HomeMy Public PortalAbout5208TEMPLE CITY BLVD_Electrical 7AAW Dew EA 7-91 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OFF LOSLOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRr NO. GROUP 40NE PERMIT NO.
ELErTRICIANC/7a
ADDRESS ✓ R[ it Y READY FOR OATI ISSUED
n FIRST INS "N
Cln 1 TEL NO /�� G//q�_/a.r{//. �_�V .1
COU LICE NGC NO EXPIRES O� ' •UILOINO I p� T
PERMIT FEES ADDRESS eJ � / /�mP pig In Ly Ahoe
NUMBER EACH FE[ LOCALITY I ` G•�
LIGHT OUTLETS NEAREST /t ✓ Q
RECEPTACLES / CROSS BT
WALL SWITCHES OWNER
TOTAL OUTLETS SD MAIL (I
ELEC RANGES 9S ADDRESQ C6 �� 1I11 AA
ELEC HEATERS 95 CITY TEL. NO 4 2 V
FI%TLIRCS S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC 40 -Y-V
�/ APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS [ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS V•+ AND STAT[ LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NU.9R HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEw MVD HP .YEw Inv EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
I A LEEB • 95 SIGNATURE
I OF/
�
9 BO PERM •�/ 04—
a S 1 00 INSPECTION RECORD
_ B is 1 Bo
is 60 250
SO 900 Soo
900 Soo Iona J
BOO1000 16 00 L Q
OVER 1000 90
M 0 BET FRED CHANGER-HP
WELDERS AD-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (7S or .wID)
MOVED MOTORS (75% Dr DRI.)
B
SIGNS
NO NO TRANS. APPROVALS
NO NO LAMPS
FOR EACH PERMIT DAT[ INBPEOTOR•S NAM[
WIRING $1 OO Q CONDUIT
FIXTURES •1 DO WIRING
UPPLE BY BO FIXTURES
POWER
TOTAL FEE • urlLln cD NOTIFIED Z
FINAL 3