HomeMy Public PortalAbout5214TEMPLE CITY BLVD_Electrical 76-'-- DBS E.. a50 APPLICATION FOR PERMT
DEPARTMENT OFdG AND SAFET7f ��������
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEr ENOINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE I PERMIT NO.
ELECTRICIAN Ci fW 6
/�. RECEIVED BY READY FOR DAT[ IMBUED
ADOR[SB O I / ►IRBi INSPECTION
CITY TEL NO
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COUNTY LICENSE NO EXPIRES ADDR
PERMIT FEES
NUMBER EACH r[E LOCALITY zzvs,1plf
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES � ✓.
OWNER �
TOTAL OUTLETS 6O MAIL
[LEO RANGES TS AODRLS6 4 A000 A CIL,
[LEO HEATERS TS CITY TEL No.
FIXTURES 6 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
ISO APPLICATION AND STATE THAT THE AED" 16 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS T CERTIFY THAT I POSSESS THE ASOW VALID LOS
NUMBER HORSEPCWEq r" ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
NEw MVD HP OVER MO EACH Or THE RESIDENTIAL PROPL/ITY D[SO IS[D AS
• LEE[ 023 SIGNATURE Or
VA 9 60 PERMITTEE
T B ICo INSPECTION RECORD
5 16 ISO i s
IS So SSG '
SO TDO SOC
TOO Goo 1000
600 C00 "Go =
OVER ICE TO CO 0
M O ilET/FRM CNANC[R-HP
WELD[RSI AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (76 Or URIC)
MOVED MOTORB (76 Or ORIR
mine,
SIGNS
ND NO TRANS APPROVALS
NO NO LAMPS
roll EACH PERMITI DAT[ INSPEOTORIG NAM[
WIRINO $1.00 LQlp CONDUIT
rIXTURES $100 O WIRING
UPPL[ NTA o FIXTURES
POWER
TOTAL FEE B !/l UTILITYCO NOTIFIED
FINAL