HomeMy Public PortalAbout5622TEMPLE CITY BLVD_Electrical 76Aa63 CES06 11.71 APPLICATI014` FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
BUILDING
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION �7
ADDRESS { eA'VE e GE /)A y Pe
LOCALITY C
FOR APPLICANT TO FILL IN CROSS 5T I Kv O
OUTLETS NO tACK EE EL
OWNER
RECEPTLf S s MAIL
LIGXT_ TOTAL
FIRST 20 n / ADDRESS
OVER 20 CITY C 1 TEL NO
SWITCH_ 10 PLAN CHECK
LIGHTING l TOTAL FIRST 20 2, APPLICANT
FIXT10
1
OVER 20 ADDRESS
URES
RESIDENTIAL APPLIANCES CITY TEL NO
RANGE_DRYER_WTR HTR_ PERMIT
APPLICANT I I�
STA COOK_DISP_F A U ADDRESS p c/ /(.( I
p
SPACE HTR AIR CONO CITY [J TEL NO / 7
CLOTHES WASH DISHWASH _ LICENSE NO �.Z�o,Y-d - O
FAN_OTHER IDD 1 N[x[pY ACNMOW LLDOE THAT II HIVE READ ICATION
AND STATE THAT THE AL OVE IS ICOARECT AND OMPLY
MOTORS TRANSFORMERS "TINA WITH ALL COUNTY ORDINANCES AND STATE LATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING /
SIZE \ TYPE OVER
TO
I HEREBY CERTIFY THAT I AM PROPERLY RANDANt0 - 1 100 LICENSED AS REOUIN[0 BY LOS ANGELES COUNATE OF Y
CALIFORNIA M THAT M THE LEGAL OWNER OF AND INTEND TO 0-
I - 10 S00 RESIDE IN THE VC DESCRI DESIDENTI'L PROPERTY V
ON
10 — 50 300 OF PERMITTE Q
60 — 100 lom r
D1erRlcr xo cLAaS z x[ PROCESSED by Yj
too - SOO 1500 O -/(-� = o.
SIGN GAS SIGN ANO ONE CIRCUIT SOD INOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS tool I
SERVICENOTOVER 600 VOLTS OR 200 AMP 300
RDAT[ V�[C SISIMIVIIESERVICEOVER 600 VOLTS OR 200AMP 1000WER POLE
TEMP SERVICE,POLE, &APPURTENANCES SOOAB WORKTEMP LIGHT OR RECEPT SYSTEM 300NOIUT
jr J- Ily
UPERMIT FEE (SUB TOTAL)
CO NOTIFIED
PLAN CHECK FE! (
PERMIT ISSUING FEE awl
TOTAL FEE 0 -
PLAN CHECK VALIDATION CK M 0 CASH PERMIT IDATIONCK M D CASH
2 06 8731 JUL2t 6 ,501
SEC SAM OF APPLICATION FOR COMPLETE SCHEDULE