HomeMy Public PortalAbout5811-5811 1/2-5813TEMPLE CITY BLVD_Electrical (2) 'eAe�� APPLICATION FOR ELECTRIC PERMIT 1
DHH.HA it-HH
DMSION OF BUMNG AND SAFETY
Department Of COua�gEnglnGer 'BUILDING �y
County of LOB les ADDRESS 25
JOHN A.LAMBIE,COUNTY ENGINEER
CASBATT D. GRIFFIN.SOFT of BUILDINGLOCALITY
FOR APPLICANT TO FILL IN c AR s
PE UM FEES '^
NUMBER I
'OWNER
LIGHT OUTLETS
2 MAIL
RECEPTACLES ADDRESS rz
-/,
WALL SWITCHES FEE CITY -- TEL.NO.
Z TOTAL OUTLETS ® BeS C� ��
EC.RANGES as ELECTRICIA
ADDRESS
ELEC.HEATERS 25
KIN -CITY TEL.NO. ,
STATE "
FIXTURES S LICENSE NO. O
MOTORS DISTRICT NO. UPZ E RRADY FOR INSPECTION
NUMBER HORSEPOWER FEE - Z I
NEW MVD. HP OVER INC. EACH 1 r�
36&LESS S .25 INSPECTION RECORD
Ya 2 .SO
2 S 1.00
S 15 I i.50
IS
SO 2.50
SO 200 5.00
MISC. `
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
' FOR EACH PERMIT:
WIRING $1.00 0c)
FIXTURES $1.00
SUPPLEMENTARY .SO APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ; WIRING
ELECTRICAL WIRING.
1 HEREBY. CERTIFY THAT I AM PROPERLY REGISTERED AND/OltFIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I THE LEGAL OWNER OF THE /(ABOVE POWER
DESCRIBED RESIDENTIAL P PERTY. '
SIGNATURE UTILITY'CO.'NOTIFIED (�
OF PERMITTER, FINAL 1'7: '1l 4
A
JOHN A.LAMBIE.COUNTY P,4GINEER T ARTHUR C.•VEIT.CHIEF ELEOT.INSPECTOR
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