HomeMy Public PortalAbout4924TEMPLE CITY BLVD_Electrical 'DMO It DD APPLICATION FOR ELECTRIC PERMIT 1
;1 DIVISION OF BUWING AND SAFETY
{c1 ConaltSvf OI OOT' f.Ry1DDDt BUILDING
{.� JOHN A LAIaB E. COUNTYa1NHert ADDRESS
ICY i CABBATT D GRIFFIN DWT OF DUILDIxO LOCALITY /
FOR AAPpPLIC.y_NT TO FILL IN NEAREST 7 d
F�� Laosg OT
NUMBER OWNER ,
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
it WALL'SWITCHEH F!H CITY TEL NO
TOTAL OUTLETS 0 at III ELECTRICIAN
ELEC RANGES 20 ADDRESS
ELEC HEATERS 25
KW CITY TEL NO
STATE
FI%TURES D LICENSE NO
MOTORS DISTRICT NO GROUP ZONE AIMDY mit INmPKGr IGK
NUMYBR HORSEPOWER FEE
x6W MVD HP OVYR "CH
&1.1118 9 25 INSP=ON REWIRD
2 DO oma ",®
2 D foo f o 0 0 0
D IS ISO S O v
13 DO 2 DO S V b
Do 200 1 Doo
a
MIBC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING 61 00
FIXTURES 100 _
SUPPLEMENTARY DO A ROVAM
TOTAL FEE DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ARD STATE TXAT TXE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
ELECTRICAL WIRING WITH ALL COUNTY ORDINANCES AND BY
LAWS REGULATING WIRING 1
1 HEIIEBY CERTIFY TXAT I AY PROPERLY REGISTERED AND/OR pIXTVReB
LICENSED AD REGDIRSD BT LOS ANGHLBD COUNTY AND STATE OF
CALIFORNIA OR THAT I AY THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENT ROPER
SIGNATURE f VTILTTY CO NOTIFIED
OF PAI MITTS FINAL �' b
JOHN A LAMBIE.COUNTY ENGINSM VMMATMX ARTHUR C.VEIT.CHIsr E1.EDT. INSPDCTgR
cN NO x
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