HomeMy Public PortalAbout5526TEMPLE CITY BLVD_Electrical (2) 76AO63 CE606l9-64 II ,
t APPLICATION FOR ELECTRICAL PERMIT U
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDaEG6 - N
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OP BUILDING LOCALITY
NEAREST
FOR APPLICANTFIL IN I cao6e eT
RECEPT TOTAL NO EACH FE[
OUCP
T ETB FIRST 20 xd S 20 S O OWNER J
LIGHT I' MAIL
SWITCH OVER 20 //� 10 66 AOD'LADDRESS
TOTAL CITY T NO
LIGHTING G9 1 FIRST 20 Q YO 0
FIXTURES G�up 2O 10 2m ELECTRICIAN
RANGED cLD D.Y[11� WT. HTR) 100 y ADDRESS CQ
oAGm IS rrA.coo.
tDISTRI
TEL NO
DISHWAM Q AUTO WARN ./�P TE
.RACE HT.I RA APP (VE H P'MAI 1 60 NSE NO
Moro o Nor OVER HP O GRO P NE P ESSED B
— + - +GG 1 — 6 i60 INSPECTION R CORD
a 6 200 fe ISO O16 60 30060 100 6 GO
61GN61 NO TRANS
No LAMP. Z
SERVICH 0600V NOT cv[.200A 100 QQ
S ICH O 600V OVml 200 A 200 !
1 rr
SERVICE OVER 600V 500
MISC
F Y
PERMIT ISSUING FEE 200 Q
SUPPLEMENTARY PERMIT ISSUING FEE 100 1
TOTAL PEE Q(� 7
I N[11[.Y ACNNOWL[DOt TNAT I HAV[ KNEAD THIS ATLIGTION APPRQVALA 6A'` IMO[ 6 51 Y
AND [TAT[ TMAT TH[ ABOVE 19 CORRECT AND AOR[E TO COMPLY CONDUIT Ol'I '18Lr 6
WITH ALL COUNTY ORDINANCE. AND STATE LAWS REGULATING
ELECTRGC WIRING WIRING
I HERESY CERTIPr THAT I AM POOP EnLY REouT[Rm AND/OR FIXTURES
LICENf[O
AS
REOUI R[O EY LOG ANGELES COUNTY AND !TATE OI
CALIFORNIA OR THAT I AM THE LEGAL GONER OP AND INTEND TO
RESIDE IN THE A.OV[ 09SCRu n[ [N AL PROP[nr• POW HR
SIGNATURE UTILITY CO NOTIFIED G�
OF PERMITTE
FINAL
(CLN d'RdOHAN
K CASH SUPERVISING ELECTRICAL EMGINE[11
nC0 2 5 8 0' JUN 14 2 D 5 4.8 0,