HomeMy Public PortalAbout5851 TEMPLE CITY BLVD_Electrical (2) APPLICATION EL CT'RIC PERMIT
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST: ey
ITEM NUMBER I EACH FEE W'-"feep
OWNE '
OUTLETS: $ $ MAIL
LIGHTS RECEPT. SW. .10 ADDRES
LIGHTING FIXTURES 10 CITYgg n TEL.
ELEC.RANGES CLO.DRYERS ELECTRI
WATER HEATERS .BO ADDRESS Q
ELEC-SPACE HTRS. DISHWASHERS CITYTEL.NO.,".
GARBAGE DISPOSERS AUTO.- STATE
r WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. 'c�D1`ST�RICT-NO. ROUP ONE PR CESSED Y
O'-- Iia .25 v 6 C I C
Va— 2 .50 MSPIECTION RECORD
z— 5 1.00 -
S— 15 1.50
Is— 50 2.5..0
50-200 5.00
SIGNS: NO.TRANS.
HO.LAMPS J -�
SERVICE O-SOOV 1.00 r
SERVICE OVER GOOV 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL, FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTORS SIGNATOHE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAT$ LAWS REGULATING CONDUIT
ELECTRICAL WIRIN.O,
I HER..EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE OF FIXTURES
CALIFORNIA OR THAT ! E LEGAL OF TH6 ABOVE
DESCRIBED RESIDENT! PR POWER
SIGNATURE ' UTILITY CO.NOTIFIED
OF PERMITTE FINA
ARTHUR C.9p LIDCASH SUPERYism EELECTRICAL.ENGINEER
J
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