HomeMy Public PortalAbout5840TEMPLE CITY BLVD_Electrical 76A663-CE806 9-66 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER rNEAREST
ING
BUILDING AND SAFETY DIVISION ESS
JOHN A. LAMBIE. COUNTY ENGINEER r�-
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLITY
FOR APPLICANT TO FILL IN S ST.
RECEPT. 1 TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.20 $ OWNE
LIGHT J} MAIL
SWITCHADD'L 10 ADDRESS
OVER 20
TOTAL FIRST 2017 .20 CITY TEL.NO.
LIGHTING FIXTU ES
FIXTURES .10 CONTRACTOR ��L�—�e C.
OVVERER 20 2
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS•�/ /
GARB.DISP. STA.COOK CITY •�� R TEL.NO.
DISHWASH. AUTO.-WASH. STATE �—
SPACE HTRS. STA. APPL. .50 LICENSE NO.
MOTORS. OVER NOT OVER H.P. DI f ICT .G OUP ONE P
O 1 1.00 0
3 1.50 INSPECTION RECCIRIY
s 6 2.00
8 15 2.50 /
15 50 3.00 " :! / - / T• •�•�;
50 O 100 5.00 _ 0
SIGNS. NO.TRANS Ad
NO.LAMPS GO
SERVICE 0.000V-Nor OVER 200A 1.00 LW
SERVICE 0-SO0V-OVER 200 A. 2.00 Z
SERVICE OVER SOOV 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE i
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI UNDERSLAB WORK
AND STATE THAT'THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
l 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 LE .OWNE F,AND INTEND TO POWER
RESIDE IN,THE ABOV CR EN L PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED i
OF PERMITTEE
FINAL
LIDATICIN JOSEPH C. ROOHAN
&K)
K MO CASH SUPERVISING ELECTRICAL ENGINEER
LAGO.S 3 7 .9 My 4 2 D 5BOcc
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