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