HomeMy Public PortalAbout5027TEMPLE CITY BLVD_Electrical (2) 78AS" M11A II-DD APPLICATION FOR PERMIT
DEPARTMENT OF FU AND SAFETY
ELECTRIC
COUNTY OF LOSOSANGELES NGELES
WILLIAM J FOX CHIEF ENGINEE0.
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN FRANK S ELECTRIC CO f 3 <1 3z
ADDREB0919 TELFORD ST R]OHIV READY POR DATE ISSUED
FIRST INSPECTION
CITY LOS ANGELES 22 TELW 74154
COUNTY LICKNPF NO 1081 BUILDING
PERMIT FEES ADORX. SO
NUMBER FEE EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST
WALL SWITCHES OWNER '1�.
TOTAL OUTLETS S h Bc III MAIL
ELEC RANGES 20 ADDRESS
HLEC HEATERS 28 CITY TEL NO
FIXTURES p
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NuYOER MORS POWER ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROP TY DESCRIBED ABOVE
N[w MVO HP ovue IRc utH
l
e um 2S SIGNATURE OP
I 2 60 PGRMITTEQ
2 E 1 00 INSPECTION RECORD
p 1a ISO
IB 50 2 SO Z
BO 200 a 00 .1 a
200 BOO Tom Q J
Boo 1000 IBM <
2
OVER 1000 20 00 e �
M O BET FRED CHANGER-HP Lti
WELDERS AC-"A O
GENERATORS-KW
TRANSFORMERS-"A
TEMP MOTORS 75of ORIa
MOVED MOTORS 75oFoRla
MIBC
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING 111 00 CONDUIT
FIXTURES 100 WIRING 7 --
SUPPLEMENTARY p0 FIXTURES
POWER
TOTAL FEE UTILIT'CO MOTIFIEDIm 4pl
FINAL