HomeMy Public PortalAbout5312TEMPLE CITY BLVD_Electrical Wiel
'°"°" C6M° '° APPLICATI� ECT AL PERMIT
COUNTY OF L08 ANGELES �� RESS T
• DEPARTMENT OF COUNTY ENGINEER V O
BUILDING AND SAFETY DIVISION ADD
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS No ItAl. FEE OWNER OR
S S FIRM NAME Joba
RECEPT /� ADDRMAI LESS / e/ ' 15
LIGHT T T L FIRST 20 V
OVER 20 CITY V EL NO 2(p
SWITCH ID PLAN CHECK _ - _
LIGHTING FIRST 20 D- APPLICANT
FI%TURKS ID
TOT
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
RANGE�ORYLR WTR HTR_ APPLICANT ,.✓
STA COOK_DISP jGF A U ADDRESS !FIZ-3f
SPACE HTR AIR CONO CITY q TEL NO
CLOTHES WASH y 0I3HWA3H UM ER CLASS
PAN_OTHER v I NER[BY ACKNOWL[DOZ THAT HAV[ READ THIN APPLICATION
ANO STAT[ THAT THE ASOV[ 10 CORRECT AND AORI[ TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ONOIMANCII AND [TAT[ LAWS ANGULATING
IND HEAT[AS, ETC NR KW KVA [LICTRICAL WIRING
SIS[ & TYPE OVIR TO
I MARISA CERTIFY T T I A PROPERLY S[GIS T[R[0 AND/OR
O - 1 100 1.11114 G[0 AS A[OU IA[ SY OS NOLO COUNTY AND CTAT[ OI Yy
CALI IDANIA OR THAT A LEGAL OWNER OF THE ABOVE y
1 - 10 GOD IF
CA15[0 REGIO[ IAL A KATY O
10 - 60 BOD RM /�S C�
UR! /////�! O
BO - 100 1000 NO, P E BY100 - Boo 1500 T.
SIGN, OAS SIGN ANO ONE CIRCUIT 500 APPROYA [ DAT[ INV[C GINNATURI
TUBE, OR
MARQUE! ADOITIONAL CIRCUITS 100 MP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 DERSLAB WORK
SERVI CEOVER 800 VOLTS OR200AMP 1000 UGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 RING
TLMP LIGHT OR RECEPT SYSTEM 300 TURES
WER AUTHORIZED x
ILITY CO NOTIFIEDAL 1PERMIT FEL (SUB TOTAL) TES 1 10
PLAN CHECK FEE 1 P�71
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 t"eH PERMIT VALIDATION cK M O CASH
261�wcv 21 2 a 21.50APa
SEL BACE OF APPLICATION FOR COMPLETE SCHNDULE '
� v0.