HomeMy Public PortalAbout4331 1/2TEMPLE CITY BLVD_Electrical " SA APPLICATION FOR ELECTRIC PERMIT 1
Dee.ew I■.0A
DIVISION OF S WRIG AND SAFETY
Depwb=n OI Cmu tI Engineer
of Lao �gVM JOSS
DING
WM.J.FOX. COUNT"ENGIMXM
CASYATT D. GRI►FYM.SIUWT OF BUILDINGFOR APPLICANT TO FILL IN PERMIT FEES D�arNUMBER EACH FLIGHT 01M.MYS ER �1'SC/Z�► Y3�di' 4c6wX-Z(i
WALL DwlrEs / wooLR[eg '¢9
TOTAL OVTL S N 8 CITY LJ4 TEL.NO.-,4t--r
ELKC, RANO!a IID LEC I N
[L C. HEATERS IID ADD ESBrc
IMI EA C .72-1
FIXTURES LICENSE NO. 0"
NUMBER Or LIGHT CIRCUITS DISTRICT NO. GROUP ZONE I_&UMBER OF RRCKPTACh CIRCUITS -2+
■ue.ro■I■n■cYIG■
MOTORS /1
mums" HORSEPOWER PB[ ENSPEC TION RECORD
NEW NVB. HP OYRA INC. EACH
•LW .IID
II DO
II D 1.00
D ID 1.50
1D DO II DO l DO oo 5.00
NO.SIGNS NO TRANS.
NO, SIGNS NOPD
—EOR EACH PERMIT!
WIRING 81.00_
FIXTURES 1.00 T _
M .DO
APPROVALS
TOTAL FEE S O DAYS INSPECTOR S SIGNATURE
I HEREBY ACNNOWLIIDGE THAT 1 HAVE READ THIS APPLICATION DUI
AND STATE THAT THE ABOVE IS CORRECT AND AGR[[ TO CCIIPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IRIN
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AN NROPEBLY REGISTERED AND/OR P UR
LICENSED AS REDUIRED ET LOS ANGELES COUNTY AND STATE OF 6R
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. MUrY CO.NOTIFIED
TU
SIGNA RE O►P[RMITT FINAL
1Z L
WILLIAM J.FO _ VALMATION 2 4 0 °
1(% 052 76� I{PR 6 4
BY `J,�
IyE� F DEPUTY