HomeMy Public PortalAbout5475TEMPLE CITY BLVD_Electrical (2) Ir"ac+'bms" FA• m APPLICATION FOR PEU=
DEPARTBIUM OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO.
ELECTRICIAN SM ! .e aRECEI�Y READY FOR DAT[ IS UED
ADDREAB IG—O �. S t 'J CI FIRST IMPACTION
CIN TEL NO �
COUNTY LICENSE O PIR G �/ BUILDING IT r /
PERMIT n= FEE
U GGG
NUMBER OUTLETS EACH FEE LOCALITY 'J'
• LIGHTS BC Q MARMOT
I RECEPTACLES E CROSS ST
FIXTURES E OWNER 4 d fr
WALL SWITCHES B MAIL
CLEC RANGES 23 ADDRESS fpo f
KI-Er HEATERS IIS CITY 4- i �/ TEL NO
MIBC
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS REC[PT CLEB AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING
Nu e�R HORSEPOWER I CERTIFY THAT I POSGESB THE ABOVE VALID LOS
FEB ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
N[w Va HP ov[R INC uCM
OF THE RESIDENTIAL PROPERTY DAB AD, ABOVL
e i.Eu 2E ���
� E 60 SIGNATURE OF
2 100
P[RMITTE�
S
B ,B 1 BD INSPECTION RECORD
10 SO 2 SO
50 200 E 00
200 "GO 10 00
Soo 1000 IB DO
OVER 1000 2000
M G BET FRED CHANGER-HP
WELDERS AC KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS 70% or ORIa
MOVED MOT RS 75% Or GRIa
M SC
SIGNS
TYPE NO TRANS
TYPE NO LAMPS APPROVALS
FQFt EACH PERMIT DATE INSPECTOR B NAME
WIRINGBi 00 CONDUIT -
FIXTURES 100 WIRING -
GUFFLEMENTARY FIXTURES
Y POWER
TOTAL FEE * 3 TILITY CO NOT FI[D /1
FINAL