HomeMy Public PortalAbout5817TEMPLE CITY BLVD_Electrical gilk P 'LICATION FOR ELECTRIC PERMIT
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]DIVISION OF -BUUDMG MO SAFETY
Dep=bnmt of Co= ngolestr EngineOr BUILDING
CS
Las AADDRESS
JOHN A.=13111E.COUNTY ENGINEER
CASSATT D.GRIFFIN-SUP'T OF BUILDING LOCALITY
WFORPERNAMPLICANT TO FILL IN NEAREST
M FM
NUMBER I OWNER
-1-—*7 LIGHT OUTLETS voll MAIL
Z5 RFCKPTACLES Annowma
WALL SWITCHES FEE 81TY TEL.NO.
TOTAL OUTLETS @ Se Is X
ELECTRICIAN
ELKC.RANGES 25
ADDR911
KLEC.HEATERS 25 CITY
EA STATE
�TRIC,IAN
t� TEL.NO:
7 -rFIXTURES LICENSE NO.
5 2'?
MOTORS CI S&DY FOR IKSPEarion
DISTRICT NO. GROUP RO�U,P I ZONE R
I1,
NUMBER HORSEPOWER FEE
NEW mvo*. HP 0v" me. EACH INSW=ON RECORD
a .25
14 2 .50
2 5 1.00 q
15 15 1.150
so 2.150
so 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS GNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL (0 dATE J &ECTOWS SIGNATMRR
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/Olt FIXTURES
LICENSED AS REQUIRED BY LOIS ANGELES COUNTY AND STATE OF
CALIFORNIATHAT I THE EGA OF THE ABOVE POWER
A OR
E
DESCRIBED RESIDE Ps !;?7NER UTiLrrY Co.NOTIFIED
SIGNATURE
L
FINAL
C j ==fl
OF P]ERMI -
OHN A.LA- MBIE.COUNTY ENGINEER )ATioN ARTHUR C.VEIT.CHIEF ELECT.INSPECTORr
K a CASH
2
3 5 4-R 17 6.3 5