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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