HomeMy Public PortalAbout5826TEMPLE CITY BLVD_Electrical (2) 3AG63-CR000 10-60 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER �C��gr�y�. �q ']'��
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY 1,61799`r/I.G l�// /
CROSSNEARESSl S S
FOR APPLICANT TO FILL IN
PERMIT FEES OWNER o-ras �` /
ITEM NUMBER MACH AIL
AMDDRESS � -pit, G. y�i / Fv
OUTLETS: $ $
LIGHTS RECEPT.1 SW. .10 CITYcirY TEL'.HO.
LIGHTING FIXTURES ,10
ELEC.RANGES CLO:DRYERS ELECTRICIAN // /��y'� Z�
WATER HEATERS :SO ADDRESS S"O fO ®! – (A
ELEC.SPACE HTRS. DISHWASHERSG
CITY TEL NO.
GARBAGE DISPOSERS AUTO.- STAM
WASHERS STA.COOKING UNITS .25 LICfsNSB NO. dL•J �"
MOTORS: OVER INC. H.P. DISTR CT O. I GROUP I ZONE I PaocESSED BY
0— 1/$ .25
ya— 2 .50 INSPECTION RECORD
a
2— 5 1.00 O
5— 15 1.50 V
15— SO a
2.50 O
SO- 200 0.00
W
SIGNS: NO TRANS. N
NO.LAMPS
SERVICE 0-60OV .1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 B� / G•� I� I-A A t/fi• x 1/G: k1
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .5O
TOTAL FEE $'
I HEREBY ACKNOWLEDGE THAT I HAVE RE:REGISTERED
IS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT ANREE TO COMPLY CONDUIT /
WITH ALL COUNTY ORDINANCES AND STATS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT i AM PROPERLY AND/ORLICENSED AS REQUIRED BY LOS ANGELES CAND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWOF THE ABOVE
DESCRIBED RESIDENTIAL OPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED I
OF PERMITTE FINALr7a Z://
IIDATION ARTHUR C.VEIT
OCK MO, CASH SUPERVISING ELECTRICAL ENGINEER
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