HomeMy Public PortalAbout5818-5818 1/2TEMPLE CITY BLVD_Electrical DEB HA 26M BETS 8-47BERW=9AND ARTlflD9'TT(r TION $AOR P
}' T OF IS�IN0 S 210,S1TiLRv.�ca7dY 17 air .
COUNW OF LOS ANGELES ELECTRIC
`"• M. J. FOX CHIEF ENGINEER
z DISTRICT NO. GROUP ZONE PERMIT NO.-
Q NAME � fad , d`) ^ / ,
ADDRESS s /f? fir' a �EyyI��y �
fd CITY . ' 7 e TEL.NO :� `M5. RECEIV®� FIRST INSPECTION DATE 18890
CEUNTY
RT.O. EXPIRES I• .�'/ iP ��,h, _ p,�
APPLICANT FILL IN HEAVILY ®PORTION ONLY
DESCRIPTION OF WORK ADDRE88 O .�'-� ��A/J'�Y—O
NUMBER OF OUTLETS ON CIRCUITSF LOCALITY P�" i 6F'.f
LOCATION BY ROOMS NEAREST r
LIGHT OUTLETS SW. PLUGS plxr CROSS ST
CIRCUIT A 13 CID E F G IH NAME e+�e IOaeJ C e _rX
MAIL /�l /
3 AADDRESSZ.. �.p vv/[� 1
z0 CITY.4 SIP d � TEL.NO.�
I AN THE LEGAL POSSESSOR OFA*THE ABOVE LOS
ANGELES COUNTY CERTIFICOF ATE
IF TION
ELECTRICIAN.
H AAA THE LM"OWNER OF THE PROPF,FITY DESCRIBED
ABOVE
` OWNER.
CORML"&'�[ONS
E EEO
j)v z
/h V
oil 13
0
TOTAL
NO. OF OUTLETS 8 J� APPA0VALS
NO. OF FIXTURES S DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS E FIXTURES
US S f
MISCE LANEOPOWER
PERMIT FEE E ` d UTILITY CO.NOTIFIED
TOTAL FEE _ S _ I FINAL