HomeMy Public PortalAbout5833TEMPLE CITY BLVD_Electrical I E04 PI-9 CITY,
GA669:� .;Q.¢,; APPLICATION FOR ELECTRICAL PERMIT
iCOUNTY OF LOS ANGELES
�+ DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 5833 Temple City Blvd.
JOHN A. LAMBIE. COUNTY ENGINEER
y WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY Tripple City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Las Tunas
1 T E M NO. I EACH FEE
OUTLETS. (FIRST 20) s zc $ OWNER Washington Inv. Co.
LIGHTS CERT. SW. MAIL
OUTLETS- (ADD'L UNITSADDRESS
uGHTB RECEPT, SW:• '0 0 •1O 6 00 '
LIGHTING FIXTURES: ('FUW 20) Ep CITY TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 30 ELECTRICIAN E.R. Gilmore
RANGES CLO.DRYERS WTR.HTRS. / 1.00 ADDRESS 238 W Badlllo St.
GARB.D18P. V BTA.COOK_ _V _ CITY Covina _ Ed 2-7639
TEL.NO. •
DISHWASH. AUTO.-WASH. - _ - STATE -"
SPACE HTR8. STA.APP.(Va H.P.MAX.) .5o y LICENSE NO. 97975
MOTORS: . OVER NOT OVER x.P. DISTRICT NO. GROUP ZONE PROCESSED BY
0 1 3 1.001 3 00 -2 C-2 (f--oLvvr.'a
1 s 1.50 INSPECTION RECORD
S 8 2.00 t f f !/1"
.8 15 2.50 - r- �• 3`t( b�
I S so 5.00 O
s0 ICC 5.00 G
SIGNS: NO.TRANS. d.
NO.LAMPS
SERVICE 0.600V-Nor OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISS
421 plug strip ® .011 2 10
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE. . 1;00_ __ 00 _�E_R►tl yr 2e�Z¢-
TOTAL FEE S .12 40 ss''
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSP9CTORl9 SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT -AM THE AL 'OWN OF THE ABOVE. ?
DESCRIBED RESIDENT' R RTY POWER
SIGNATUREUTILITY CO.NOTIFIED
OF.PERMITTE
FINAL
LIflATION ART UR`UR'C."VEIT�f
CK' MO CASH SUPERVISING ELECTRICAL ENGINEER
r1tI�3 9 3 1 GO APR 2 6 Y 2 'D 12.40-
CIS