HomeMy Public PortalAbout5403TEMPLE CITY BLVD_Electrical (2) T
-DD-c_Eeoe 11 TI APPLICATION FOR 'ELECTRICAL PIAMIT Ll
COUNTY OF LOS ANGELES
DQPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 7
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OUTLETS FEE
S S OWNERPI
ll1J
REC EPT_ MAIL
LIGHT_ TOTAL FIRST 20 35 ADDRESS S
OVER 20 CITY � TEL N
SWITCH_ 10 PLAN CHECK
LIGHTINGTOTAL FIRST 20 20 APPLICANT
FTOVER 20 10 ADDRESS
URES
'RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE/ORYER_WTR HTR_ APPLICANT
STA COOK_DISP _F A U ADDRESS
SPACE HTR AIR GOND� CITY TEL NO
CLOTHES WASH DISHWASH_ LICENSE NO CLASS
FAN—OTHER I t 100 1 HERESY ACKNOWL[DOE THAT 1 HAV[ R[AD THIS APPLICATION
•ND [TAT[ THAT THE ABOVE If CORRECT AND AGREE TO COMPLY
MOTORSTRANSFORMER[ RATING WITH ALL COUNTY ORDINANCES AND STAT[ LAW[ REGULATING
IND HEATERS ETC HP RW KVA ELECTRICAL WIRING
SIZE G TYPE OVER ,TO
�) NSEEDA CERTIFY R THAT I AM PROPERLY COUNTY
A FRED AND/OR
O - 1 1 D UV LICENSED AS REQUIRED M S LEGAL
COUNTY AND STAT! Of
CALIFORNIA OR THAT I AM E LEGAL OWNER OF AND INTEND TO
1 - 10 Soo OO RESIN! IN THE ADD D[f CRI PISID[MTIAL PROPERTY V
SIGNATURE �P Ed
10 - 80 X500 OF PERMITTEE �- O
SO - 100 1000 G
DlrSmcr Npo case PRoc to [r ILL
100 - S00 1300 J'QCl — yf
TUBE SIGN
GOR AS SIGN AND ONE CIRCUIT _-Soo NOTES Z
MARQUEE ADDITIONAL CIRCUITS IOD
SERVICENOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS HATH 01![C1011'S SKSMTOS
SERVICE OVER BOO VOLTS OR 200 AMP POLO'
TEMP POWER POLE
TEMP SERVICE,POLE,C APPURTENANCES 500
UNDERSLAS WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
I
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) 1
UTILITY CO NOTIFIED
PLAN CHECK FEE
��
PERMIT ISSUING FEE 300 Q(� FINAL
TOTAL FEE QD
PLAN CHECK VALIDATION CK M o .ADN PERMIT VALIDATION M o cA H
a0773 2 of - 14.00-
SEE DAM OF APPLICATION FOR COMPLETE SCHEDULE