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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