HomeMy Public PortalAbout5732-5734 TEMPLE CITY BLVD_Electrical__ M° °°°°° °° APPLICATION FOR-.. tt-ECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT BUILDING AND SAFETY D V DIVISION ADD EISS 'L 7 c l
JOHN A.LAMBIE,COUNTY ENGINEER
WILLIAM A.JENSEN. SUPT OF BUILDING LOCALITY 1 I
FOR APPLICANT TO FILL IN iCRAREST
CROSS
PERMIT FEES �<
OWNER
ITEM NUMBER EACH FEE. ' MAIL
OUTLETS: S $ ADDRESS
LIGHTS RECEPT. BW. .10
06
LIGHTING FIXTURES .10 CITY TEL.N
ELEC.RANGER CLO.DRYERS (/-� ELECTRICIAN Q
WATER HEATERS .50 J 0 ADDRESS �O D
ELEC.SPACE HTRS. DISHWASHERS CITY a I' /TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE �I
WASHERS STA.COOKING UNITS ,2$ LICENSE NO.. ( 5/
MOTORS: OVER INC. H.P. D1�ST,R TNO. G UP Py P CESSED BY
0 — I/a .211 (Q/((
V2 - 2 ,Sp INSPECTION RECORD
2 — 5 1.00
O
1.50 U
// v D:
Is - SO 2.50 '9�1lt�Gz`� 3,-�s�'aS1+,P.-'— O
go — 200 5.00 0
W
SIGNS: NO TRANS. N
NO.LAMPS
Z
SERVICE 0.60OV 1.00 d 0
SERVICE OVER GOOV 5.00
MISC.
WIRING PERMIT 1.00 U
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPEC R'S SIGNATURE
. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT A
ELECTRICAL WIRING. WIRING 3�✓ O
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �
LICENSED AS REQUIRED Y LOS AMFLNTY AND STATE OF FIXTURES
CALIFORNIA OR T THE R OF THE ABOVEDESCRIBED REBID 'P P POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL "7
VALIDAT P" ARTHUR C.VETT.
CK MO cnsH SUPERVISING ELECTRICAL ENGINEER
�, �6 8 & 0 EA1 1. 1 2 D 2.50 t'