HomeMy Public PortalAbout5470TEMPLE CITY BLVD_Electrical (2) TeAees-CeBOO 1f-TI APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS BUILDING -1170
LOCALITY
NEAREST
POR APPLICANT TO FILL IN GROSg ST
OUTLETS NO EACHFEE
OWNER
RECEPT_ $ MAIL
LIGHT_ TOTAL
FIRST 20 25 ADDRESS
SWITCH OVER 20I0 CITU TEL NO
PLANCHECK
TOTAL _
LIGHTING FIRST 20 25 APPLICANT
FI%TURES f0
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
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RANGE_ORYER_WTR HTR_ PERMITAPPLICANT
STA COOK_DISP _F A U _ ADDRESS 4V ✓�^"�-
SPACE HTR AIR GOND CITY TEL NO
CLOTHES WASH �OISHWASH_ LICENSE NO O -7 CLASS C-/e
FAN_OTHER IOD / I HEREBY ACKNOWLEDOE THAT I HAVE READ THIS APPLICATION
ANO STAT[ THAT THE ABOVE IS CORRECT AND AOR[[ TO COMPLY
MOTORSTRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETCHP RW KVA ELECTRICAL WIRING
SIZE S TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND"
0 - I I DO LICENSED AS REOU IRED SY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OP AND INTEND TO
1 - 10 900 RESIDE IN THE A [ BED R[SIDENTI PROPERTY Q
10 - 50 500 SIGNATURE
OF PERMITTEE D[S cc
0
50 - 1D0 IGOO
DI,eSET-R-iCTNQO a•S'S� ZO PRO "ED BY
100 - 500 15 DO V F�O T �� N
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES Z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS I,00
SERVICE NOTOVER 600 VOLTS OR 200AMP 500
APPROVALS DATE I ECIOIVS SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 1000
TEMP POWER POLE
TEMP SERVICE,POLE &APPURTENANCES 5DD
UNDERSLAS WORK
TEMP LIGHT OR RECEPT SYSTEM SOD
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 500 Q Q FINAL
TOTAL FEE OD
PLAN CHECK VALIDATION CK M o CASH PERMIT IDATION cK u o CAM
t Arr, 0 4 0 9^3 AN 5 2 4,00"
SEE DAM OF APPLICATION FOR COMPLETE SCHEDULE