HomeMy Public PortalAbout5504TEMPLE CITY BLVD_Electrical TBABEE-CEBOa_E-0, APPLICATION FOR 'ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
' DEPARTMENT OF COUNTY ENGINEER BUILDING !a'�0 //
BUILDING AND SAFETY DIVISION ADDRESS 4J.JJ h'�
JOHN A LAMBIE COUNTY ENGINEER ,
CASSATT0 GRIFFIN SUPT OF BUILDING LOCALITY
ST
FOR APPLICANT TO FILL IN CROSS
PERM FEES
ITEM NUMBER EACH FEE OWNER
OUTLETS S S MAIL
LIGHTS RECEPT SW f0 ADDREHB O
w
LIGHTING FIXTURES 10 CI TELNO
na`c�ou uo DRrua ELECTRICIAN
WATER HEATERS SO
n Er ADDRESS
YALE H DISHWASHERS
OMBAOE DISPOSERS AUTO_ CITY TEL NO
WASHERS STA COOKING UMITS 25 STATE
LICENSE NO
MOTORS GVER INC H P
0— v. 1 25 Rawor roR INoamox
Ya — 2 50
2 — B 100 INSPECTION RECORD
B — 1B 150
16 — BO 250 c-
50—
^BO— 200 Boo
SIGNS NO TUNS
NG LAMPS
SERVICE O•BOOV too ....
SERVICE OVER BOOV Boo
MISC.
WIRING PERMIT too
FIXTURE PERMIT Io*
SUPPLEMENTARY PERMIT BO
TOTAL FEE APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COYPU CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I MEREST CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAI. OWNER OF THE ABOVE POWERDESCRIBED RESIDENTIAL P Tf
SIGNATURE UTILITYCO NOTIFIED
OF PERMITTE
Fl
VMMA ARTHUR CtVIE
BUPWBINO LECTRICAL ENGINEER
CK YO
1 Ll&0 9 a Ism FEB 5 2 A 250