HomeMy Public PortalAbout5636TEMPLE CITY BLVD_Electrical (2) ]eAeGD 804 M0 ] APPLICATION FOR,ELECTRIC PERMTi 1
COUNTY OF LOS ANGELES
DEPART14KENT OF COUNTY ENGINEER BUILDING
BUMDING AND SAFETY DIVISION ADORE M
JOHN A LAMBIE.COUNTY ENGINEER
CASSATT D GRIFFIN,GUPT OF BUILDING LOCALITY C/
FOR APPLICANT TO FILL IN CROt
PERMIT FEES
OWNER
UGHTN RECK"ACLER GWITCH BE
NUMB T MAIL
ADDRESS S
TOTAL OUTLET! s 10 S
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XLCC RANGES WATER HEATERSCITY TEL NO
CLOTHES ORTERS a0 ELECTRICIAN
"EC SPACS HEATERS STAT T COOK
IHR UNITS GARBAGE DISPOBARO, ADDR!
AUTO WASHERS DISHWASHER 25
LIGHTING FIXTURES 10 CITY TEL NO
MOTORS STATE
LICENSE NO
HORSEPOWER STRICT CT
Hp I OVR INC
•LNSO 251
2 5
0 INS ON 12ECOHD
2 a 100
n Ia ISO
to By, 2 50
50 — zoo n oD �Z 1
MING Q
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MAIN
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SIGNSNo TRANS
NO LAMPS L E
SERVICE O-nOOV 100 /C
SERVICE OVER aOoV p20
WIRING PERMIT 1 DO
FIXTURE PERMIT 100 -
SUPPLEMENTARY PERMIT n /0 ry A O
TOTAL FEE $ O API
�OV�s
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DAT! INSPECTOR 3 SIGNA R
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND BTATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIA31 PROPERTY
SIGNATURE O UTILITY CO NOTIFIED
OF PERMITTE
FINAL
JOHNA LAMBIE VMMA� ARTHUR VETT
lm G `
uINEQi a NO SUPERVISING LCCTRICAL ENGINEER r
LAC,6 5 1 8 SEP 16 ? D 1 .5 0 �1
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