HomeMy Public PortalAbout5324TEMPLE CITY BLVD_Electrical (2) APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER SU1LDINo L '/
BUILDING AND SAFETY DIVISION A.D.Ess d 7` ^3X73w
JOHN A LAMBIE. COUNTY ENGINEER CASSATT D GRUPIN YOP-T or ou1LaimaOGLITYFOR APPLICANT TO FILL IN NEAREST
PERM F'M crtoss srITEM Nuremt EACH I" OWNER�/ MAIL
LLISET ECKPT BW ( - s 10 S (J-'(y ADDRESHLIGHTING FIXTURES 10 CITY AHL NO
ELEC RANG¢6 CLD DRYERS ELECTRICIAN
WATER HEATERS SO ADDRESS
ELEC SPACE HTRB DISHWASHERSCITY TEL NO
AUTO• STATE /z
WASHERS STA COOKING UNTTB 2a LICENSE NO
MOTORS OVER INC H F DIS
G— V. 2e
'A— 2 ao INSPECTION BWOB§
2— a 100
a— 16 too
1a— ISO 2110
60-200 a00 A '
SIGNS NO TRANS
ND LAMPS I -Y�7 RQ `qD�
SERVICE 0-600V too
SERVICE OVER 600V 500
MISC.
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT DO
TOTAL FEE Is
1 HERERY ACRNOWIE 09 THAT I HAVE READ THIS APPLICATION APPROVALS DATE INDr¢CI'OR'8610HATURE
AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMMY
WITH ALL COUNTY ORDINANC¢S AND STATE LAWS REQULATINQ CONDUIT '
¢LECTHICAL WIRINGr
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING I1'—,V,7v I
LICENSED AS REQUIRED BY L06 ANGELES COUNTY AND STATE Or FIXTURCS
CAi.wom IA OR THAT I AM THE LEGAL OWNER OF THE ABOVB
DESCRIBED R6SIDQITIAL FRO POWER
SIGNATURE UTILITYCO NOTIFIED -
OF PERMI FINAL
pp �/9d Lrr
®r VAI'IDA� SUPERVISING ELECTRICAL ENGINEER
Glc 110 GASH
4r,�8 8 2 7 DEC? 8 2 A 340 M