HomeMy Public PortalAbout6052 TEMPLE CITY BLVD_Electrical__ M663-GROOS BAW APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN,BuP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL 1N p NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBER I EACH FEE OWNER
OUTLETS: q $ $ MAIL
LIGHTS RECEPT.In SW. .10 ADDRESS
LIGHTING FIXTURESIO CITY TER.NO. r
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS �' N!/J
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO
GARBAGE DISPOSERS AUTO.- STATE j
WASHERS STA.COOKING UNITS .25 LICENSE NO. l
MOTORS: OVER INC. H.P. D15TT NO. I G�PE D Y
0— 1/2 .25 t
I/2-- 2 .s0 f INSPECTION RECORD
2— u 5 1.00
5— IS
1.50 �>!
1.50 7.--J V/ _ �.. AA//T Agf LK L.L.
IS— 50 / .
150-200 5.00 _ P ,q ef br4,411217-16
f
SIGNS: NO.TRANS. 7 J V15T N �'•/•F)PI
NO.LAMPS Z 2-0 trL RAD 41,VYr7'
SERVICE 0-800V 1.00
SERVICE OVER 600V 5.00
MISC. !'
WIRING PERMIT 1.00 f OD
FIXTURE PERMIT 1.00 1, DD
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S 810HATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT 9 I. A
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING.
LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LE DOWNER OF THE ABOVE
DESCRIBED
(REBID T PARTY. .i POWER
SIGNATURE L UTILITY CO.NOTIFIED O ,c AA A M.P.I . r ,`
OF PERMITTE
,: FIIVA
�p �/��`�'�''`�'ATION ARTHUR
C. ELECIRICALa ENGINEER
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