HomeMy Public PortalAbout5472 TEMPLE CITY BLVD_Electrical__ 82 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
EPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, WF T OF 6u1LDING LOCALITY
NEAREST
FOR Ap ANTY FILLIN CR06S ST
RECEPT TOTAL NO EACH PEM
OUTLETS FIRST 20 L-0 SID 6 4, o" OWNER __
LINHT MAIL
SWITCH `9 .<4 OVER20 3�1 10 3 g0 ADDRESS
LIGHTING• } TOTAL [FIRM 20 6 20 3, ZD CITY �c TEL NO
FIXTU RES�(-Ij) Y6 UY DH 2O t0 ELECTRICIAN
RAMGEN CL S WTR HTRS 100 ADDRESS
ae DI R COOK I
tDIll
TEL NO
DINH AW WAW T[
AC[-HTRN RA APP (KHF MAX ) 60 ENSE NO O /.LT
MOTORS, ovE NOTOYER HP TRICT NO GROUP ZONE PROCESSED BY
0 — 1 - 100 .�; (L— 6o�ov14)
I — a 150 INSPECTION RECORD
a e 2 0o S 16 260S.
eo, — foo 6 00OSIGNBI O LAMPS,BERVIC60600V Nm DYE 200A 1 100 BERVICE O 600V OVMR 200 A 200 �✓ 1 N
SERVICE OVER GooV boo Z
MISC
v
PERMIT ISSUING FEE I 200 •�
SUPPLEMENTA6Y PERMITi16SWNG FEE 100 '
TOTAL FEE 6 6
I NEIRNY ACKNOWLEDGE THAT I HAVE RED THIN APPLICATION P OVA GATE INPE w NIGNATtWK
AHD RATE THAT THE AMOYE It COIGMR AND AOwE TO COMPLY CONDUIT L✓�
WITH ALL COUNTY ORDINANCE AND "ATM "WN RRDULATING
IIUM N•., WIRING WIRI NO /Y J
1 HE11EY CERTIFY THAT 1 AM PROPERLY IRGIR[RE ANO/OR
MCENNED AN REGUIRMO MY LON ANOELEN COUNTY AND ETA;[ OF FIXTURES
CAUFORMIA OR THAT 1 AM TMM LEGAL OWNG OF THE ASOVE
DESQNRl— RISIDWTIAL PROPERTY POWER yyA
SIGNATURE UTILITYCO NOTIFI /III
OF PERMITTEE FINAL \ G1I1�I
d �1/{aLIDATION ARTHU�RC ELVFITJkLV
KCT
`//fCKJ MO CASH SUdERVISINO �HCTRICICAL ENGINEER
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