HomeMy Public PortalAbout5702TEMPLE CITY BLVD_Electrical APPLICATION FOR E ECTRICAC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 9UILDIN6 -7o2
7D2 4 I BUILDING AND SAFETY DIVISION AGGRESS
JOHN A LAMBIE COUNTY ENGINEER Q�ldf ` `
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT IN CROSS ST
RECEPT TOTAL �I '' II ..
OUTLETS FIRST 20 ND a 20III OWNER ZA W eI
LIGHT MAIL Y
SWITCH OVER 20 10 ADDRfiSS
TOTAL FIRST 20 — 20 CITY TEL No
LIGHTING FIXTURES FI%TURES ADD L CONTRACTOROVER 20 1ORANGES DRYUR WTR HTRS 100 ADDRESSTEL NoDIOIWASH AUTO WASH STATE
°PACEHTRS STA AIPL So LICENSE NOMOTORS. OVER NOT OVER HF DIS'u21CAT OGROUP EPRO S
O f 100 ! (J
1 — e 150 INSPECTION RECORD
8 S 200 C
S 15 250
1e So ]DO d
so 100 500 0
SIGNS NO TRANS OL
No L&MPR rO
SERVICE O SOOV NOT OVER 200A loo Q W
SERVICE O SOOV OVER 200 A 200 N
SERVICE OVfiR SOOV Soo ?
OTHER (SEE COMPLETE RE SCHEDULE)
PERMIT ISSUING FEE 200 2 oo
SUPPLEMENTARY PERMIT ISSUING PEE 100 APPRcvALu GTE IR1![c'iO11
TOTAL PEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDER2LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HERESY CERTIFY THAT 1 AM FROPBRLT REGISTERED AND/OR F1%TURfiY
LICENSED AS REQUIRED BY LOS ANGELES COUNTY NO STATE OF
CALIFORNIA OR THAT 1 AM THE L AL OW 6R OF XO INTEND TO
RESIDE IN THE ABOVE O p pESID TIA OPSRTY
SIGNATURE UTILITY CO NOTIF1090
OF PERMITTEE
FINAL
�LI JOS PH C R HAN
w0O CAS CASH BUPEAVIeIN ELECTRICAL 6NnINEQ1
LAGo9 s a 8� JIL28 2 a 3.00-
_
•� i��P7t�fZgis�tJ