HomeMy Public PortalAbout5120 TEMPLE CITY BLVD_Electrical__ 75g663 CEBOS 10,72 APPLldkTtlWf&R ELOifltAL PEWIT
COUNTY OF LOS ANGELES
DEBPUILDING AND SAFETY DIVISIONNT OF COUNTY ADDRESS
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FOR APPLICANT TO FILL IN OUT ETS o eA " reERECEPT S 5A,- D i rto
FIRST 20 Z.j ft ADDRESS
LIGHT TOTAL y
SWITCH_ 2_ OVER 20 CITY TEL NO
10 PLANCHECK
LIGHTING 1. TOTFIRST 20- - =5 Ob APPLICANT
FIXTURES 10
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'/I/ OVER 20 AGGRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT C L �1L
STA COOK_DISP _F A U _ ADDRESS 1.2761!/Q//fv ,J/w/P
SPACE HTR V AIR GOND CITY c.(yNOd/tA TEL NO 9 ; 3 G
CLOTHES WASH _�DISHWASH_ REGI UMBER ZZ]ted CLASS "(O
FAN_OTHER 3 100 B O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
�•a AMO STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HATERS CTC HP KW RVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFYIR THAT I AM PROPERLYCOUNTY
REGISTERED ATE OF
O — 1 100 CALIFORNIALICENSEDAS 0 TH&;[D BY LOS ANGELES COUNTY ANO THE
OF
CALIFORNOR TH IAm LHOLL OWNER 01 TXF ApOVf
1 — 70 900 0[f CPIF[0 A[fl M AL PR TY OyO
10 - $0 .app PERMITEE U
SIGNATOR
50 - 100 1000 DISTRICT NO R CES D BY U
W
100 - 500 IfoG C'/ Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPL SSIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS IN TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP SOO i tlp UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES SOO WIRING
TEMP LIGHT OR RECEPT SYSTEM 900 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE ha
PERMIT ISSUING FEE SOO Op
TOTAL FEE
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M o cAfH
I Ar, 2 5 3 673 AUG 1 2 D 1 3,O O A a
SE[ SACK Of APPLICATION FOR COMPLETE SCHEDULE