HomeMy Public PortalAbout5410 TEMPLE CITY BLVD_Electrical__ 16A'%6L.1aE8a6 Y62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER IL
UILDING P-• Te
BUILDING AND SAFETY DIVISION DDRESS
JOHN A LAMBIE, COUNTY ENGINEER ^� ?
WILLIAM A JENSEN,SUR T OR 13UILo1N0 OCALITY ! eM 1
NEAREST
lFOR A FILL IN I CROSS ST t
RIC[PT TOTAL NO EACH
P[[
DUTLE79 FIRST 20 S20S OWNER dESSED
LIDXT MAIL
SWITCH ADD-L ADDFt O 012�
OVER 20 10
TOTAL CITY , TEL NO
LIGHTING FIRST 20 20 !r T
FIXTURES - ADD 2L 10 ELECTRICIAN oV R 20RANOu OLD DRYW WTR HT"D 100 ADOAR" DIS} RIA COOKCITY O NO DIWWAW AUTO WAW STATE
"ACE MTRS STA APP IYA MP MAE 1 50 LICENSE NO Co-71
MOTORe, Gv[R HGT ovER MP DISTRICT NO G ZP
o 1 100
1 a ISO IN ECT ON REC / C /
s Is 250 / a0
1s so 300 V
s0 foo 500
O
SIGNS, NO TRANS G
NO LAMPS Til
o_
SERVICE O SOOV NOT OVER 200A 1 100 QC Z
SERVICE O•SOOV OV"POO A 200
SERVICE OVER SOOV Boo
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FHS 1 o0 m
TOTAL PEE S 3
1 NEWSY AC"NOWL[DO[ THAT 1 NAV[ RNAD TNI[ APPLICATION R VAL DATE IMY[ROR
AND RAT[ THAT THE ABOVE 15 CORKER AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY O"OINANC[E AND STATE LAW[ REGULATING
ELECTRICAL WIRING WIRING
1 ME"t•Y CERTIFY THAT 1 AM PROPERLY REOIET AND/OR
LICWSID As HIE DURSO EY LAE ANGELES COUNTY AND STAT[ OF FIXTURES
GYPO"NIA OR THAT 1 AM TN[ L[OAL OWN" OF THE "ME
DEECRI"[D RIESID[NTIAL PROPERTY POWER ) Al
SIGNATURE UTILITY CO NOTIFI D
OF PERMIT E
FINAL
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IIr w URC�Mo CASH PERVISNG ELECTRICAL ENGINEER
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