HomeMy Public PortalAbout4311TEMPLE CITY BLVD_Electrical (2) D70
ee 5A 333 APPLICATION FOR ELECTRIC PERMIT I
DIMON OF BUILDING AND SAFETY
Deposm+ent of County Engineer
JCOunt of Los Angeles BUILDING (� c
WM J FOX COUNTY ENGINEVA ADDRESS
CAnSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN
PERMIT FEES CROSS SST
LIGHT OUTLETS NUMBER EACH
OWNER �
RECEPTACLES MAIL
ADDRESS
WALLSWITCHES -
TOTALOUTLETS 5qf CITY 10, N
ELEC RANGES 2e ELECTRICIAN
ELEC HEATERS 25 ADDRESS
KW EA CITY zjTEL NO r
FIXTURES E C SENO
NUMBER OF LIGHT CIRCUITS - `DISTRICT NO GROUP ZONE READY FOR INIFRCTION
NUMBER OF RECEPTACLE CIRCUITS 7
MOTORS 4
NUMSER HORSEPOWER FEE INSPECTION R'ORD
HEW MVD HP OVER I INC EACH �.` Q Y
jV2
f 2E 60
100
190
2f0
Soo
MISC
jr
r
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING f100
FIXTURES $1 00
SUPPLEMENTARY 30 APPROVALS
TOTAL FEE f �D DATE INSPECTOR 3 SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 1O S
ELECTRICAL WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 PETHE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTI P RTY. UTILITY CO NOTIFIED l01 S6
SIGNATUREZL
OF PERMITTEE PINAL
O=a
WILLIAM J FOX,auNTY ENGINEER VALIDATION A C VEIT,CHIEF ELUCT INSPMCTOR
(,&0 6 0 6Zt SEP 25 2 1 .00 0