HomeMy Public PortalAbout5916 TEMPLE CITY BLVD_Electrical 76A668-CE606 9-66 APPLICATION- FOR EL CTRI AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS% CC Hf
JOHN A. LAMBIE, COUNTY ENGINEER �f` r
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY f . c r
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT, 1 TOTAL NO. EACH FEE
OUTLETS FIRST 20 III 8 OWNER dye Cf
LIGHT J} MAIL /01
SWITCHADD'L .10 ADDRESS
OVER 20
TOTAL FIRST 20 .20 CITY TEL.NO.
LIGHTING FI TURES
FIXTURESOADDVVERER .10 CONTRACTOR
20
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS �� , z/e_f_-,Wz.Wxjt
GARB.DISP. STA.COOK CITY 7- C_ TEL.NO. �
DISH WASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APDL. ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISIRLCT N UP ONE PRqGt
0 1 1.00. , D Q
1 s 1.50. INSPECTION CORD
a S 2.00
8 15 2.50
15 50 3.00'
d
s0 100 5.00 V
SIGNS: NO.TRANS
NO.LAMPS OO-
SERVICE 0.60OV-Nor OVER 200A 1.00 W
SERVICE D-600V-OVER200'A. 2.00 Z
SERVICE OVER 600V 5.00.
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S 81ONATURK
TOTAL FEE S
1 �z XEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION U.NDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING J /
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY L08 ANGELES COUNTY A STATE OF
CALIFORNIA OR THAT 1 AM THE LEG L NER OF, INTEND TO POWER
RESIDE IN,THE ABOVE SCRIS E NTI L P RTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
LIDATION JOSEPH C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
Ul"o 8 3.8 2 MAY 4 2 D 6 2 0'~ ccIs-
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