HomeMy Public PortalAbout4800TEMPLE CITY BLVD_Electrical )eAnfC- c.ewe 11/75 APPLICATION FOR ELECTRICAL PERMIT
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BUtLDIN ND SAFETY DI ION
Al-
'OR APPLICANT To PILL in 1 JOB (�
New Residential Bldgs &Pools EACH NO FEE ADDRESS << i 0� QMP 1,
1 &2 Finaily Sq Ft $ — $ LOCALITY
Multi family Sq Ft — NEAREST
CROSS ST
Residential Swimming Pools OWNER OR
FIRM NAME T ✓ (1l Ps
Outlets Light Switch& Receptacle MAI L _T F
First 20 O �. Q ADDRESS V [�
Additional CITY A "1� Tel Na 76 / V�
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 t'b ADDRESS
Additional t O
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT ((+��+P��
Range_ Heater_ DW ADDRESS d�
Oven _ Dryer W Mr '�ww ^ ^ Z,�
Top _ FAU WH CITY v�J T Tel NZ J
Hood Fan LICENSE OR
Diap A C REG NUMBER d `s Clens
1 M CHNOVl.001I T TNI.• LICATION
STATE T.AT TXe I. C • TO COMPLY (]
Power Apparatus& Large Appliances LL COUNTYAOINANC.. AM. .TATs LA.. e.ov EATING
St ze&Type HP, KW KVA,or KVAR LACTeICAL MIA... o w
3 I H.L. Y < e o
Up to 1 Incl / O .3 3 eerlrY THAI I AN PNo.eAv e.a uTee o/oN z
Over 1 to 101nd LIa.H.eo A. N neo • COUNTY A P
IA CM THAT o Bove
Over 10 to 50 Incl ec.C"' EO A..maN L.
Over 50 to 100 I ncl PER Ni ITE E
Over 100 SIGNATURE
ev
DISTRICT NO P SED B
Services - Ori
0 200 Amp Under 600 V
201 1000 Amp Under 600 VAPPROVALS DATE EC 'S
SIGNATURE
Over 1000 Amp or Over 600 V
TEMP POWER POLE
Tamp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit ROUGH CONDUIT Z —&
Additional Sign Branch Clrcuita
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub Tota l) A01
UTILITY CO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee) FINAL 2
PERMIT ISSUING FEE NOTES �/ 2 6"LK{� AJ
TOTAL FEE O/ — SEi?vICE D F it/6T/n/
LAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION M 0 CASH
09NOV 2 2 D 60.10 °-
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