HomeMy Public PortalAbout5020 TEMPLE CITY BLVD_Electrical__ 7BA542-CID1306.I1."APPLICATION FOR ELECTRIC PERMIT Z
CoDNTY OF LOS I imm
DEPARTMENT OF COUNTY ENGIIEMI ADDREISS .S- ?A O / I {/
BUILDING AND SAFETY DIVISION
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FOR APPLICANTTO FILL IN Nl066{T'
PERM FEES
ITEM Nureu ucll FEE OWNER
OUTLET j { MAIL
LIGXTi RECErt nV O :MAIL. 8
LIGHTING FIXTURES 10 CITY E O O
ELEC RANGES CLO DRYEw I ELECTRICIA
WATER HEATERS 5
ELEC 2PAC6 HTRG DISHWARHERR ADORE"
GAREAGE DIGPOEEM AUTO- CITY EL NO
WAEHERB ETA COOKING UNITE 25 STATE
MOTORS OVER INC Hp LICENH O
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15
Y. — 2 50
2 — a 100 DWECTION RECORD
a — to Igo
1a — DO 250
50— 200 500
SIGNS NO TRANG i
No uHPr
SERVICEO-600V 100
SERVICE OVER GOOV 500
MISC. _
WIRING PERMIT 100 `�
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT a0
TOTALFEE j APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -- DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY CONDUIT ^
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTU REH
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ATE It
CALIFORNIA OR THAT I A TX LEGAL OWNER OF ABOVE
POWER
DESCRIBED RESIDENTIAL
SIGNATURllmprl�E UTILITYCO NOTIFIED
OF PERM ITTE FINAL22
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VAIMA ARTHUR VETT
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