HomeMy Public PortalAbout4902TEMPLE CITY BLVD_Electrical 78A
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DeB SA uAPPLICATION FOR ELECTRIC PERMIT 1
DMSION OF BUILDING AND SAFETY
Depmmieat of Cannot englo«r /'�
Coaaty of Los Cannot
BUILDING
WM J FOX COUNTY ENGINEER ADDRESS19J �/
CASSATT D GRIFFIN MUF T OF BUILDING
FOR PERMIT
TO FILL IN LOCALITY `f�WMl°�ITY
PERMIT FEES NEAREST
CROSS
FEE r
NUMBER EACH N
LIGHT OUTLETS OWNER V At0
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS S ed CITY TE NO
ELEC RANGES 25 ELECTRICIAN
ELEC HEATERS _L 25 ADDR S
KW EA
FIXTURES S 6 CITY TEL NO
LICENSE NO
NUMBER OF LIOHT�CIRCUITB DISTRICT NO GROUP
+ T �ZOSg,j
eADY FOR INSPECTION
NUMBER C E ITS
MOTORS Is—
' J
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVO HP OVER INC EACH 4
a LESS B 252 50
C
2e
_ a IB 1 e0
_ IB Bo 250 SY C P 4 [
SO 200 Soo S PkyAe CIL-&
10
MI `
NO SIGNS NO TRANS
NO SIGNS NO LAMPS _
FOR EACH PERMIT
WIRING 6100 �Qb
FIXTURES 1100
SUPPLEMENTARY SO _
APPROVALS
TOTAL FEE s O DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING S
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AY PROPERLY REGISTERED ANO/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COU HTY AND STATE OF POWER
CALIFORNIA OR THAT I AY THE LEGA WNER OF THE ABOVE
DESCRIBED RESIDENTIA OP 4R/
TY NOTIFIED 3
SIGNATURE �j(/{r-�� FINAL
OF PERMITTEE
WILLIAM J FOX.COUNTY ENGINEER VALIDATION 5.9 oo ID