HomeMy Public PortalAbout5738-5738 1/2-5740TEMPLE CITY BLVD_Electrical (2) D.B.S.SA 2SM BETS 10.47 APPLICATION FOR
DEPARTMENT OF BUILDBIITG AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX HIES-ENGINEER
NAME DISTRICT NO. GROUP JZONE PERMIT NO.
10- ADDRESS
U CITY J�7i,�i Y�^�-• TEL.NO. u S A��V� FIRST INSPECTION
BY READY FORDATE ISSU(E�DA
M COUNTY ,rs
CERT.NO.f a7 S EXPIRES
��� APPLI�iT FILL IN HEAVILY OUTLINED PORTION ONLY,
JOB
DE.S�,811 ,taON OF WOKE` ADDRESS Caw
NUMBER OF OUTLETS ON CIRCUITS LOCALITY a&
WCATION BY ROOMS NEAREST °
LIGHT OUTLETS SW. PLUGS M CROSS gT w
CIRCUIT A B C D E F G H m NAME „
Z MAIL
3 ADDRESS
O
CITY { TEL.NO.
1 AM THt( LEGAL POSSESSOR OF THE ABOVE LOS
ANGE_L68 COUNTY CERTIFd F QU FICATION..
EI.ECrIUCIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVS
OWNER.
r C I)BREM0148
I�-
J
N a
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1
TOTAL
NO. OF OUTLETS $ / 0 APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
ISC A US $ POWER �/
PERMIT FEE $ / v � Y T®6) UTILITY CO.NOTIFIED -
TerAL REB P S / 0 FINAL