HomeMy Public PortalAbout5271 1/2-23-23 1/4-23 1/2-25-25 1/2TEMPLE CITY BLVD_Electrical (2) 4&4" DRS" 11 ,9 - APPLICATION FOR PERMIT
DEPARTMENT OFNG ANO SAFETY ELECTRIC 1
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN Dll"19T NO. ORO P I ;FE PERMIT NO.
ELECTRICIAN T3 / 2 0,3
FOR
ADDRESS / — /}3 RECEI [D BY FIRRTEADYINSPECTION DAT[ ISBU[D
CITY ,/ L TEL MO
COUNTY LICENSE NELI EKPIRES BUILDING
MI •. /dili C V�I/SC r_
PERT FEE ADDRESS
NUMBER OUTLETS EACH FEE LOCALITY �L/H LE Cir /7�—/�/
LIGHT so NKARE13T
CROSS BT.
RECEPTACLES B c
FIxTuREB • OWNER 9' dT/C�nlc
WALL BWITOHE• B MAIL lboy ��
EL C. RAND[B 76 AODR[BB /1
ELEC HCATE IIB tw CITY J=r.+rfGL� CT TEL NO
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLEDI
TOTAL APPLICATION AND STATE THAT THE ABOVE IB CGIRRE
LIGHTS RECOITACLEB AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STAT[ LAWS REGULATING ELECTRICAL WIRING
NUMBEII HORSEPOWER r[[ I CERTIFY THAT 1 POBB¢BB THE ABOVE VALID LOS
N[w Mw HP ov[B IND [ H ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
t "" 0 25 Or THE RESIDENTIAL PROPERTY DESCRIBED ABOVL
• SO SIGNATURE OF
7 S 1 DO P[RMITTL
B is i BD INSPECTION RECORD
is so 250
so 700 B OO
200 BOO to as
Bao lom is OO ,J
OVER 1000 20 00 Z
M G BRT/FR&Q CHANGER-HP O
WELDERB.AC-KVA
GENERATORS
TRANSFORMERS - KVA
TEMP. MOTORS (76 or DRIB)
MOVED MOTORS (76 or oRIR
IBC
BIONS
TYPE NO.TRANS
P _LAMPB APPROVALS
FOR EACH PERMIT DAT[ INSP[OTORIB NAM[
WIRING 01.00 Ano I CONDUIT
IIXTUR[B 01 Ca WIRING
SUPPLEMENTARYSO rIxTUREB
POWER
TOTAL FEE • / �Q UTILITYCO NOTIFIED A
FINAL