HomeMy Public PortalAbout5475TEMPLE CITY BLVD_Electrical 76A663 CE806 10/73 APPLICATION FOR' ELECTRICAL PERMIT i rD
COUNTY OF LOS ANGELES `
DEPARTMENT OF COTUNTY ENGINEER Ass '
BUILDING AND SAFETY DIVISION SRE
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EA n FE OWNER OR
S S FIRM NAMEviott
RECEPT MAIL
A75 Temile Olts H1126
LIGHT_ TOTAL FIRST 20 2S ADO RESS
CITY TEL NO
SWITCH OVER 20 µ1p
PLAN CHECK
LIGHTING FIRST 20 _Zy APPLICANT
TOTAL
FI%TURES OVER 20 -{f0 ADDRESS
RESIDENTIAL APPLIANCES CITY J TEL NO
PERMIT
RANGE_DRYER—WTR HTR— APPLICANT l
STA COOK_DISP _F A U ,}' ADDRESS 1
SPACE HTR AIR CONDCI TEL NO
CLOTHES WASH DISHWASH Z REG NUMBER 7962 CLASS
r
FAN_OTHER 1100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'APPLICATION
AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSrORMER5 RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND ME
ATERS ETC HP RW HVA' r ELECTRICAL WIRINO
SIZE S TYPE OVER TO
I HEREBY CERTIFY'TMAT I AM PROPERLY REGISTERED AMD/OR
0 — 1 1100 LICENSED AS REQUIRED 5Y LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I'AM THE LEOAAALLL///p HER OF HE ABOVE
�tm A/(; 1 — 1D 300 DeSCRIr Eo REST gGMf'IAL PRO, T.',/ � 1
F SIGNATURE
IGNAIna T \/\l G/
•,10 - 50 500 SIGNATURR E 4 LA.
50 - 100 1000
DISTRICT NO PROCESSED BY,
100 - 500 )500 %
s( V -
SIGN GAS SIGN AND ONE CIRCUIT BOO APPROVALS V DATE • INSPECTOR'S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS RGG TEMP POWER POLE
SERVICENOTOVER 600 VOLTS OR 200AMP 1 00 g ^^ UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 VNOTES
TEMP LIGHT OR RECEPT SYSTEM 300 T
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE ,� I
PERMIT ISSUING FEE 3G 3 100 ' r
TOTAL FEE
PLAN CHECK VALIDATION I M D CASH PERMIT VALIDATION CK M 0 CABs
1
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE