HomeMy Public PortalAbout5703TEMPLE CITY BLVD_Electrical 74AC-K8 612-°° APPLICATION FOR ELECT IR CAL Pj7Vd
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
1 BUILDING AND SAFETY DIVISION ADORES, O Cl
C/7 D
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILOING1 LOCALITY
NEAREST
FOR APPUCANT TO FILL IN I CROBS ST ,
RECEPT 1 TOTAL No EACH F[[
LIGHT Jly OUTLETS FIRST 20 Q 6 20 6 OWNERMAIL
SWITCH 0 I OVADD L
ER 20 10 ADDRESS /3,A/ ✓!I
TOTAL FIRST 20 20 ,+,LO CITY - / TEL NO / •LS-
LIGHTING FI% URES _
FIXTURES ADD L 1O CONTRACTOR S / V i [
OVER 20
RAXO[[ DRYER[ WTR HTR[ 1100 AODREBS
GARB DIp STA COON
CITY TEL NOS ,S
DI[HwA[X AUTO wAdN STATE
SPACE MRS [TA APPL SO LICENSE NO / O
MOTORS, ovLR NOT OVER NFDIST OF}q' GP N P SE BY
o 1 too ��`jj
1 5 150 Q INSPECTION RECORD O
5 S 200 V
6 15 2 50 �� _ DE
IO1C--
15 SO 300 lJ
SO 100 500 1d
N
Z
SIGNS NO
No LAWS
SERVICE 0600V NOT OVER 200A 100
SERVICE 0600V OVER 200 A 200
SERVICE OVER 600V goo
OTHER (SL[ COMPLETE F[[KX[OUL[)
PERMIT ISSUING FEE 200
O V
SUPPLEMENTARY PERMIT ISSUING FES too APPIROVALB SAT[ 1 d1[SlawmATLm
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UN DERBLAB WORN
AND[TATE THAT THE ABOVE 15 CORRECT AND ACRE[TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND [TATE LAW[ REOULATINO
ELECTRICAL WIRING WIRING
1 HEREBY CIRTIFY THAT ' A
OPENLY R[OIR[R[D AND/OR FIXTURILB
LICENSED AL R[OUIRLO BT LO G[LE[COUNTY ANO[TAT[ OF
CALIFORNIA OR
THAT 1 AM TX GAL OWNER OP AMO INTEND TO POWER
RCBIOC IN TH[ABO p D RESIDENTIAL MOPLRTY
OF PERMITTEE UTILITY CO NOTIFIED
FINAL
C�IJOSEPH ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINMR
^__ �� ( 5.231 X11 2 0 9.70- g