HomeMy Public PortalAbout5619-5619 1/2-5621-5621 1/2 TEMPLE CITY BLVD_Electrical__ TRA666-CERO6 9-66 APPLICATION FOR LiECTRICALPERMIT��ai
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS P"lelz Od 13
JOHN A LAMBIE COUNTY ENGINEER ��.
COLEMAN JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
APPLICANT TO ALL I CROSS 8T
RECEPT / 1 TOTALNO EA�l
Jly IUTLETs FIRST 20 jt� i 20 i �`pp MAIL
OWNER C
LIGHT'
3S ADD 2 / CO ADDRESS
SWITCH OVER L /� 10 ✓
TOTAL FIRST 20 YO / 60 CITY TEL NO
LIGHTING FIXTURES
FIXTURES ADD L 10 CONTRACTORRP o h s 4
OVER 20
RANGES MYERS WTR HT" 100 ADDRESS 11 Par N_ A
OAR➢ DISK RA COOK
CITY . /s_ i TEL No #fV3 2
OIBHWASM AUTO WASH STATE /� r
SPACE HTRI BTA AI'L BO LICENSE NO
MOTORS OVER MOT OVER MP DISTRICT GR P ZQtNEP E SF.D BY
C o — 1 100 0 S . 8
1 B 150 INSPECTION RECORD
B — B 200
B — 15 250
iB no 300 ` y
O
Bo — 100 Boo V
SIGNS, NO TRANS
NO LAMPS /J GO
SERVICE O 500V NOT OVER 200A 100 pQ S(/ (% 7U a
SERVICE 0 GOOV OVER 200 A 1 200 G CJS (rnJ
SERVICE OVER SOOV 500 T
OTHER (BEE COMPLETE FEE SCHEDULE) J ,
PERMIT ISSUING FEE 200 00
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPR ALG BATE IHYEOTOII•slm1Aruwqg
TOTAL FEE i / N�Q
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOUNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING I WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGA WNER OP AMO INTEND TO POWER
RESIOE IN THE ASO D CMTIA PROPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
LIJOSEPH C ROOHAN
ELEC CK/� MOo CAS CASH SUPERVISING ELECTRICAL ENGINEER
LALO 8983% JUN 9 2 D 11.10-
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