HomeMy Public PortalAbout5530-5605TEMPLE CITY BLVD_Electrical APPLICATION FOR ELECTRICAL PERMIT 800
TaAea3 ceeoa 11-71 APPLICATION
COUNTY OF LOS ANGELES
• DEPARTMENT OF COUNTY ENGINEER A52 D'SNTG — ZBUILDING AND SAFETY DIVISIONLOCALINP RESFOR APPLICANT TO FILL IN CROSS OUTLETS H `EZ OWNERRECEPT MAILLIGHT TOTALFIRST 20 s AOORE3I7
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SWITCH 10 PLAN CHECK
FIRST 20 APPLICANT
LIGHTING TOTAL
++���� OVER 20 ADDRESS
FI%TURES GS/ IO
RESIDENTIAL APPLIANCES CITY TEL NO
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RANGE DRYERtif,�WTR HTR APPLICANT
STA COOK_DISP -2,—F A U ADDRESS
SPACE HTR AIR GOND _ CITY TEL NO
CLOTHES WASH -2,DISHWASH LICENSE NO '7 CLASS
FAN OTHER100 I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
Idb— AND STAT[ THAT THE ABOVE ID CORRECT AND AGR[[ TO COMPLY
MOTORS TRANSFORMER! RATING WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
lIZ[ S TYPE OVER TO
HERESY CERTIFY THAT I AM PROPERLY R[IIDT[R[D AND/0R0 _ I 100 LICE N [D Af Rl0UIR BY
LOl ANA[LED COUNTY AND STAT[ OF
CALIFOR XIA OR THAT AM THE L[OAL OWNER OF AND INTENDTO
I — 10 300 OG RESIDE IN THE AS V[ D Gla[0 R[IIDE NTIAL PRO RTY V
SIGNATURE
10 — 60 Soo OF PERMITTEE 0
6O — 100 10.00
DISTRICT NO CLASS [ E PROClD OSY
100 — Soo 1500 _5_
8 Q Z 3 a
SIGN GAS SIGN AND ONE CIRCUIT Soj NOTES
TUBE OR
MARQUE! ADDITIONAL CIRCUITS 10
SERVICENOTOVER 600 VOLTS OR 200AMP 301
APPROVALS DATE SIDPECTOIPS lN4TLRt
SERVICEOVER BOO VOLTS OR 200AMP 10.0
TEMP POWER POLE
TEMP SERVICE POLE, IS APPURTENANCES So
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 30
ROUGH CONDILT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
FINAL UTILITY CO NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 30
BE TOTAL FEE r
PLAN CHECK VALIDATION CK M 0 CASH PER ATION CK MO CASH
4,4 co /3a3 /Ylcra. 2 a c;2 53 (o o N
DEE DAO! OF APPLICATION FOR COMPLETE SCHEDULE