HomeMy Public PortalAbout5102TEMPLE CITY BLVD_Electrical J[AEEE CEBOE IO-E2 APPLICATIONf FOR ELECT CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
- BUILDING AND SAFETY DIVISION ADDREae 7gmBlIp d,
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN SUP T Or BUILDING LOCALITY
NEAREST
CROSS ST _ a 7.,IA.Ca
hoar 1 TOTAL No uol P= 1
lll} OUTLETS r1RnT 20 t 20 t OWNER
FA AbIc A2;
.-T ((i MAIL
[.ITC. ✓ woo 510 f0 ADDRESS 4
ov[R
TOTAL CITY _ •� TEL NO
LIO HTINo I rlr�r 20 IIS
FIXTURES J Aoo L ELECTRICIAN /k' /, l'l ' O CO 7-
OY[R L IO /
RANG[[ CLO urots WTR HTR[ too ADDRESS !?0.3/ ..J
GA Dla rtA COON -
CITY TEL NO D
DIOIWA[tl AVTO WAW STATE
WAC6 HTR[ ETA AR 0A HP M"1 50 LICENSE NO
Marone' ova NOT ova NP DI RICT NO GROUP Z�NE P ED BY
O 1 too r0 N
1 5 t 50 IN ECTION ReZbRD
6 — 6 200 AA1 Ja
S — 15 II So / t 1!/O
15 50 300
no — 100
5010
O� •( 1GL
SIGNS. NO 0E L
SERVICEO 600V NOT=200A 100 ff r I
SERVICE 0500V Ova 200 A 200 1
SERVICE OVER 600V Soo C
M16C 00)46, P
0
PERMIT ISSUING PEE 200 �/ �•
SUPPLEMENTARY PERMIT ISSUING FEE 1 00
TOTAL FEE
1 H[IMBY ACRNOV L DG[ THAT 1 HAVE R D TNI[ APPLICATION ArPRDVAIe DATA IMR[CT011
AMD STAT[ THAT TM[ AROV[ Il CORR[CT AND AGREE TO COMPLY CONDUIT
WITM ALL COUNTY ORDIMANC AND ETATE LAWS REODLATINO L
o.ECTRICAL WMIMO WIRING /l
1 MOIOY QRTIPY THAT 1 AM PROPERLY REOIWI 16 AND/OR
.30:0 A[ R[OUIR[D RY l0[ ANO[LEl COUNTY AND ETATR Or FIXTURES
CAUPORNIA OR THAT 1 AM AL OWNa Or THE "OV[
DEECROI[D RUID[MTIAL POWER 9
OF UTILITYCO NOTIFIED 9
FINAL I )
VALIDATIO N ARTHUR C VER
MID
CX MO CASH SUPERVISING ELECTRICAL ENGINEER
LAC0 7 2 1 7 JUL 9 2 0 5 40-