HomeMy Public PortalAbout5853 TEMPLE CITY BLVD_Electrical (2) APPLICATION �,R ELEkTRIC PERMIT � .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS E � -�C. !'.t� /�•
JOHN A. LAMBIE. COUNTY NGINEER i
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERM FM
_ CROSS ST.
ITEM NUMBER I EACH FEE OWNEMAIL
OUTLETS:, S $ ADDRESS t
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 CI P a_i • TEL.MO.
ELEM RANGES CLO.DRYERS EL CTRL NIJ
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY ` .q� I`Cs'4�.+ TEL.NO. r.4
GARBAGE DISPOSERS AUTO.- STAT •?
WASHERS STA.COOKING UNITS .28 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT-NO. ROUP ONE PR SSED Y
- v$ .25 ' I. CE.� c - �� G - k- B�.
V2— 2 .30 INS CTION RECORD
2— s 1.00
5=— 15 1.50
1s— so 2.50
00-200 0.00
SIGNS: NO.TRANS.
NO.LAMPS -�
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00 ,
• 1
MISC.
WIRING,$ERMIT 1.00
FIXTURE PERMIT 1.005
SUPPLEMENTARY PERMIT 5o
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION' APPROVALS DATE INSPECTOR'S SIGNATU E
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - 4'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT Y i
ELECTRICAL WIRING.:
I HEREBYCERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE OF FIXTURES
CALIFORNIA OR THAT I WLEGAL
OF THB ABOVE
DESCRIBED RESIDENT P E POWER
SIGNATURE �/ �-� t UTILITY CO.NOTIFIED
OF PERMITTEEF
FINAL_
�EiLIDATION ARTHUR G.VETT,
MQ SUPERVISING ELECTRICAL ENGINEER