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HomeMy Public PortalAbout5811-5811 1/2-5813TEMPLE CITY BLVD_Electrical —_ -- TBABBS 101315-SA 8•55 APPLICATION FOR ELECTRIC PERMIT 1 DMSION OF BUILDING AND SAFETY . Deportment of County Engineer Countyof Los Angeles BUILDING ter-' WM.J. FOX, COUNTY ENGINEER ADDRESS /I+� 4 CASSATT D.GRIFFIN.SUPT OF BUILDING �� 1101 LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. NUMBER EACH FEE � Eti LIGHT OUTLETS OWNER RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTALOUTLETS 5¢ $ CITY TEL.NO. ELEC.RANGES 25 ELECTRICIAN O N c _ELEC.HEATERS 25 ADDRESS r o f KW EA _ CITY461, TEL.NO '!•! .cs FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS DISTRICT NO. GROUP ZONE I nEADYYOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS I Yi - I '�I_ A6V MOTORS r �T YYY FY NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH 8 LESS $ .25 C� b 1/2 2 .50 (A 1 -2 5 1.00 /t_'C E" �'t�f .l£N•-4.. ' 5 15 1.50 15 50 2.50 50 .200 5.00 M ISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE g O DATE IN SPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ]CATION CONDUIT 1 1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING IO m ,5 ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT i AN PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RES IDENTIA PROPERTY. SIGNATURE UTILITY CO.NOTIFIED I L tE. 6it(120 � OF PERMITTEE FINAL Z 3 1.S� WILLIAM J.FOX.COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR i,AC09 9 .6 7 ZR SEP 6 2 7.70