HomeMy Public PortalAbout5309TEMPLE CITY BLVD_Electrical TEMPLE CITY
7GA66&CE6OG 8.62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �� �✓ A
BUILDING AND SAFETY DIVISION ADDRESS I F/
JOHN A LAMBIE COUNTY ENGINEER -
WILLIAM A JENSEN,SUP T OF BUILDING LOCALITY r MPL E Lr TTy
NEAREST rjt
l PLI O RILL IN I CROSS ST L7
RICEPT II TOTAL NO EACH PQ
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OUTLETS FIRST 20 620 • OWNER �i
LIGHT ' MAIL
!WITCH ADO•L ADORESG p) /• ` . trA
OVER 20 10
LIOVVER GHTING 1� TOTAL FIRST 20 20 CITY E T TEL NO 0 E
FIXTURES fO ELECTRICIAN
R 2O
2
RAHOQJ clo ORTEM WT11 HT" 100 ADDRESS
SA
OARS DIM ETA COOK
CITY TEL NO
DIRHWASH AUTO WAW STATE
MACE HTR, STA AM OA H R MAY 1 SO LICENSE NO
MOTORS OVER HOT OVER HF DISTRICT NO G Z NE I PXES66ED RYj
O 1 f 00
1 a 1 so INSPECTION RECORD
a a 200
8 f6 980
18 SO 300
so — foo Soo v0
SIGNS, NO TRANS K
NO uxRE r0
SERVICED 600V NOT OvM 200A 100
SERVICE 0 600V OVER 200 A 200 N
SERVICE OVER GOOV 600 Z
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 1
TOTAL FEE
I HKRYET ACKHOWLKDOE THAT 1 HAVE READ THIS ADPL TIONAPPROVAILS PAYS Ix 8IGNATWw
AND ETATK TIUT THK AEOVK IS CORSECT AND AGUES TO COMPLY CONDUIT
WRN ALL CW14I1 ORDINANCEI AND STATE LAWN MQULATINO 1
K,IDOTWI WINING WIRING
1 HEILE6T MRTIFT THAT 1 AN RRDRERLT MOISTEN® AND/OR 1
LH=NSlD AS RSOUIIIYD RT LOE ANGELYS COUNTY AND RATE OF FIXTURES
G JFORHIA ORTHAT I AN WNEH OP THE AKOV
DESCRIBED RESIDEMIAL POWER
SIGNATURE UTILITY CO NCTI►1 D
OF PERMITTEEaw_v�wA
FINAL t �
VAUDASH ARTHUR a VETT
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CK NO CASH
• / SUPERVISING ELECTRICAL ENOI EER
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