HomeMy Public PortalAbout5636TEMPLE CITY BLVD_Electrical DGR 5A 11.55 APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFETY
DopmhBml of County EBglassr FNREST
G
C=1301
omb O! Los jlp9g]yG C.rOI� �iE va L /7rL
JOHN A LA SIE.COUNTY ENa1NEme M
CASSATT D GRIFFIN Su'Y D1 BUILDING Y
RK
FOR APPLICANT TO FILL IN C'PERM FEF ir
NU B
LIGHT OUTLETS MAIL
RECEPTACLES Z AMORE"
WALLSWITCHES CT' TEL N
TOTAL OUTLETS Q e ELECTRICIAN
ELEC RANGES YS + .
ELEC HEATERS 25 ! ADDRESS ' �O o5 ✓ !S 62
XW EA CITY �L///YI7� TEL NOJ✓!;: J
91TATE
FIXTURES BLICENSE NO
MOTORS DISTRICT NO GROUP ZONE RUDT MR INSPECTION
NUMe611 HORN EPOWER PER
M[W MVD HP OVER INC EACH
9.YS jj&Lff&Q 6 25 R!TSPEMON RECORD
Y Eo >>'atlaCD go
2 O 100 p 4
O IB ISO
C
la 60 250
DO 200 1500 v L _
MIBC Cz11
I 3 SZ o TTL Tc0�
e9 No SIGNS NO TRANS
NO BIONS NO LAMPS
FOR EACH PERMIT
WIRING 100 -
FIXTURES 00
SUPPLEMENTARY APPROVALS
TOTAL FEE DATE. INSPECTOR'S SIGRATURE
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP OM
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY TRAT I AM PRO REGIIITLR AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS AN UMTY ATE OF ..
CALIFORNIA OR THAT I Ar TH HER 0 E ABOVE POWER 1
DESCRIBED RESIDENTIAL PRO
SIGNATURE ^ UTILIrYCO NOTIFIED I �.
OF PERMITTEE � FINAL
JOHN A.LAMBIE.COUNTY ENGINEER nOff, ARTHUR C.VEIT.CHtIW ZIJI&r.INBPFccroR
•
No, Ir.AnF , 2 26.45 B
n
8$7�
m