HomeMy Public PortalAbout4520TEMPLE CITY BLVD_Electrical 76 Om" 11~9 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC
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COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
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COUNTY LICENSE NO PIR[ BUILDING
PERMIT FEES ADDRcee D
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NUMBER OUTLETS EACH LOCALITY
LIGHT Be No ROSS STEAREST
RECEPTACLES 6
FIXTURES s OWNER
WALL SWITCHES B MAIL
[LEO RANGES ZS ADDRESS B
[LED HEATERS IIB CITY dylg!t� T[L NO
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NUMBER OF CIRCUITS INSTALLED 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
TOTAL APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING
HORS POWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
N[w Mvo HP DYER HINC I
ANGELES COUNTY LICENBE. OR I AM THE LEGAL OWNER
• "meOF THE RESIDENTIAL PROP DEBQRIBED ABOVE
II SIGNATURE Of
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B is INSPECTION RECORD
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BO 1013 Sao
100 BOO _
60D 1 OW J
OVER 1000 10 00 Z
M D SET/FRE CHANGER-HP 0
WELDERS AC-KVA
GENERATORS - KW D
TRANBFORMKRS - "A
TEMP MOTORS (75of oBIB I
MOVED MOTORS (76 or DeIR I
MIBC X
BIONS
TYPE NO TRANS
TYPE NO LAMPS APPROVALS
FOR EACH PERMIT DATE INBPEOTOR•B NAM[
WIRING SI OO CONDUIT
FIXTURES 01001 WIRING
SUPPLEMENTARY______ SO FIXTURES
POWER S
TOTAL FEE B '
11 UTILITY 00 NOTIFIED
FINAL
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