HomeMy Public PortalAbout5424TEMPLE CITY BLVD_Electrical (2) Ta•eae-caeoe G es APPLICATION FOR EL E TRIISPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION Amass zf . Tirhw4r / 8L
JOHN A LAMBIE COUNTY ENGINEER .{
COLEMAN W JEN[INS SUPT OF BUILOI MO LOCALITY PLPY /T
NEAREST
FOR APPLI NT O No cRoee m IYE
RECEPi TOTAL No uoI FEE
OUTLETS FIRST 20 8 20S OWNER
LIGHT r
SWITCH OVEN 20 10 ADDRe88 3—Y46 N T��"�P.�E �i B/.✓J,
TOT L CITY ' TEL NO ?-97-94-57
LIGHTING + FIRST 20 20
FIXTURES _ ADD'L 10 ELECTRICIAN �/vNP
OV R 20
RANGES CLO DRYERS WTR HTR[ 100 ADDRESS
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CITY EL NO
DISHWASH AUTO WASH STATE
[FACE HTRS STA AIF I%HF IN" I 60 LICENSE NO
MOTORS, ovER NOT OVER HP DISTRICTNO G NE P SSED BY
O 1 100 /Q
1 — 9 ISO INSPECTION RECORD
9 B goo 0
8 1e 280 U
1e SO 1300 Old
u Q
eo Ioo 1500 � �J
NO TMN[ d
SIGNS. NO LAMPS 2
SERVICED SOOV NOT GIVES,2O0A 100
SERVICE O SOOV OVER 2O0 A 200
SERVICE OVER GOOV 500 _
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING PEE 100
TOTAL FEE e
I X[R[[Y ACKEO 130E THAT 1 HAVE READ THIS APPLICATION DAT[ IMOp
AXD STAT[ THAT TX[ ABOVE IS CORRECT AND AORQ TO COMPLY CONDUIT
WITH ALL COUMY ORDINANCES AHD RATE LAWS REGULATING
[L[CTRIGL WIRING WIRING
I HERor ca[nrr
THAT AM PROPERLY REOuraneD ANDrON FIXTURES
u<aN)e0 AL n[Omnm BY LOS ANGELES Co uNTT ANG STATE OI
CALIFORNIA On THAT 1 AM THE LEGAL OWNER OF ANO INTEND TO
RESIDE IN THE
11 ABOVE OESCnIEEO .EMOENTIAL nOREn Tr POWER
SIGNATOR[} - UTILITY CO NOTIFIED
OF PERMITTEE
PINAL
VALIDATIQN—� JOSEPH ROOMAN
QC MO CASH SUPERVISING ELECTRICAL ENGINEER
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