HomeMy Public PortalAbout4331TEMPLE CITY BLVD_Electrical APPLICATION FOR PERMIT
DEPARTMENT OFINANGELES AND SAFETY ��������
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO, DROOP I ZONE PERMIT NO.
ELECTRICIAN
RECEIVED SY READY FOR /DATE IWUEO
ADDRESS FIRST INSPECTION (�/ SSS
CITY T[L NO 7 J
COUNTYLICENeE NIT 4 i IRES ,BpDR[BB Cl T Q
PERMFEES
NUMBER EACH FEE LOCALITY /
LIGHT OUTLETS NEAREST
RECEPTACLES CROBBBL
WALL SWITCNCR OWNER
TOTAL OUTLETS Sc MAIL /�
CLEC RANGES as =CBS ` a/
ELEO HEATERS W CITY TEL NO.
FIXTURES B 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISE APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS 'AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER Or RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POWERS TUC ABOVE VALID LOS
NUM711 OR POWER RE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
N[w Mw NP UHA INC [ACM or THE RESIDENTIAL PROPERTY DKBCRIBED ABOVE,
V. • LEsE 0 aS SIGNATOR[ Or
yg a SO PERMITTEE
a e I DO ifto INSPECTION RECORD
R 16 f SO
16 so 2.50
SO 200 Sao
aOD Sao /o 00 J
SOO 1000 1600 Z
OVER IDCO 2000 0
M G SET/FRM CHANGER-HP
WELDERS/AO-EVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (76 OF 01119)
MOVED MOTORS (75 9F 91119)
MIBC
SIDNS
No NO TRANS.
ND NO LAMPS APPROVALS
FOR EACH PERMITS DATE INSPECTOR'S NAME
WIRING 51,00 (I CONDUIT
FIXTURES 01.00 WIRING
SUPPLEMENTARY60 rIXTURce
POWER
TOTAL FEE Y 001
UTILITY CO NOTIFIED
FINAL