HomeMy Public PortalAbout5343TEMPLE CITY BLVD_Electrical 7"A 089" 11-50 APPLICATION FOR PERM
DEPARTMENT OFNG ASAFETYELEC°I'RYC 1
COUNTY OFF LOSLOS ANGEND LES
WILLIAM J FOX CHIEF ENGINEER
FOR jkPPUCANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN V �/ 8'6 Z
RE ED BY READY FOR DATE ISSUED
ADDRESS FIRM INSPECTION SZ
CITY TEL N W
COUNTY LICKNOO EXPIRES BUILDING
PERIIIIIT FE - ADDRESS I
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS - NEAREST
RECEPTACLES CROSS BY
WALL SWITCHES OWNER
TOTAL OUTLETS Dc S MAIL
ELEC RANGES pD ADORme
ELIC HEATERS 26 CITY TEL NO
FIXTURES D
1 MHREdY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND MATH THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND MATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUYHR HORSEPOWER ANGELES COUNTY LICENSE OR 1 AM THE LHOAL OWNER
FEE OF THE RESIDENTI PROPERTY DESC ABOVE
NEW MVO HP OVER IMC 4c11
I A L[89 8 25 SIGNATURE O
1 2 DO PER MITT6P
2 D 1 00 INSPECTION RECORD
D BD 1 Do
ID DO 2 Do
DO 200 5100 GA= LI'.
200 Doo 1000
SOO 1000 ID DO
OVER 1000 2000 (y
M G GMT/rREQ CHANGER-HP
WELDERS AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP MOTORS 75OF ORIG
MOVED MOTORS 76 OF ORIO
ISC
SIGNS
NO NO TRANS APPROVALS
NO NO LAMPS
DATE INSPECTOR-8 NAM
FOR EACH PERMIT
UIT
WIRING 111 00 COND
FIXTURES 111 00 WIRING
SUPPLEMENTARY so FIXTURES
POWER
TOTAL FEE f / �� UTILITYCO NOTIFIED
`_
FINAL