HomeMy Public PortalAbout5249 TEMPLE CITY BLVD_Electrical__ APPLICATION FOR ELECTRIC PERMIT 1
+ 1 COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 9 ��
BUILDING AND SAFETY DIVISION ADDRESS In
JOHN A LAMBIE,COUNTY ENGINEER
CASSATT D GRIFFIN Bur T Or HUILDING LOCALITY
FOR APPLICANT TO FILL IN
NEAREST ST
Ir¢w PERTVIIT FEEN -¢�[N "CH r¢[ OWNER �•
OUTLETS f f MAIL
LIGHTS R[c61T SW 10 ADDRESS
LIGHTING FIXTURES f0 CI L NO
[ua RAING[° sw"� ELECTRI AN
WAT¢R N[ATERG SO
[L[ "AC[HTRS. DHN4VV SH[RS ADDRESS
GARSAO[DISPOSERS AUTO- CI O NO �.
w"HINS STA COOKING UNITS 25 STATE
LICENSE NO — OO
MOTORS oval INC HP
O— Vi 2e REAOv POR IRV[CTION
V. — 2 60
2 — e 100 INSPECTION RECORD
G — IS ISO
If — GO 250
Go— 200 goo
SIGNS NO TRANS
NO LAMP¢
SIERVICEO-GOOV IDID
SERVICE OVER GOOV f 00
MISC.
+
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERM IT 50
TOTAL FEEf Q - APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIGATION DATE INSPECTOR!SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING 3
I HEREBY CERTIFY THAT I AM PROPERLT REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OR
CALIFORNIA OR TN 1 AM THE LEGAL OWNER OF THE ABOVE AWE _
DESCRIBED REBID 1 TY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITT6
FINAL
VI(I.ID ARTHUR E
CX CASH
SUPERVISING L[LTRICAL BNGINEER
Y
' "L 2 2 4 5 9t MAR 24 2 A 2,5 0 �
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