HomeMy Public PortalAbout5822TEMPLE CITY BLVD_Electrical (2) APPLICATION-.'FOR.PLrRA'i r
DEPARTMENT OF-•BUILDING AND �+-�
COUNTY OF LOS ANGELES. CLEC 1 I�IC
WM. J. FOX.-.CHIEF-ENGINEER �^�� O
NAME DISTRICT NO. GROUP ZONE PERMIT NO:
ADDRESS 7i-L-
F CITY v TEL. -r l? . RECEIVED 13Y READY FOR DATE ISS-190 -
a COUNTY' ) FIRST INSPECTION
CERT O. 4 0''L a EXPI RES i7• �v/_3 Q''
APPLICANT FILL IN.HEAVILY OUTLINED PORTION ONLY A
DESCRIPTION OF WORK -ADDRESS '/'2-9 ® .
TIG
NUMBER OF OUTLETS ON CIRCUITS LOCALITY r
LOCATION BY ROOMS '
_ NEAREST
LIGHT OUTLETS ISW. PLUGS IFIlif CROSS ST. ,g-
CIRCUIT A •B C D E F IG I H• • m NAME .4 L
Z MAIL
ADDRESS
CITY 'TEL.NO.
1,AM THE LEGAL, POSSESSOR OF THE ABOVE LOS
ANGEKI COUNTY G��U TION.. _
ELECTRICIAN.
� I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
t.p ABOVE
In
. / ..G w7..wi 1 C. OWNER.
� .�.�.�.,Ea:..._i.�..
/r CORRECTIONS
z
TOTAL
NO. OF OUTLETS' ffi APPROVALS
NO. OF XTURES, ffi DATE INSPECTOR'S NAME
NC?O!F';bI`ORlT H,P. ffi CONDUIT
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS 'ffi - / . POWER 1�
PERMIT FEE ffi G U04 UTILITY•CO:NOTIFIED
TOTAL FEE L FINAL