HomeMy Public PortalAbout4941 TEMPLE CITY BLVD_Electrical__ TeAeee-cleoa Vee APPLICATION FOR ELECTRICAL PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 4j/
BUILDING AND SAFETY DIVISION AODRI
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTRNO[NT OF BUILDING LOCALITY
ANT CR,,, OaJEG �1 5
REC
EPT 1l TOTAL NO EACH RE
�Jounere • 0 _OWNER 6A,B fr1-Q/A// /}'1oGIC�3
LIGHT FIRST 20 20 20 00
a o-cCD ao to G wnoaaee
SWITCH _
TOTAL PI ROT 20 20 gQ CITY / TEL NO
LIGHTING FIXT Rab _ TEL
FI XTURKS - ADD L to CONTRACTOR , NII AA!/1-4 LLF L
OVER 30 j �'✓t ����✓
RANGtl DRYERS VRp NTRS 100 ADDRESS
SAKE DIeP STA COOK '.CITY /4eeli-d r-4 TEL NO
DISH ASH AVT WAN. rINSPECTION
vAC[HTRS p APDL / �" „ 79 3 c
ORB OVER NOT OVER HP PROCESSED BY
I a too RECORD
a S 2 0015 250
to SO a00
O
SO 100 500 U
SIGNS. No TRANS DE
NO LAMPS SERVICED SOOV NOT OVER 200A 6
SERVICE O 600V OVER 200 A 200
Z
SERVICE OVER SOOV 500
OTHER (SEE COMPLETE ME SCHEDULE)
PERMIT 19BUJNG FEE 2 00 O
SUPPLEMENTARY
PERMIT ISSUING FEE 1100 AP
PROVALS GATE I
TOTAL FEE 0 �Q
ERSEY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ORK
TATE THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY UITALL COUNTY ORDINANCES AMO STATE LAWS R[DULATINORICAL WIRING ERESY CERTIFY THATI AM PROPERLY REGISTERED AND/OR SED AS RIQUIRED RY LOS ANGELES COUNTY AND STATE OFORNIAORTHATI LEGA OWN OF ANO INTEND TO E IN TH!AROV[ [D p I AL PROPERTYJATURE T.PIED lRMITTEE
�CK LI JOSEPH C ROOHAN
MO CASH SUPERVISING
ELECT
RICAL ENGINEER
LA[,o9 2 1 6% Aw21 2 U 1 0.70- �
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