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HomeMy Public PortalAbout4516TEMPLE CITY BLVD_Electrical T wRaw•ON APPLICATION FOR ELECTRIC PERMIT I DIVISION OF WELDING AND SAFETY . DspmmiGat If County Eaylnser COIt� Of ]AD Angel" BUILDING WM J FOX COUNTY NGINE[R ADDRESS • CADDATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMBER EACH FEE LIGHT OUTLETS OWNER RECEPTACLESMAIL WALL EW ITCHES (/✓ TOTALOUTLETS D ! CITEL N� ELEC RANGES ze ELECTRI AN ELEC HEATERS 2D ADDRESS NW RACITY T!L NI FIXTURES D I NS N NUMBER OF LIGHT CIRCUITS - DISTRICT NO GROUP ZONE RUDY FDR IROECTIDR NUMBER OF RECEPTACLE CIRCUITS I j MOTORS NUMBERHORSEPOWEC ER FEE IN 'ON RORD NEW MVD HP ov¢11 ING EACH 1/2 G LEIS • 25 2 Do 2 a 100 a ID 1 DO la DO 250 DO 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100 FIXTURES $1 DO SUPPLEMENTARY DO APPROVALS TOTAL FEE S DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A L1 TION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING I HEREBY CERTIFY THAT I AN ROPERLY R GISTE NO OR FIXTURED LICENSED AS REQUIRED BY LO NGELES ATE CALIFORNIA OR THAT AN LEG N F E AS POWER DESCRIBED RESIDENTI SIGNATURE UTILITYCO NOTIFIED OF PERM ITTRE FINAL WILLIAM J.FOX.COUNTY KN4mtfE& VALIDATION A C VEIT.CHIEF ELECT INSPECTOR ACO7 6 7 2�, SEP 8 2 1 8 0