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HomeMy Public PortalAbout5849TEMPLE CITY BLVD_Electrical OB S-A 4-40 10M i - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��� � COUNTY OF LOS ANGELES ' iI WM J. FOX. CHIEF ENGINEER t� NATURE OF INSTALLATION DISTRICT NO. G/RQUP ZONE PERMIT No.. WIRING FIXTURESSERVICE (-I RECEIVED BY READY FOR `•,DATE ISSUED• RANGE HEATER POWER gfOOO ! FIRST INSPECTION C SIGNS MISCELLANEOUS J. r ' -- ,! /�, APPLIC//ANT FILL IN HIPAVI Y OUTLINED PORTION ONLY o R 4�A �e�f� f{f�'VGI.*I 69Ap t-, [���#_�I '��/�t Ff'r��.�r ADDRESS V ADDRESS-�S pal .0 LOCALITY . . � NEAREST CR 08 ST COUNTY d, CERT. NO. IXPIRES NAME —p DESCRIPTION OF WORK :1• z- MAILej NUMBER OF OUTLETS ON CIRCUITS 3 ADDRESS -,,+_7 .�Q LOCATION BY ROOMS O CITY TEL No.. LIGHT CUTLETS SW. PLUGS In= I AM THE LEGAL POSSESSOR OF THE ABOVE LOS CIRCUIT ANGELES COUNTY CERTIFICATE OF QUALIFICATION. f:A I B C D E F •I G- '-H-I LIVING ROOMELECTRICIAN 1 AM T LEGAL OWNER OF THE PROPERTY DESCRIBED DINING ROOM __ [ y ABOVE: BRFST. RM. i OWNER. BATH CORRECTIONS ENT. HALL r1-4 HALL Nov FRONT PORCH OUTSIDE KITCHEN —1 J SERV. PCH. BoRM. No. __ Z T O CLOSET TI O BORM. NO. �. CLOSET7 . r TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS / H.. P. $ J 0 CONDUIT NO. OF SIGNS TRANS. $ ( WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ 6 UTILITY CO.NOTIFIED TOTAL FEE $ J'�� FINAL � �� & / ' �•