HomeMy Public PortalAbout5622TEMPLE CITY BLVD_Electrical (2) 76AS33 13035A 11-CO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC NO GROUP ZINE PERMIT NO
ELECTRICIAN I O .S e-`-' LE--l- F 3 C (/ ,
RE QIV[D BY READY FOR DATE ISSUED
IAODRE6 CCT I�` FIRST INSPECTION
CITY P T L NO L•S y ,
COUNTY LICENSE NO 16 ,70 mriggs BUILDING
PERMIT FEES woDRQBe
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST �-
CROSS ST K/
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS 5c S MAIL
ELEC RANGES 25 ADDR®B
ELEC HEATERS 25 CITY TEL
NO
FIXTURES e 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS
M IBC APPLICATION AND STATE THAT THE ABOVE 15 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRcui 7 AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VAUD LOB
NUMBER HORSEPOWER ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
PCE OF THE RESIDENTIAL PROPERTY�D SCRIBED ABOVE
N¢w Mv13 HP -HOR IRC ucR
1 V, '� W20:051�
O SIGNATURE OF
PERMITT¢[
a INSPECTION RECORD
e rL
1B S r
513 r200 drArA/ a
500 1000 Is Do Z
OVER 1000 1 20 00 Q
M G BET FRED CHANGER-HP K
WELDERS AC-"A O
GENERATORS-KW
TRANSFORMERS-KVA
TEMP MOTORS (75%or oRIG )
MOVED MOTORS 7e or oR10
8C
SIGNS
NO NO TRANS APPROVALS
O NO LAMM
DATA INSP19CTOR 4 NAME
FOR EACH PERMIT
WIRING 61 00
CONDUIT
FIXTURES N 00 00 WIRING 1
SUPPLEMENTARY 50 FIXTURES
l POWER
TOTAL FEE S/0 Ov UTIUTYCO NOTIFIED
®
FINAL.