HomeMy Public PortalAbout5339TEMPLE CITY BLVD_Electrical TEMPLE C:9`TY
TSAR-CES X82 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERSU ILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN. SUP T OF BUILDING LOCALITY
NEAREST
MMMMMMF"RIDPI-141 CROSS ST
RECEPT I TOTAL NO IN
[
OUTLETS FIRST 20 $20 • OWNER
SWITCH
L� MAIL
SIV ITCX ADD'L +0 MAIL J
QVfR 20
TOTAL CITY EL NO
LIGHTING [71--T20 20
FIXTURES AOWL 10 ELECTRICIAN
ov R 20
RAMOSS CLO DAYol[ WfR MTRS too ADDRESS
OAII! DISP STA =OR CITY TEL NO
DISHWASH AIRO WASH STATE
SFACID HTRS STA MP (w H P MAX ) I LICENSE NO
MOTORS, ovER NOT OVER HF DISTRI N G P Z E PR BY
O + too
+ a 150 INSPECTION RECORD
D S 200
S 1S ISO
IS SO 300 }
a
so too a oo O
V
SIGNS. NO TRANS K
NO LAMPS
OF
SERVICE O 600V NOT OVER 200A 100 W
SERVICE O SOOV OV 200 A 200 {d
N
SERVICE OVER SOOV S DO Z
MISE
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE
I NIMSOX. ACEMGWLODGO TMAT I HAV[ READ THIS APPLICATION APPROVALS OATS IM u
AMD STAT[ THAT TH[ AOOV[ It CORRECT AND ADMIX TO COMFLY CONDUIT
WITH ALL COUNTY ORDINANCE[ AND BTAn LAWS RROULATINa
ELECTRICAL WIRING WIRING '
1 MIDMOST CERTIFY THAT 1 AN PROPERLY REOIR[IRD AMO/OR
UC[NREO AS REQUIRED BY LOS ANO[L[R COUNTY AND STAT[ OF FIXTURES
UUFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ASOVO
D RESIDENTIAL FROP[RTY POWAI
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE
FINAL /
VALIDATIpt- 'HUR vE1T
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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