HomeMy Public PortalAbout5758 TEMPLE CITY BLVD_Electrical__ FBA653-CES06-6-57 APPLICA`fION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGL
S
DEPARTMENT OF COUNTY INEER 9UILDING
BUILDING AND SAFETY DION ADDRESS ?s T 1 L 1/�
I
JOHN A.LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY co I
FOR APPLICANT TO FILL IN CROSS STT.
PERMIT FEES
OWNER ,Vi
LIGHTS RECEPTACLES SWITCHES
NUMBER ITEM EACH FEE MAIL
ADDRESS
TOTAL OUTLE S $ .10 $
ELEC. RANGE WATER HEATERS. CITY TEL. O.
CLOTHES DRYERSL 'SO U ELECTRICIAN
ELEC. SPACE HEATERS,STAT-Y. COOK-
ING UNITS, GARBAGE DISPOSERS,
AUTO WASHERS, DISHWASHER .25 ADDRESS {�
'"
LIGHTING FIXTURES .10 CITY TEL.NO.
MOTORS STATE /
LICENSE NO. (o
HORSEPOWER
H.P, OVER INC. DISTRI T NO. GRQUFk ON READY FOR INSPECTION
yp 0 LESS .25
+ig — 2 .50 INSPECTION RECORD
2 5 1.00
s is 1.50 9
P is ---so 2.50 `�tl F'� :b� t• ^n tb A c?
I
50 — 200 01.00
fr C M lw
misc. n
LGA
i SIGNS♦ NO.TRANS
NO.LAMPS
I SERVICE O-GOOV 1.00
SERVICE OVER GOOV 5.00
WIRING PERMIT 7.00 V d '
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT SO
TOTAL FEE APPROVAIas
$ 3 d DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT Al
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING Q W-
-I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES �' 7
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM' THE LEGAL OWNER OF THE ABOVE POWER _
DESCRIBED RESIDENTIA OPERTY
SIGNATUREl - UTILITY CO.NOTIFIED
i OF PERMI7TE
FINAL �
JOHN A.LAMBIE. ATION ARTHUR C.VEIT.
COUNTY ENGINEER CASH SUPERVISING ELECTRICAL ENGINEER
CN; MO
1L 02591M JAN 9 2A 3.00
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