HomeMy Public PortalAbout5825TEMPLE CITY BLVD_Electrical (2) GAS63-CES06.10.86 APPLICATION FOR ' ELECTRIC PERMIT , 1
BUILDING AND SAFETY DMSION EMISSIONS
Deportment of County Engineer BUILDING-
County Of Los Angeles ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
'NEAREST
FOR APPLICANT TO FILL IN cRoss S
PERM FEES
OWN
LIGHTS RECEPTACLES SWITCHES
NUMBER ITEM EACH FEEDD
MAIL
TOTAL OUTLETS $ .10 $
.ARESS s
ELEC. RANGES, WATER HEATERS, ,CITY 4 TEL.NO.
CLOTHES DRYERS .50
ELEC. SPACE HEATERS, STAT'Y. COOK-
ING UNITS, GARBAGE DISPOSERS, ADDRESS
AUTO WASHERS, DISHWASHER .25
Y
LIGHTING FIXTURES ,10 CITY TEL.NO
MOTORS STATE
LICENSE NO.
HORSEPOWER
H.P. OVER INC. DISTRICT GROUP ZONE READY FOR INSPECTION
V2 HE LESS .25 3
lh — 2 .50 INSPECTION RECORD
2 — 5 1.00
5 — Is 1.5.0
15 50 2.50
50 — 200 5.00 J9//)7-
ml.Ga. / .r /Y
r
f�✓ lid. !^ ,G�'l r° ",; �`�,. .
NO.TRANS Y
SIGNS NO.LAMPS
SERVICE O-SOOV 1.00
SERVICE OVER 500V 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 779 AV A f/c
SUPPLEMENTARY PERMIT xo AMS `� f ?jll.y
TOTAL FEE $ t, O APPROVALS ///)/g la 40✓/?`
�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION li DATE INSPECTOR'S SIGNATURE
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 AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF 7 E ABOVE POWER
DESCRIBED RESID0gIAROPERTY. I
SOF PERMITI'E FINTURE AL UTILITY CO.NOTIFIED
IOHN A. 4MBIE. VALIDATION ARTHUR C.VEIT.
'+OUNTY NGINEER CK Mo CASH SUPERVISING JKLECTRICAL ENGINEER
t_.iLrO 0 ! 3 2L) JUL 29 2 2.�J 1 Lr