HomeMy Public PortalAbout4505TEMPLE CITY BLVD_Electrical Gp OA3 APPLICATION FOR ELECTRIC PERMIT Z
DIVISION� OF BUILDING AND SAFETY
A Dego ...wrt of County EDgleummear BUILD
I NO
County of Loo ABgdeR ADDReDe C n RI Yrd
WM J FOX COUNTY ENOINH3R
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY a r Tr
FOPERR Ate=LICgNT TO FILL IN NHAREBT
FEES caose BT Ri Tr Tr
NUMBERI EACH FEE
L10HTOUTLETB in OWNER -
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 30ssI CITY TEL NO
ELEC RANGES 25 ELECTRICIAN fv
ELEC HEATERS 26 ADDRESS 1 030 N. (TY,rIndvioW
KW EA CITVs()- C;nr rpb"i fl TEL NO At
FIXTURES 10 5LICENSE N
NUMBER OF LIGHT CIRCUITS DISTRICT NO 6ROU ZONE 2uPT roll IRsrECT IDN
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION B=RD
NEW MVD HP oV[R IN< EACH
e LEDR9 26 R L
2 DO
2 D 100 "ome-
D tt u4z' f4 olmk '
16 DO 3 DOIIIIA
DO 200 600 G
O
MISc
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES 100
[ELE�RICAL
LEMENTARY i9- APPROVALS
TOTAL FEE f DATE INSPECTOR S SIGNATURE
EREBY ACKNOWLEDGE THAT 1 HAVE READ TH IS-APPLI CATION CONDUIT
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING L
WIRING
EREBY CERTIFY I AY Pqqpp PERLY REGISTERED AND/OR FIXTURESSED AS REOU B LOS ANItCLE4 COUNTY AND STATEORNIAORT I S T OW R OF THE ABOVE POWERIBED RE910E 1 pPATURC UTILITY CO NOTIFIED I SGPERMITTH! PINAL 41
WILLIAM J FOX.CounrY ENGINSHR VALIDATION A C VEIT.CHISF ELHCT INSPECTOR
tG8 6 5 7;- Ja27 2 425
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