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78A863-CE806%-62 APPLICATION FOR ELECTRICAL RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS O .9 r�
JOHN A LAMBIE. COUNTY ENGINEER �J
WILLIAM A JENSEN SUP T OF BUILDING LOCALIT7� ` A/
NEAREST
FOR APPLICANT TO FIL IN CRo88 ST
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 S 20 $ O OWNER r
LIGHT MAIL ^�
ADD'L ADDRESS S 10,-
SWITCH ' OVER 20 10 p
TOTAL CITY TEL NO _- 70d
LIGHTING FIRST 20 20
FIXTURES ADD'L ELECTRICIAN
OV R 20 f0
RAN$E CLO DRYERS WTR HTRB too ADDRESS
GARB D BV STA COOK
CITY \TEL NO
DISHWASH AUTO WASH STATE '
SPACE HTRB 8TA APP (W H P MAX> so LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT GROUP P OC SIS D BY
O 1 100 J
t s Iso INSPECTION RECORD
S 8 200
8 15 250 _ e-
O
15 SO ___300 V
Od
so too _500 O
NO TRANS V
SIGNS NO LAMPS d
N
SERVICE O 600V NOT OVER 200A 100 Z
SERVICE O 600V OVER 200 A 2 001 1
SERVICE OVER 600V s 00
MISC
,
PERMIT ISSUING FEE 1200
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE 11
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS TE INSPECTOR a BIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RNSIDENT7 PROPERTY POWER , 1
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE
FINAL
/P*fU O CA
ART RrGE
EITI/
CK MO CASH SUPE VI81lv RICAL ENGINEER
L&O 9 1 4 2 JAN 4 2D 420-
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JGAGyv`!Be BA 7 5t APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 1 '
COUNTY OF LOS ANGELESELEC-,uimlc
WILLIAM J FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI NO GROUP ZONE PERMIT NO.
ELECTRICIAN alt t _ -rAI c ya;/�
ADDRESS 21454: N• Rosemead Blvd• RE EIVED BY READY FOR DATE IBSUEO
FIRST INSPECTION
CITY El lWonte TEL.NO 10 85679
COUNTY LICENSE NO 1104 EXPIRES BUILDADDRING
5605 Noel Avernus
PERMIT FEES
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS 14 NEAREST
RECEPTACLES 16
CROSS ST
WALL SWITCHES 16 1 OWNER Celeste Const* Co*
TOTAL OUTLETS 46 5C $ O MAIL
ELEC RANGES S5 ADDRESS _
ELEC HEATERS 25 CITY TEL NO .r
FIXTURES 14 5 70 1 HEREBY ACKNOWLEDGE THAT 1 HAVF READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LO6
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBE ABOVE
_ 2 %2 m Liege $ 25 SIGNATURE O
2 50 PERMITTEt�oe2:��
2 B 100 10 INSPECTION RECORD
_ 5 15 150
15 50 2 50 Q �G
_ 5O 200 Sao 2 i$� n! CTdTb
200 500 10013 cQIJ
d Ca�T Q
500 1000 1500 / y Z
OVER I O00 2000 egQ Q c
W
M G SET/FREQ CHANGER-HP &
WELDERS AC-KVA yrGC�Oi✓S II/"LI �/ /LS O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% Cr ORIS) _
MOVED MOTORS (75% or Calm)
P418C
BIGNB
NO NO TRANS. APPROVALS
NO NO LAMPS '
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING $100 1 00 CONDUIT
FIXTURES mica 1 00 WIRING Y�r
-SUPPLEMENTARY 5p FIXTURES
5 50 POWER
TOTAL FEE a UTILITY DO NOTIFIED
FINAL Z ���