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HomeMy Public PortalAbout5907TEMPLE CITY BLVD_Electrical (2) 7GA663 Dee BA 7-51 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY �������� COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR Ik PLICANT TO ALL I DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN ��/rf ✓�!'� r RECEIVED BY READY FOR DATE ISSU D ADDRESS c•� n �/ � FIRST INSPECTION CI 1 TEL.NO. I COUNTY LICENSE NO. BUILD EIN O [ PERMIT FEES FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROB9 S WALL SWITCHES OWNER TOTAL OUTLETS 5D $ G MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTU S i. 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MI APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS _ AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBERHP OVER INC. EACH HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPE TY D USED ABOVE. NEW MVD. V-4 %2 6 LEBB $ .25 SIGNATURE 0 Y2 2 .50 PERMITTEE ''_ 2 5 1.00INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 Boo 10.00 J Soo 1000 15.00 - OVER 5.00 •OVER 1000 20.00 M.G. BET/FREQ. CHANGER-HP Ix WELDERS,AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or DRIe.) MOVED.MOTORS (75% or DRIOJ MISC. SIGNS NO. No.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.001 ago CONDUIT FIXTURES $1.00 WIRING Qom' (B �r SUPPLEMENTARY .50 FIXTURES POWER /A > TOTAL FEE $ ` 30 UTILITY CO.NOTIFIED FINAL