HomeMy Public PortalAbout4333TEMPLE CITY BLVD_Electrical •COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ��������
DIVISION OF BUILDING 8c SAFETY
WILLIAM J FOX. CDDDb EDWmu _
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I Zotim PERMIT N�O-
ELECTRICIAN OZ w
ADDRESS /Q rR[ [I ►IRBTIDNBP[OTION //DyA I
CITY TEL NO �/ /
LICENSE NO EXPIREB BUILDIND
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PERMIT FEES ' AODR[BB n
NUMBER EACH FEE LOy-+CALIT`f / C
LIGHT OUTLETS NEAREST
RECEPTACLES CROBB
WALL SWITCHES L OWNER
TOTAL OUTLETS 4 Bo 4 O MAIL
CLEC RANGES IIB AOORESS
[LEC HEATERS 15 CITY TEL NO
►IXTURES B V 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISE APPLICATION AND STATK THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING,
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
Nuwe[E HORSEPOWER ►[E ANGKL[S COUNTY LIC[MBE, OR 1 AM THE LEGAL OWNER
N[w MVD HP DVE61 IND tADN OF TNS RESIDENTIAL PROPERTY D[BCRIBED ABOVE
WE 25
SIGNATURE or 1
Y 60 P[61MITTE
B e ' 100 INSPECTION RECORD
5 /5 150
16 SO 8 BO
BO ZOO 500
Sao BOO lO DD J
500IGOO 16 pO Z
OVER 1000 IID OO E
M 0 BET/FRFQ CHANGER-HP Q
WELDERS AC-KVA O
GENERATORS - KIN
TRANSFORMERS • KVA
TEMP MOTORS (76 Or 06110) -
MOVED MOTORS (76 or D61m.)
MIBD
SIONB ,
NO NO TRANS.
APPROVALS
NO NO LAMP
FOR EACH P[RMITI DAT[ INSPECTOR'S NAM[
WIRING mi OD CONDUIT
FIXTURES a1 OG 1 O Q
=WIRINGUPP [ Bo TOTAL FEE •_ - IFIED
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