HomeMy Public PortalAbout5520TEMPLE CITY BLVD_Electrical If
>aAaalC- Castile 12;79 APPLICATION MR ELECT ICAL PERMIT
BUILDING AND SAFETY DIVISION
Pow APPLICANT To FILL IN JOB
New Residential Bldgs & Pools EACH NO FEE ADDRESS
1 &2 Finally Sq Ft $ — $ LOCALITY
Multi femily Sq Ft — NEAREST
Residential Swimming Pools CROSS ST OWNER OR
FIRM NAME
Outlets Light,Switch&Receptacle MAIL
First 20 ADDRESS
Additional CITY Tel No
PLAN CHECK 1
APPLICANT `J
Lighvrig Fixtures
First 20 ADDRESS
Additional
CITU Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT // 'I•g
Range_ Heater_ DW ADDRESS ip
Oven Dryer _ W M _
Top FAU WH CITY No S�
Hood Fan LICENSE OR d
Dnp A C REG NUMBER I �� Class p
f 1 HSRSEY
1 w"'M"NDOWLSDGS THAT AVS w DHIS APPLICATION
L TION
Power Apparatus& Large Appliances AND Ss THAT
H CORRECT AND AGRS6TOCOMPLY
Size&Type HIP, KW KVA,oKVAR WITH ALL COUNTY ORDINANCES AND STATS LAWS RAGULAT614D
IAJ Up r 1 Incl S o AS CERTIFY THAT AM GELIES ONNTY Asst S`T .Io.
Over 1 t010 Intl wS THAT I A LOS w«I GAL c No
curowNlw on r AM r«• L owHUYo• r«R waovR
Over 10 to 601nci SSCN1e Ro wSS1D H
Over 60 to 1001ncl PERMiTEE t
DVer 100 SIGN/1TURE
DI TRICT NOV OCE ED BY
Services n
0-200 Amp Under 600 V e ea L�
201 - 1000 Amp Under SOO V APPROVALS D E INSPECTOR'S
Over 1000 Amp or Over 600 V SIGNATURE
TEMP POWER POLE
Temp Power Pole& Appurtenances UNDERSLAS WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES /
aFINAL
R AUTHORIZED
PERMIT FEE (Sub Total) TYCO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Fee)PERMIT ISSUING FEE STOTALFEE �1R� (93 ERMI VAL CK M O CASH
090"w Atl 13 2 6.30ws
POLICY HOLDER:
POLICY NUMBER':