HomeMy Public PortalAbout5819-5819 1/2TEMPLE CITY BLVD_Electrical BAGGS.CESOG•10.88 APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Depurftent Of County EngiIIeer BUILDING •�•
Cmu tY of-Los Angeles ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER C
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSs
PERb= FEES
LIGHTSq OWNER
+i. RECEPTACLES SWITCHES
or
NUMBER 1 T E M EACHFEE MAIL
ADDRESS
041 y TOTAL OUTLETS $ .10 $ O
ELEC. RANGES, WATER 'HEATERS, CITY TEL.NO.
CLOTHES DRYERS •$� ELECTRICIAN
ELEC. SPACE HEATERS, STAT'Y. COOK. y
'He
UNITS, GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS. DISH
LIGHTING FIXTURES wnsxEn 2SO
1-1 d CITY
ROTORS STATE
LICENSE NO. f✓ '�'
HORSEPOWER
,.off
H.P. OVER INC. DISTRICT NO. GROUP I ZONE READY FOR INSPECTION
Va.&LESS .25
— 2 .50 4' INSPECTION RECORD
2 5 1.00
5 15 1.50
IS 50 2.50
50 200 5.00
MISC.
SIGNS I NO.TRANS
NO.LAMPS
SERVICE O-GOOV 1.00 19>0
SERVICE OVER GOOV 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 �!(!
SUPPLEMENTARY PERMIT 50 APPROVALS'
TOTAL FEE $ DATE 111SPECTOWSMIGNATURE
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
ELECTRICAL WIRING. WIRING X
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES L
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I 'AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P PERT
SIGNATURE UTILITY CO.NOTIFIED f
OF PERMITTEE FINAL
OHN A. LAMBIE. VMMAT ARTHUR C.VEIT.
:OUNTY ENGINEER CK MO V SUPERVISING ELECTRICAL EN EE
�. 0 4 0 2 s you 5 2 2 3.6 0