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HomeMy Public PortalAbout5530-5605TEMPLE CITY BLVD_Electrical (2) 7eA6e3 EEBOB 10/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS LOCALITY NEAREST /�r�D FOR APPLICANT TO FILL IN CROSS ST G OUTLETS NO EACH, •! OWNER OR s FIRM NAME RECEPT_ MAIL LIGHT_ TOTAL FIRST 20 25 ADDRESS OVER 20 CITU (JJ TEL NO SWITCH__ 10 PLAN CHECK LIGHTING FIRST 20 25 APPLICANT TOTAL OVER 20 ADDRESS FI%TURES 10 RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE_DRYER_WTR HTR_ APPLICANT STA COOK_DISP F A U _ ADORESS ` mayy" SPACE HTR AIR COND CITY �r-3 (/`/ TEL NO J CLOTHES WASH OISHWASH_ REG�NUMBER OF �.�i�T7 CUSS FAN_OTHER IOD I HERLBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS ETC HP KW KVA ELECTRICAL WIRING SIZE B TYPE OVER TO 1 H[R[BY CERTIFY THAT I SM P110PERLY COUNTY AND AND/OR O — 1 100 LICENSED Af ED UIRED BY LOS ANGELES COUNTY ANO lTATC OF CAL FORWA OR THAI 1 AM T E ABOVE 1 — 10 300 Dla CnlfeD RESIDENTIAL p U 10 — 50 500 PERMITEE ITEM AT p ti SO - 100 1000RIC�O o- E ED 100 - S00 1500 L_ SIGN GAS SIGN AND ONE CIRCUIT 500APPROVALS DATE INSPECTOR f SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 P POWER POLE SERVI CENOT OVER 600 VOLTS OR 200AMP 300 RSLAS WORK SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT dh TEMP SERVICE,POLE h APPURTENANCES 500 I WIRING Tg.MLIGHT OR RECEPT SYSTEM 300 1 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 PV TOTAL FEE i PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M O CASH 919�'jk 9 2 D 8.00 ,.E SEC SACK OF APPLICATION FOR COMPLETE SCHEDULE