HomeMy Public PortalAbout5138TEMPLE CITY BLVD_Electrical (2) TBASSS CEBOB A SB APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER =-72
FIEL
BUILDING AND SAFETY DIVISIONJOHN A LAMBIE, COUNTY ENGINEERCOLEMAN W JENKINS SUPT OF BUILDING
NEAREST
O CROSS BY
RECEPTACLE, TOTAL NO EACH FEE .
Jly 'UTLETe FIRST 20 6 2O 8 OWNER
LIGHT MAIL SWITCH ADD L OVER 20 10 ADD � .TOTAL _ IZ - 7-LIGHTING=� FIXTURES FIRST 20 _ —_ 20 _ _FIXTURESADD L 10CONT ACTOR
OVER20RAHO[B DRYER writ HTBS t 00 ADDRESSGARA, OIV BTA COOK
CITY
DISHWASN AUTO WASH STATE
SLAC[HM10 STA AIR toy X R MAX ) 50 LICENSE NO If
MOTORS OVER NOT OVER HP DIS�tICT NO GROy,P I�E PR' ESSED
O 1 1 00 • Q
+ - B 1150 INSPECTION RECORD
a — e 200
e to 250
1S 50 DOO Q
U
SO too It 00
SIGNS, NO TRANS LJ
NO LAM" r
SERVICE O BODY NOT OVER 200A 100 N
SERVICED SOOV OVER 200A 200 Z
SERVICE OVER BOOV 5040
OTHER ({RE COMPLETE IEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PtRM1T ISSUING FEE 100
TOTAL FEEIII rCONDUIT DATE INSPECTION SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND[TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMILY
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
ELECTRICAL WIRING 1 XBREBYCERTIFY THAT I AM PR T REGISTERED ANO�OR LICENSED AB R[GUIR[D BY LO AHSCOUNTYAND BTA OFCALIFORNIA E THAT 1 M TM CO WN[R OF ANO 1 {N TO RESIDH IM TN OSIGNATURE IED
OF PERMITTEE
FINAL Q I
VALIDATION JOSEP C ROOHAN
CK^ M CABN SUPERVISING ELECTRICAL ENGINEER
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