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HomeMy Public PortalAbout5460TEMPLE CITY BLVD_Electrical (2) 76A663 CE308 10/72 APPLICATION FOR ELECTRICAL P IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS Q £ C E+` LOCALITY M C NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS 0 EACH PE FIRMEN0 E A P £ RECEPT $ $ MAIL FIRST 20 25 SWITCH_ OVER 20 1p ADDRESS O L V' LIGHT _ TOTAL n CITY l CL TEL NO .9 QP -786 PLANCNE _ FIRST 20 25 APPLICANT LIGHTING TOTAL FI%TURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL PEIT RANGE_ORY ER WTR HTR_ PRNI STA COOK_DISP _F A U _ ADDRESS i SPACE HTR AIR CONO CITY TEL NO CLOTHES WASH OISHWASH _ LICENSE OR CLASS REG NUMBER FAN_OTHER 100O HEREIN ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION n AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REOULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE B TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSCD AS RfTBY LOS ANGELEGELSS COUNTY AND STATE OF CALIFORNIA OR THAI HAI I AM TMC LE GAL OWNER Of THE ABOVE 1 — 10 300 DESCPIPED RESIDE TIAL PROPERTY OO PERMITEE U 10 - 50 900 SIGNATURE C FOy..... 50 - 100 1000 DISTRICT NO PROC SED U W 100 - 500 1500y Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS . , DATE TOR'3 SNNMT1110! TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOT OVER 600 VOLTSOR 200AMP 300 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE 8 APPURTENANCES 500 WIRING 77 TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL - L 1i //✓ice PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 (f0 TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M G CASH 6 0 6 A JUN 19 2 D 44.0 0 °98 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /