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HomeMy Public PortalAbout5909 TEMPLE CITY BLVD_Electrical 76A663-CEaO6 6-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $2O $ OWNER ~ ~ LIGHT MAIL { ADD'L 10 ADDRESS SWITCH. OVER 20 LIGHTING1 TOTAL FIRST 20 .20 CITY TEL.N FIXTURES 111 ADD'L .10 ELECTRI IAN OV R 20 rnmf 24 a' RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS SL—Q _ GARB.DISP. STA.COOK _ CITY L& dAZAEL.NO. O DISHWASH. AUTO.-WASH. STATE r SPACE HTRS. STA.APP.(W H.P.MAX.) .50 LICENSE NO. MOTORS. OVER NOTOVER H.P. DISTRICT NO. GROU ZONE o' 1 CE ' C2 1 s 1.50 INSPECTION RECORD a a 2.00 a. is 2.50 -15 s0 13.00 D. so 1000q 5.001 O SIGNSs NO.TRANS• V NO.LAMPS 00 0 SERVICE 0.600V-NOT OVER 200A 1.00 Oma- W SERVICE 0.600V-OVER 200 A. 2.00 d co SERVICE OVER 600V 5.00 ? MISC. r ' PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1$ 4- 1 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT 1 WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING NN,4L�1'� "'� ".ifi•i•�� 1.HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE . UTILITY CO.NOTIFIED OF PERMITTER FINAL ( j�d (DATION ARTHUR C. VEIT C�";o MO CASHSUPERVISING ELECTRICAL ENGINEER G a- 8.�. enc g 2 D 4.a o G�