HomeMy Public PortalAbout5841TEMPLE CITY BLVD_Electrical D DEPARTMENT OF RUILDI146 AND SAFETY:i
CATgONrF+OH�� PERM
OF IAS ANGELES
ELECTRIC
AOIC
WM. J. FOXCHIEF ENGINEER
DISTRICT O. GROUP ZONE PERMIT NO.
NAM ^� i�' / /"1� A'�`'Y/� n f ��
U [�ADDRESSh 1 `7'� LAS / o I�A S
E
CITY %��F�}P L.f5,' TEL.NO.Al I—I � ��"" �C�JV� READY FOR DATB ISSUED
!' FIRST INSPECTION
COUNTY
CERT.-NO, EXPIRES.
APPLICANT FILL IN HEAVY OUTLINED PORTION ONLY
JOB 'DESCRIPTION'OF PORK ADDRESS 1 �Q/WSJ�/�E`Y S 1 7" r'
NUMBER OF OUTLETS ON CIRCUITS LOCALITY l ( L- rte.
LOCATION BY ROOMS NEAREST L
LIGHT OUTLETS SW. PLUGS FIIIr CROSS Srn S �� r l
CIRCUIT A B C D E F G ii. m NAME Fl 5 Al Ai IV,`I- IK L
Z MAIL
ADDRESS
O ,
CITY TEL.NO.
1 AM -THE qq�L�Mp� C LEGAL POSSESSOR 71r �THE IO LOS
ANGr1..,.� COUNTY CERT OF QUALIFICATION..
• ELECTRICIAN.
1 AM THIO F EGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
- Q
Z_
L7
a
o'
TOTAL
NO. OF OUTLETS ffi APPROVALS
NO. OF FIXTURES.
! / ffi DATE INSPECTOR'S NAME
-NO. OF MOTORS'd! H.P. CONDUIT
NO.-OF SIGNS TRANS. ffi ti: WIRING
NO. OF RANGES OR HEATERS S FIXTURES
MISCELLANEOUS ffi POWER a'
PERMIT FEE S i_�� UTILITYCO.NOTIFIED