HomeMy Public PortalAbout4430 TEMPLE CITY BLVD_Electrical__ TBADOC CE#808 5 EI APPLICATION FOR ELECTRICAL PERMI
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS O
JOHN A LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN STIP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES OWNER
I T E M NUMBER EACH PER MAIL //
OUTLL'T i i ADDRE&S /�
uoHn RECaR Bw 10 CITY . l . I TEL NO -1Z L�
LIGHTING FIXTURES 10
ELEC.RAND" CLo OwrelD . ELECTRICIAN
r
WATER HBATBRB 00 ADDRESS
ELEC SPACE HTRI DUBMWASHERD
CITY TEL NO
GARBAGE DISPOSBRs AUTO STATE
WASHERS BTA COOKING units 1 1 25 LICENSE NO
MOTORS ovEn INc HP DISTRICT N R NE P DB
0— Vi 26
ISE— 2 Eo INSPECTION RECORD
2— 5 100 0
5— 15 ISO V
f5— SO 250 l
50— 200 500 `j
SIGNS NO TRANS WN
NO LAMPS 7
SERVICE 0-800V 100 G
SERVICE OVER OOOV 500
MISC.
WIRING PERMIT 100
FIXTURE PERMIT 100 f /
SUPPLEMENTARY PERMIT 50 I /r1y y „/VAW�r II
TOTAL FEE I It
1 HERMIT ACKNOWLRDOE THAT I HAVE READ THUI APPLI TION APPROVAUS I1 DATIR II, INSPECTOR B SIONATURE
ANDTO COMPLY
WITH STATE" COUNTY ORDINANCES AND STATE LAWSCT AND `REDU"TIND CONDUIT j / A
ELECTRICAL.WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY "DIBTERED Ano/OR
LICINBED AS REQUIRED BY LOS ANGEL" COUNTY AND STATE OF FIXTURES �� 1
CALIFORNIA OR THAT 1 AM THE LEGAL OWN" OR THE A.OVE
D"CRISMD RZ,01DENTiAl,PROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED I
OF PERMITTE FINAL I/ -v F / r iYfY
VALIDATI90r.) ARTHUR C VEIT v I
CK Mo eH SUPERVISING ELECTRICAL ENGINEER
- LkCG7273O1 JM 19 2 D 2.80
DESCREMON OF WORK
KUMMR OF CWTLWI`S ON CIRCUITS
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