HomeMy Public PortalAbout5820-5820 1/2TEMPLE CITY BLVD_Electrical (2) TEMPLE 00TV
'11AO09-CB800 I0-89 APPLICATION ICOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF.COUNTY ENGINEER /1
BUILDING AND SAFETY DIVISION ADDRESS G�'dyG P
JOHN C-
A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS s QS
PERNIIT FEES
ITEM NUMBER EACH FEE OWNER Q d d
OUTLETS: $ $ MAIL
LIGHTS RECEPi. SW. .10 O ADDRESS C
LIGHTING FIXTURES 10 CITY EL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICL4N n /-r
WATER HEATERS .50 ADDRESS P
ELEC.SPACE HTRS. DISHWASHERS CITY �' TEL.N
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO. CD CYJ
MOTORS: OVER INC. H.P. DISTRICT NO.mmj_ G ZONE ESSED B
0- 1/2 .25 G�
1/2— 2 .50 INSPECTION RECORD
2- $ 1.00
S- IS 1.50
IS- 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 I/L�
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ��-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINQ CONDUIT
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES '7i/�"6
CALIFORNIA OR THAT I AM THE LEGAL OWNXR_W THE ABOVE
DESCRIBED RESIDENTIAL PE POWER
SIGNATUR UTILITY CO.NOTIFIED
OF PERM L
FINAL T7-6p f✓TI-R;ff frr�
I�p IONCASH SUPSRvisiNG ELECTRICAL ENGINEER
CK O CASH
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