HomeMy Public PortalAbout5812-5814TEMPLE CITY BLVD_Electrical (2) 'SA663-CES06-6-S7 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUu.DING AND SAFETY DIVISION ADDRESS / L 7T
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY '
FOR APPLICANT TO FILL IN NEAREST
.
PEBMT FEES OWNERAAVR
LIGHTS RECEPTACLES SWITCHES /� J�
NUMBER ITEM EACH FEE ADDRESS _ Age
�y
TOTAL OUTLETS AIL M
$ .10 $ _
ELEC. RANGES. WATER HEATERS, CITY _ TEL.No
.&Z.7
CLOTHES DRYERS .50 ELECTRICIAN&W
ELEC. SPACE HEATERS, STAT'Y. �y
COOK-
ING UNITS. GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS, DISHWASHER .25'
LIGHTING FIXTURES .10 CITY ` d TEL.NO&Z'74
MOTORS STATE
LICENSE NO.
HORSEPOWER
H.F. OVER INC. DISTRICT NO. GRO P ON READY FOR INSPECTION
%a LESS .29 •-Z►
1/8 2 .50 INSPECTION RECORD
25 1.00 _
S is 1.50
is So 2.90
SO 200 5.00
MISC.
SIGNO I NO.TRANS
NO.LAMPS
SERVICE O-500V 1.00
SERVICE OVER GOOV 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 Q
SUPPLEMENTARY PERMIT .90 APPROVALS
TOTAL FEE $ �/ DATE INSPECTOR'S SIGNATURE
1 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
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED At REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PR PERTY
SIGNATURE G UTILITY CO.NOTIFIED
OF PERMiTTE FINAL 7
IOHN A.LAMBIE. ATION AR H.UR C.VEI
:OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER
CN; MO CASH
2g3o OCT 3 2 X80 o