HomeMy Public PortalAbout5629-1/2-5631-5631 1/2TEMPLE CITY BLVD_Electrical )CAG" D8811A 11-50 APPLICATION FOR PERMIT
DEPARTMENT OFG AND SAFETY ��������
COUNTY OFF LOS LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN .G 5^J 4CoZ 7/
ADDRESS / REC D BY READY FOR DAT[ISSUED
FIRST INSPECTION
CITY le—e— TEL NO
-COUNTY LIC / ID(PIRKS BUM NO
PERMIT FEES ADOR®S
FEE
UMBER EACH LOCALITY G1 /7-Y
LIGHT OUTLETS NEAREST
RECEPTACLES CRODDBT G✓C 0.4.E 1
WALL SWITCHES OWNER .Q✓ .QS ✓Oil.✓ ZlAfOAZoT
TOTAL OUTLETS Dc MAIL
HLEC RANGES as ADDRESS
ELEC HEATERS IID O CITY TEL N
FIXTURES D
I HEREBY ACKNOWLEDGE THAT 1 HAV[ READ THIS
MISC APPLICATION AND STAT[ THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS i CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMSKA HORSEPOWER ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
RHE OF THE REBIDENTI PROPERTY DESCRIBED ABOVE
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1t 1 e Leu IID O O SIGNATURE OF wA //i
( Y p0 PERMITTEE /
E p 1 DO INSPECTION RECORD
D ID 1 Do
18 DO DO en �-• = Z o 000 v
DO EOO 3.00
204D Doo to 0o Yo�,Ayw,al SOtl.its Lo.o J
ao e
Soo I000 Ip oo
OVER IOGO 30 DO
L O o b L7
M 6 SKT/FREO CHANGER-HP Q
WELDERS AC-HVA c
GENERATORS-KW •7 L O
TRANSFORMERS•KVA
TEMP MOTORS 78%0TORIG
MOVED MOTORS 75 OF ORIG c
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SIGNS
NO NO TRANS APPROVALS
O NO LAMPS
FOR EACH PERMIT
DATE ImQPwcTOR 8 NAME
WIRING EI 00 O CONDUIT ��pp
RIXTUREB
WIRING ��l'i- 7i✓."S'��—SZ. _
100 C-1SUPPLEMENTARY O FIXTURES
POWER
TOTAL FEE •// 'J UTILITYCO NOTIFIED
r —FINAL
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