HomeMy Public PortalAbout5911 TEMPLE CITY BLVD_Electrical mo °lim0B10-59 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /� / �p
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER T /�
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
MID= FEES CROSS ST.
ITEM NUMBER I EACH FEE OWNER C JMU (
OUTLETS: $ MAIL
LIGHTS RECEPT. SW. .10 ADDRESS
LIGHTING FIXTURES - .10 CITY TE NO.
ELM RANGES cLo.DRYERS ELECTRICIAN r
WATER HEATERS .50 ADDRESS Q
ELEC.SPACE HTRS. DISHWASHERS CITY [ TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO. C>
MOTORS: OVER INC. H.P. DISTRI T ZONE PR ED ELY
0— 1/s .25 `
IA— 2 .50 ION RECORD
2— S 1.00
s 8— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER SOOV 5.00
MISC.
U d
' WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
`
SUPPLEMENTARY PERMIT .SO
TOTAL FEE $ O U
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY .CERTIFY THAT 1 AM PROPERLY' REGISTERED AND/OR I.WIRING '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AN THE E WNER OF THE ABOVE
i DESCRIBED RESIDENTIA PER POWER
SIGNATURE UTILITY CO.NOTIFIED
/ l
OF PERM ITTE
FINA
ISP ATION ARTHUR C.VEIT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L&8 9 g 01<33 NOV ?l 2 0 2.00