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HomeMy Public PortalAbout5910TEMPLE CITY BLVD_Electrical 76A663-CE806 10. 2 APPLICATION FO ELECTR Ca PERMIT r. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS l IT LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS N0. EACH. FEE OWNER OR FIRM.NAME RECEPT.�JJ���/ S $ MAIL OQ LIGHT TOTAL FIRST 20 25 ADDRESS - OVER 20 CITY &f,711 TEL.'NO. SWITCH .10 PLAN CHECK' LIGHTING TOTAL FIRST 20 25 APPLICANT OVER 20ADDRESS rp Q'� FIXTURES 10 RESIDENTIAL APPLIANCES CITY Lr)oLi !�!�` TEL. NO3, PERMIT RANGE,_,DRYER_WTR. HTR. APPL'ICAN.T c �/ STA. COOK DISP_/_F.A.U. ADDRESS SPACE HTR. AIR COND. ` CITY EL.. NO CLOTHES WASH. DISHWASH.L LICENSE GEE OZENUMBER CLASS FAN. OTHER 1.00 �'� 1 HEREBY-ACKNOWLEDGE THAT I HAVE READ THIS APPLIC'A'TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY AT 1 AM PROPERLY' REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUI Dqf ANGELES 'COUNTYAND STATE OF CALIFORNIA OR T 1 A E LEGAL OWNER OF THE ABOVE 1 — 10 3.00 DESCRIBED RE N L P T O Ci 10 - 50 5.00 PERMITESIGNATU O 50 - 100 10.00 DISTRI,CT'NO. OCE SED BY W 100 - 500 15.00 D SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR' IGNATURE TUBE, OR MARQUEE .ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600'VOLTS OR200AMP 3.00 UNDERSLAB WORK. SERVICEOVER600VOLTSOR200AMP 10.00 ROUGH CONDUIT r TE.MPSERVICE,POLE,&AP.PURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES ',. --7.s_. � r , POWER AUTHORIZED = , UTILITY CO. NOTIFIED FINAL /',/I-:u J,X b/� _ `PERMIT FEE (SUB TOTAL) /V QQ NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 5p 00 TOTAL FEE PLAN CHECK VALIDATION CK. M.0.. CASH PERMIT VALIDATION CK. M.O. CASH. 9 6 3ru-IfEB 26 2 1 3.0 0S6 . . SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /iP/�L,