HomeMy Public PortalAbout5460 TEMPLE CITY BLVD_Electrical '°"°" """°"' APPLICATION ORE CTRICAL, PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER J
BUILDING AND SAFETY DIVISION ADOpB
RESs Q L,
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS IEE OWNER OR
11 FIRM NAME CLI to
RECEPT S S MAIL AC
FIRST 20 ADDRESS CC
LIGHT TOTAL CITU ( TEL NO
SWITCH OVER 20 10 PLAN CHECK
HTING TOTAL
LFIRST 20 2' APPLICANT
FIXTURES 1IG
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERIT
RANGE_DRYER_WTR HTR_ APPLICANT A. E.U. Q"02MO wF
STA COOK_DISP _F A U _ ADDRESS a ( S p r
SPACE HTR AIR GOND CITU TEL NO .2
CLOTHES WASH DISHWASH _ k9G N MTER CLA93
FAN_OTHER 100 I HERESY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION
ANO STAIR THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
MOTOR', TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAW[ REGULATING
IND H[ATGS' ETC HP KW KVA ELECTRICAL WIRING
SIZE S TYPE OVER TO
I N[RESY CERTIFY THAT I AM PROPERLY LY REGIS NDNS AND/OR
D - 1 100 'CALIFORNIAAS R[OUIR[D BY LOS ANGELES COUNTY AND STATE OF
CALIFRNOR IDEN I AM TH[ L[0 AL OW NlR I TN[ ABOVE
1 -_10 '00 DSSCRIS[D RESIDENTIAL PR ERTY U
10 — 60 600 PERMITEE
SIGNATURE CD
50 — 100 10-00 DISTRICT NO PROCE EO BY W
as
100 - SOD IBRO 5. 08
SIGN OAS SIGN AND ONE CIRCUIT BDO APPROVAL° OAT[ WlttT011' NK
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAS WORK
SERVICEOVER600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, !APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTDA 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PUN CHECK P[E
PERMIT ISSUING PEE 300 (}(/
TOTAL FEE
PLAN CHECK VALIDATION DK M o A'H PERMIT VALIDATION ex M D CAEn
"'im 2 2 1) 7.7 5 ALkl
591 BACK OF APPLICATION FOR COMPLETE SCHEDULE !!!