HomeMy Public PortalAbout5733-5735 TEMPLE CITY BLVD_Electrical__ FOA663-CES06-.10-56 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DMSION
Department of CountyEngineer BUILDING
.County of LOS Angeles ADDRESS f 3� / •\ e��
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY / ! P
FOR.APPLICANT TO FILL IN CROSIG T gS t9 a'e S
PERMIT FEES -
OWNER p! �"g'
LIGHTS RECEPTACLES swlrcH ES 37
NUM R ITEM EACH MAIL
TOTAL OUTLETS $ .TO S
ADDRESS
ELEC. 'RANGES, WATER HEATERS, CITY TEL.NO.
CLOTHES DRYERS '50 ELECTRICI m ee� G
ELEC. SPACE HEATERS, STAT-Y. COOK.
IDG UNITS, GARBAGE DISPOSERS, � ADDRES9
AUTO WASHERS, DISHWASHER .25:LIGHTING FIXTURES .10 CITY TEL. O. Pyiceu
B
MOTORS STATE
HORSEPOWER LICENSE NO.
H.P. OVER INC. DISTRICT NO. GROUP ZONE READY FOR INSPECTION
y,Be LESS .25
2 .50 INSPECTION RECORD
2 — 6 1.00
5 18 1.50
1S SO 2.50 .
50 200 5.00
MISC.
SIGNS I NO.TRANS
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5,00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE DATE INSPECTOR�9 SIGNATOR
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLI6i4TiOp1
AND STATE THAT THE AB IS CORRECT AND AGREE TO COMPLY CONDUIT !! rillWITH ALL COUNTY +
ELECTRICAL W RING.OR LACES AND STATE LAWS REGULATING WIRING '9`l
1 HEREBY CERTIFY AT I AM PROPERLY REG ERED AND/OR FIXTURES +
LICENSED AS REQ2
UI BY L NGELES COU ND STATE OF
CALIFORNIA OR TH 1 AM L G OW O T POWER
DESCRIBED RESIDE L PR E
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITT FINAL b �1
fOUN A.LAMBIE. )ATION ARTHUR N ]ELECTRICAL
rOUNTY ENGINEER C�K MO CASK SUPERYISlNG ELECTRICAL ENGINEER
A'
00 0 1 ? JUL - 2 1,6.2 0 N