HomeMy Public PortalAbout5525TEMPLE CITY BLVD_Electrical TSABBB-CEBOS 0!E2 APPLICATION FOR
ELECTRICAL PERMIT
COUNTYIOF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING —5-. I
BUILDING AND SAFETY DIVISION ADDRESS �(
JOHN A LAMBIE. COUNTY ENGINEER
WILLIAM A JEKQrN,SRA T OF BUILDING LOCALITY
NEAREST
FOR APPI.J I LIN CROSS ST
ReceFT TOTAL NO RACK
OUTLETS FIREr 20 °2O 8 OWNER ROL
LIGHT MAIL <
SWITCH OVER 20 10 ADDR
7l TOTAL CITY TEL NO
LIGHTING 1 FIRST 20 10
FIXTURES p ADWL Ip ELECTRICIAN
Ov N 20
RANGES CLO DRYERS WTR MTIO 100 ADDRESS - C
GARS DIP STA COOK •�r
CITY A 4 TEL NO JJ
DISHWASH AUTO-WASH STATE
PAC[KTKf STA AFF (,W N F MAx I SO LICENSE NO
Mo7oRB, ovu KOT ovEN HF DIST CTO GROUP ZqNE P SSED BY
0 1 100
1 — a 160 INSPECTION R ORD
° B 200
S Is 2°O
Is SO 900 r
d
°O 100 000 Q
V
BIaNBI NO TRANS
NO uMM C
rQ
SERVICED SOOV NOT 200A 100 U
SERVICEO-600V OVER 100A 200 1H
SERVICE OVER SOOV zoo ?
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE °
1 HIGGS" ACKNOWL[DGK THAT 1 HAV[ READ "IS A LICATION DKTK 1
AND RAT[ THAT TKE ABOVE 18 CORNER AND AGREE TO COMELY CONDUIT
WIiM ALL CWHTY OKDINANCEI AND RATE LAWS REGULATING
ELECTRICAL WIKINa WIRING
1 HORSY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR /�
LICENSED AB REQUIRED BY LOS ANOEL[E o NTT AND STATE OF FMURE°
CALIFORNIA OR THAT 1 TI[ L[pAL OWNER OF THE ABOY[ S
OtlCWB[D RUIDpT1A POWER
OFNATURE EE • UTILITY CO NOTIFI
PINAL
SIDATION ARTHUR C VEIT
IX MO CASH SUPERVISING ELECTRICAL ENGINEER
;-}{ j 5 6 4 0, SEP 16 2 D 5.10