HomeMy Public PortalAbout4938AGNES AVE_Electrical (2) v v CITY OF TEMPLE CITY C 14 ti .) �- ,I I /;_ C
76A663 CEBO6 8/63 APPLICATION FOR ELECTRICAL PERMIT
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS [�1�
JOHN A LAMBIE COUNTY ENGINEER —
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE
LIGHT OUTLETS FIRST 20 $20 MWNER
SWITCH d/ OVER 20 10 ADDRESS
LIGHTING I TOTAL FIRST 20 20 CITY TEL NO
FIXTURES ADD L 10 ELECTRICIAN ]ELECTRIC
OVIER 20 '1 ,1 �1 RUSH RANGES CLO DRYERS WTR HTRS 100 ADDRESS 10124 E♦ RV SH ST• A
GARB DIBP BTA COOK CITY TEL NO (? 8-8911
018HWASH AUTO WASH STATE
SPACE HTR9 BTA APP (ya H P MAX ) 50
LICENSE NO 137586 -10
MOTORS OVER NOT OVER H P DISTRI T �jO GROUP ZONE I PEIO.CESSED BY
O 1 100 r p2�
1 3 Iso r INSPECTION RECORD A
3 8 200
8 15 250 pY� tV- �� 0
15 50 300
l O
SO 100 500 �/ l ~
LU
W
SIGNS NO TRANS 0-
NO
NO LAMPS H
Z
SERVICE O 600V NOT OVER 200A 100
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 2 00 �J
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INBPECTOR 8 SIGNATURE
L-0FPERMITTEE
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
COUNTY ORDINANCES AND STATE LAWS REGULATING /jJ (
L WIRING WIRING V 6��
Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
AS REQUIRED BY L08 ANGELES COUNTY AND STATE OF FIXTURES
IA OR THAT I AM THE LEGAL OWNER OF THE ABOVE li 4r f
D RESIDENTIAU PROPERTY SIGNATURE �{���"""''' POWER
ITTEE �� _ / w ` ti UTILITY CO NOTIFIED I
FINAL 11 W ff
V LIDATION AkTHUR C VEIT
OKMO CASH SUPERVISING ELECTRICAL ENGINEER
1 8 7 0 2 Ftp 1_ 8 2 D 5,G G- 4
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