HomeMy Public PortalAbout5624-5626TEMPLE CITY BLVD_Electrical (2) 76AS63 CESOS 75 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DIVLSION
Department of County Engineer BUILDING
County d LD•Angeles ADO0
JOHN A LAMBIE. COUNTY ENGINEER
CA•SATT D GRIFFIN BUF T OF BUILDING LOCALITY
EST
FOP�r LIC�.NT TO FILL IN CROSS ST
rF
F� OWNER
HT OUTLETS MAIL
ADDRE88
CEPTACLES
LL SWITCHES FEE CITY NO
TOTAL OUTLETS ® 50 • O ELECTRI AN
HC RANGER 80 ADDRESS 17 _Au
HC HEATER! 26 CITY TEL NO
EA STATE
TURES D LICENSE NO
MOTORS ISTRICT N� GROUP ZQNj READY FOR INSPECTION
HORSEPOWER FEE 5 T?I AHP OVER INC EACH
eLRD. • 2a D INSPECTION RECORD
2 ao2 a 1oO
D1D1DOla a0 2a0
200 D00
NO SIGNS NO TRANS
NO BIONS NO MPH
FOR EACH PERMIT
WIRING PERMIT fl 00
FIXTURE PERMIT $100
SUPPLEMENTARY DO AMOVAIS
TOTAL FEE O DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
ANO STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING FIXTU REB
I HEREBY CERTIFY THAT 1 AY PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIARERTHAT I N THEY LEGAL OWNER OF TH ABOVE 5
UTILITYCO NOTIFIED IS
SIGNATURE
OF PERMITTEE {�J�a T7 FmY� PINAL XE
IT.
COUNTY ENGINEER y�I.IDATION SUPERVISING ELtRC.TRICAL ENGINEER
/1KJMO CMH
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