HomeMy Public PortalAbout4903TEMPLE CITY BLVD_Electrical (2) -As .. P§B cA II-w APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC
- COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DIBTIYICT NO. GROUP I ZONE I PERMIT NO.
ELECTRICIAN
' RECEIVED BY READY FOR DATE I•BUED
ADDRESS I, rIRBT INSPECTION
CITY L NO L
t COUNTY LICENSE NO f%PIaEB ADO10.
PERMIT FEES
NUMBER EACH F[6 LOCALITY p�- Vim[
LIGHT OUTLETS NEAREST 1
CROSS ST. /)(—A
RECEPTACLES PP""CG
WALL SWITCHES OWNER -
TOTAL OUTLETS SO O MAIL
ELEC RANGES 2S L ADDRESS
ELEC HEATERS 25 S CITY TEL NO
rl)(TURES S I HEREBY ACKNOWLEDOE THAT I HAVE READ THIS
MIBC APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REOULATIN13 ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUMB R HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
Mw HP avec IHe c'�H
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
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• LCRR • 75 SIGNATURE OF
Z 60 PERMITTEIE
B 1O° INSPECTION RECORD
s is 1 50
15 60 130
50 zoo s DO _
100600 1O 00 „1
600 1000 13 00 Z
OVER 1000 SO OO
M O BET/FREQ CHANGER-HP
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (76 or ORIO)
MOVED MOTORS (76 of BRIG)
MIBC
BIONS
NO NO TRANS.
APPROVALS
NO NO LAMPS
ran EACH PERMIT' DA71C INSPECTDR•B NAME
WIRING mica CONDUIT
f IXTUREB 1111 Oo WIRING
SUPPLEMENTARY so FIXTURES
/1 POWER
TOTAL FEE • - / UTILITYCO NOTIr1ED
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