HomeMy Public PortalAbout5565 SANTA ANITA AVE_Electrical__ CITY OF TEMPLE CITY
7GA663-CEBOB 3-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 67r
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY em a city
NEAREST
FOR APPLICANT TO FILL IN cttoss ST. Las Timers
RECEPT:. TOTALNO. EACH FEE
OUTLETS FIRST 20 20 ffi 2O ffi OWNER'
LIGHT MAIL
SWITCH. 30. 539 OVER ADD'L .10 ADDRESS CO Street
eti
LIGHTING TOTAL 2O .SO
TOTAL CITY. TEL:NO. Wa
l 3-1285
FIXTURES 1 .10 ELECTRICIAN 1
OVVIER R 20
2
RANGES 2 CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 4623 Durfee Avenue
GARB.DISP. 3B STA.COOK
DISHWASH. 15 A O.-WASH. 36. 50 CITY TEL.NO. —
[jr�'� 3 STATE
SPACE.HTRS.3 BTA.ASPP-7 41AX., 73 ..Sp - LICENSE NO. S61 o C-lo
MOTORS, OVER NOT OVER H.P. DISTRICT NO. I GRO P Z PRO SE® BY
1' 1.00 3.8 �•
1. 8 1.50 INSPECTION RECORD
8 8 2.00 V
8 1 S 2.50
15 50 9.00
50 100 5.00 CL
y
SIGNS& NO.TRANS.' Z
NO.LAMPS
SERVICE 0.60OV-NOT OVER 200A 4 11.00 41001
SERVICE O-SOOV-OVER 200 A. 2:00
SERVICE OVER SOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00 2, 00
SUPPLEMENTARY PERMIT ISSUING FEE` 1.00
TOTAL FEE ffi 280
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IB 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 AB REQUIRED BY LOS ANGELES COUNTY AMd STATE OF FIXTURES
CALIFORNIA .OR THAT .1 AM THEIPILEGAL OWNER OF THE ABOVE
DESCRIBED RE11111 TI RO POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
VALIDATION ARTHUR C. VEIT
�MO CASH SUPERVISING ELECTRICAL ENGINEER
`n,Lo 4 9 6 1:3 Aug 2 5 2 D 13 2.80-