HomeMy Public PortalAbout5624-5626TEMPLE CITY BLVD_Electrical UOD M11 as APPLICATION FOR ELECTRIC PERMIT 1
DIVMON OF BMWING AND SAFETY
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JOHN A LARiB16,COUN96Na1N®t woDa
CASSATT D.GRIFFIN 8W,Y of BUILDING LOCALITY
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OR APrrP,LICPiNT TO FILL IN HEAaeaI
FEFS C oae ST
OWNER
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TACLES ADDRESS IF
SWITCHES FEE CRY N aL G
AL O D ELECTRIC NRANGES EB
ADDRESSHEATERS 2BCITY TEL NO I STATE
RES B LICENSE NOMOTORS DISTRICT NO GROUP ZONE BRADT PDA IMBPSCTIOs
HORSEPOWER FEE OVER INC EACH
IIiSP=ON M=RD
•Leas ss
8 BO
2 S 100
B 1E Too
1B BO 250
BO 200 BOO
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IGNS NO TRANS
SIGNS NO LAMPS
EACH PERMIT
NG ZI 00
RES f00
LEMENTARY EO AMOVAIS
TOTAL FEE Q DATE INSPECTOR B SIGNATURE
EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
TRICAL HIRING
EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
FORNIA OR THAT I AM TXE LEGAL WN®t OF THE ABOVE POWER
RIBKD RESIDEN ROPERTY ^ATURE r UTILTTYCO NOTIFIED
PERMITTEE VV PIMALY --+
JOHN A LAMBIE,COUNTY ENGINEMR ATION ARTHUR C.VER.CHIEF ELECT. INSPECTOR
3 6:4 7A DEC 24 2 1 .1 O