HomeMy Public PortalAbout5526TEMPLE CITY BLVD_Electrical 76AG63-CE805 3-04 APPLICATION FOR ELECTRIC�PE
COUNTY OF LOB ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION wDDRl:oe1,526 N_ TpMple .L
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN SUPT Or BUILDING LOCALITY Temple Cit
NEAREST
1 CROSS ST
RECEPT } TONO EACH PEE
OUTLETSTAL FIRST 20 $10 • OWNERSchaub
LIGHT MAIL
ADD'L ADDRESS5526 N. Temple
SWITCH OVER 20 10
TOTAL CITY Temple Cit TEL No AT 63483
LIGHTING � P1RSr 20 IID
FIXTURES ADU'L 10 ELECTRICIAN
OV R 20
RANGES CLO ORYDIS WTR WAS too ADDRESS 403 E. Broadway
GAR' DISP ETA COQ CITY San Gabriel 446-7040
DISHNASH AUTO-WASH TEL NO
STATE
VAQ IITq STA AA IK H MAS 1 SO LICENSE NO
MOTORS' oVRR NOTOVER Hr DLRIa N U Z NE P B
o f 100 UOr
t — a 1130 INSPECTI ACORD >
d
a e zoo O
V
B 1a IISO �
1D — So 300 O
no too 300 D.
MONS. NO TRwNe �'
No u1VS
SERVICE O SOOV NOT Ovo1 200A 100
SERVICE D SOOV OVEN IIOO A 200
SERVICE OVER SOOV Soo
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FES 100
TOTAL FEE
I HERESY ACIOIOWLEDGE THAT I HAVE READ THIS APPLICATION A GlE 1
AND "AM THAT THE ASOVE IS CORRECT AND AGREE TO COIOLV CONDUIT
WITH ALL COUNTY ORDINA M AND STAT[ LAWE REGULATING
ELECTRICAL WMINo
1 HSRSrt CERTIR THAT AIR IROPQLV REO/ RLp AND/OR WIRING
UC SSO AS IYGUIRED S ANGELES 00 AND STATE OF FIXTUR®
CAUPORNIA OR THAT THE LEGAL OWN or THE ASOYE
DOQIS[o RES" POWER
SIGNATURE UTILITYCO OrIFi D
OF PERM/
FINAL
LIDATION ARTHUR C VETT
CR NO CASH SUPERVISING ELKCTRICAL ENGINEER
LAL00 0 2 9G MM29 2 D x.50- 0
I
iGk�"GLZam/