A LAMBIE CouwTTy ENGINEER
WILLIAM A JENSEN SGP T OF BUILDING LOCALITY L ti
NEAREST
A IN CROSS ST
a�T TOTAL No ucH P[e
OUTLETS PIRnr 20 t 20 t OWNER
LIGHT MAIL
G.ITCN woo y ADDRESS
Dv[R LO 10
TOTAL CITY _ TEL NO
LIO HTING Hoer 20 IID
FI%TURES ADD L J
Dv[R 20 10 ELECTRICIANS B9 >
RANGED CLO DwYmTS WTR HTIO 100 ADDRESS L
DARE OIDR Rw COOK '— /
CITY / EL NO e
DISHWASH AUTO WASH STATE ,
"ACE MTAs, STA APP 141 H P MAE 1 60 LICENSE NO ,�
MOTORS' OVSR NOTOVEw HP DISTRC N Z NE P S D BY
O 1 100 _
1 a 1 eo INS ION, RECORD
a e 200
S — l6 a SO .2� jgjc
1S — So Soo
SO 100 600
SIONt�
NO TRANS Yj
NO LAMPS l'
SERVICED 800V NOT ovEn 200A 100
SERV ICE O 600V Ovm1 200 A 200 '
SERVICE OVER 600V 600
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING PEE 1001 1
TOTAL FEE t
1 H[REDY ACKNOWLEDGE THAT I HAVE ROAD THIS APPLICATION PPRDYAL6 DATE IM4ECTg1 aSIOKXT m
AND RATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY CONDUIT
WTTM ALL COUNTY ORDINANCES AND STATE LAWS REOULATING
ELECTILICAL WIRING WIRING /
1 NERDY C[RTIFT THAT 1 AM PROPGLY ICOISTXR AND/OR
'CEN® AB R[OUIRED BY LOD ANG[L[B wuNTY AND DrATE OF FIXTURES
uuIORMIA ON THAT 1 AM THE LEGAL OWNER oP TNc ABOV[ `
DPEcwIQ0 wUlIDENruL PwOPERTY POWER
OF PERMITTEE SIGNATUREUTILITY CO NOTIFIED
FINAL
LIDATION ARTHUR C VEIT
CK O CASH SUPERVISING ELECTRICAL ENGIN ER
Lr1(,05 3 2 93 FEB 6 2 D 3.40--