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HomeMy Public PortalAbout6030-6030 1/2 TEMPLE CITY BLVD_Electrical__ r FS A663-CF-806-7.56 APPLICATION F O '. \' ` E L E V ■ •■ •I C Y E■ \M I ■ © 1 BUILDING AND SAFETY DIVISION Deportment of County Engineer F DING 0' ?l County of Los Angeles ESS v JOHN A.LAMBIE. COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LITY FOR APPLICANT TO FILL IN NEAREST10 PERMIT FEES ceoss ST. t NUMBER OWNER LIGHT OUTLETS MAIL ADDRESS RECEPTACLES WALL SWITCHES FEE CITY. TEL.NO. TOTAL OUTLETS @ 5¢ $ ELECTRICIAN ELEC. RANGES 25 ADDRESS Zi x2dweigz- ELEC. HEATERS 25 CITYVEL.NO. KW EA STATE FIXTURES 5 LICENSE NO. S� MOTORS -DISTRICT NO. GROUP ZONE READY FOR INSPECTION NUMBER HORSEPOWER FEE _ I I ' NEW MVD.- HP OVER INC. EACH 112&LESS $ .25 I INSPECTION RECORD 'H Y2 2 .50 2 5 1.00 5 Is 1.50 1S SO 2.50 50 200 5.00 MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ'THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ' ELECTRICAL WIRING. I FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REOUI BY LOS IGELES Bllf TY AND STATE OF POWER CALIFORNIA OR T AT AM T LEGAL WHER OF THE ABOVE DESCRIBED RESIDE Ti PR P Y. UTILITY CO.NOTIFIED SOF PERMITTEE FINALIGNATUR I IOUN A.LAIyFB1E iLIDATION ARTHUR C. ELECTRICAL :oUNTY EN iNEE (c� No CASH SUPERVISING ELECTRICAL ENGINEER LACO4 4 6 0 ►aye 24 2 265 � )BS-SA if•SS #-APPLICATION FOR tLECTRIC PERMIT DMSION OF MUM= AND SAFETY Deportment of County Engineer BUILDING Countp`of Los Angeles ADDRESS o(�O JOHN A.LANIBIE,COUNTY ENGINEER c CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARS sr. !� S /t i`•. `- PERMIT FEES NUMBER OWNER LIGHT OUTLETS MAIL ' Wj RECEPTACLES ADDRESS WALL SWITCHES FEE CITY TEL.NO. TOTAL OUTLETS @ Be $ ELECTRICIAN &&-*,/ �'/re.yrPrc ELEC.RANGES 25 + ADDRESS / e ELEC.HEATERS 25 _ KVV CITY z � C?O TEL.1409( STATE FIXTURES S LICENSE NO. le0f.0 MOTORS DISTRICT NO. I GZONE READY FOR INSPECTION NUMBER HORSEPOWER. FEE ROU ITl J 2 NEW MVD. HP OVER INC. EACH INSPECTION LRE CORD = - 12 Sc LESS $ .25 2 .50 2 5 1.009 is 2.50 /h yye� / `� 1 5. SO 2.50 f,/ F, l/1b2 -2 (18441elef 50 200 9.00 - rSt?/ /-)9/_/A65 X11)5 MISC. I rB CJ Q !DJ V, 1 .q - EAU. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 � FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ l DATE INSPECT R'S I. NATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION y ` AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY CONDUIT 2- WITH ALL COUNTY 'qq 'V L t P��+ ELECTRICAL WIRING.ORDINANCES AND STATE LAWS REGULATING WIRING 4I IS /Nil ,I-.fi,4,s/� I HEREBY CERTIFY THAZAIEY,PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REGU ANGE COUNTY AND STATE OF CALIFORNIA OR AT LEG OWNER OF THE ABOVE POWER DESCRIBED RESID NTI SIGNATURE UTILITY CO.NOTIFIED IN OF PIRMITT FINAL %_,,FVi .r OHN A. 77COUNTY ENGINEERATION ARTHUR C.VEIT,CHIEF ELECT.INSPECTOR JIM CASH1 �. 5 18 �' 5 7 Q 0