HomeMy Public PortalAbout5525TEMPLE CITY BLVD_Electrical (2) I6Ae63 CEBDe 10.62 APPLICATIO ECTRICAL PERMIT
' COUNTY OF LOS ANGELES 4
DEPARTMENT OF COUNTYWNGINEERtUILDING \
BUILDING AND SAFETY 41V1 N ADDREBB
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
R PLICAN N CROSS BT � 2
FTU
TOTAL NO EACH F I —
I OUTLETS FIRST 20 t 2O t OWNER
�J MAIL
22 woo RESS
X2010I TOTAL Plner 20 20GTY T[L NOI AOo L ELECTRICIAN
avL. 20 10
RANGES Clo ORYEBe NTA 11TAD1 00 ADDRESS
OARS DISP STA COOK I
CITY I/ TEL NO CJ
DINHWAO1 AUTO WASH STATE /� /) 1
V [
ACHTIO STA APP (%NP MAN) 50 CENSE NO L�1 `, ( ,
MOTORS, ova NOTOVKK NP DIST CIPO G P NE P ESSED BY
O 1 100 7f
I a ISO INSPECTION RECORD
a — e 200
e 1B 250
15 — e0 300
�11 50 100 500
SIGNS, NO TMNe
No LAMPS
SERVICE D BODY NOT O 200A 100
SERVICED GOOV OvEB 200A 200
S�IVICE OVER BOOV t 500
MISC. _
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE? IS
1 N[R®Y ACRNOWLSDO[ THAT I 6THISNAVE R0 THIS APPL TION DATE INSPIUMTOIR 9 SIGNATLIM
AND STAT[ THAT T R AGOVK IN CORRECT AND AGREE TO COMPLY CONDUIT
WTM ALL COUNTY OROINAMC LAWe RKOOLATINO
KLECTRICAL WIRING WIRING
I HEREBY CKRTI PY TH I AM PR OI ANO/OR
YCENe[D AN RKGUI e D STATE OF FIXTURES
GYPORNIA ORI SR P E ABOVE
DISCRIIIED Mel L P O� POWER
99ON
O16NATURH UTILITY NOTIFIED
OF F[RMITT
FINAL �
(DATION ARTHUR C VER
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LtLo 4 7 9 8-� AUG 19 2 D 9.40~ Q