HomeMy Public PortalAbout5835TEMPLE CITY BLVD_Electrical COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC
DMSION OF BUWIIgG & SAFETY
WILLIAM 1. FOX COUNTY ENGINM
FOR APPLICANT TO FILL-,N DISTRICT NO. GROUP - ZONE PERMIT NO.
ELECTRICIAN �K�I� O6� ��� �Z?P
e
/� �+ RECEIVED BY READY FOR DATE ISSUE
ADDRESS IJ r /- I L FIRST INSPECTION ,y� 9
CITY S,4 TEL. NO.y// y'� .,re�e V .2+® n
COUNTY LICENSE NO. EXPIRES 1�`�� BUILDING aj j�L�iy/j e
PEELNIIT FEES ADDRESS r✓ / �7 /
NUMBER EACH FEE LOCALITY / L �/
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER A il� VA RE
TOTAL OUTLETS Se Al � ,G' �o
ELEC. RANGES 25 ADDRESS_ -5 r vrl/
ELEC. HEATERS 25
FIXTURES S CITY jl� C TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE 16 CORRECT
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
NUMBER HORSEPOWER FEE ANGELES COUNTY LIC E, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER I INC. EACH OF THE RESIDEN P OPERTY D IBED ABOVE.
I/2 a LESS $ .25 SIGNATURE
1/2 2 .00. PERMITT
2 s 1.00 INSPECTION ORD
5P----
Soo
1.so
1S 2.50 �7G�loT.E Grrtsli° �f •`"'�
SO 5.00
200 10.00
15.00
OVER 1000 20.00 tea`' - ' - "� " Z
/!! J V
M.G. SET/FREQ. CHANGER-HP -t,/ • E
WELDERS. AC-KVA /'' r � :'>r ar,/ �'',r1°' 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (713% OF ORta.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 7 CONDUIT I / /.
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
00 POWER
TOTAL FEE $2 UTILITY CO. NOTIFIED
FINAL
76A 669 D66# SA. 4-01