HomeMy Public PortalAbout5343TEMPLE CITY BLVD_Electrical (2) • 7�Aeee D eA It-W'
" APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR'r NO GROUP ZONE PKRMtTNO
ELECTRICIAN -T /G��
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ADDRESS � 61V6 Y FIRST INSPECTION
FOR/
TION DATE ISSUED
CITY 1-
/LCL TEL NO G ��� �
COUNTY LICENSE NO d1l'? KKPIRFS BUILDING -/
PEANIIT FEES ADDRESe J3 44 i�-? 1L-loee 0i Ty fcrl
NUMBER EACH PEE LOCALITY T E /T
LIGHT OUTLETS /O NEAREST /�i i✓C S�
RECEPTACLES CROSS ST Cid/
WALL SWITCHES OWNER ZZ1
TOTAL OUTLETS ac MAIL _
ELEC RANGES 25 ADDRESS
ELEC HEATERS I 25 CITY TEL NO
FIXTURES p p
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC APPLICATION AND STATE THAT THE ABOVE la CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NumHORSEPOWERANGEIe66—COUNTY LICENSE OR 1 AN THE LEGAL OWNER
FEE OF THE RESIDIENTIJkL PROPERTY DESCRIBED ABOVE
N[w MVD HP OVER I INC EACH
•�[[e 25 SIGNATURE OPMN f' M^�
1 II
50 PERMITTEE e�
2 5 1 0o INSPECTION RECORD
a ID 1 p0
IS So 2 Do
so 200 5,00
200 SOO 1000 J
Soo 1000 1D 00
Z
OVER 1220 IID DO
M G BET FRED CHANGER-HP D'
WELDERS AC-KVA O
GENKRATORS-KW
TRANSFORMERS-"A
TEMP MOTORS 75of ORIG
MOVED MOTORS 75of ORIG
SIGNS
NO NO TRANS APPROVALS
LAMPSNO NO
POR EACH PERMIT DATE INSPECTOR S NAME
WIRING CONDUIT
I f 00
FIXTUR® 100 OD WIRING Z— L
SUPPLEMENTARY a0 FIXTURES
POWER
TOTAL FEE t O UTILITYCO NOTIFIED
FINAL
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