HomeMy Public PortalAbout5780TEMPLE CITY BLVD_Electrical (2) FGAGSS
)58.-85SA 11.85 APPLICATION ICOR ELECTRIC PERMIT 1
DMSION OF BUII.DUM AND SAFETY
Department of County Englneer BUILDING `
JOHN ACoyntp ofC
T.aB j�IIg S ADDRESS Q 0
.LA B1E. OUNTY ENGINEER T
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY / r
FOR ALIC�ANT TO FILL IN ' NEAREST
PRAI
C OSS ST. !N
NUMBER OWNS
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.NO
TOTAL OUTLETS 0 Be $ ELECTRICIAN
ELEC.RANGES 23 ADDRESS 5(
Wad" ff
ELEC.HEATERS 28 CITY TEL.N (—?--I
KW EA STATE IT15c
FIXTURES g LICENSE NO.
i MOTORS DISTRICT�UqIGROUP ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE 1 I e,
:NEW MVD. HP OVER INC. EACH
LESS $ 25 S"a INSPECTION RECORD
2 .so 1100-
2
dO2 s 1.00
s Is 1.80
i
1s s0 2.80
so 200 8.00
M isc.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 v
FIXTURES $1.00
SUPPLEMENTARY .80 APPROVALS
TOTAL FEE $ rv DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING Ga Aw et )
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELE OUNTY AND STATE OF
CALIFORNIA OR THAT THE E NER OF THE ABOVE POWER
DESCRIBED RESIDY
SIGNATURE UTILITY CO.NOTIFIED
OF PXRMITT pp
OHN A.LAMBIE.COUNTY ENGINEERARTHUR 6.VEIT.CHIEF ELeC1.INSPECTOR
ATION
CK MO CASH
'tCo 0.0 2 0 SEP�. 2 2.50 a
e