HomeMy Public PortalAbout5913TEMPLE CITY BLVD_Electrical (2) CS s-A 4-40 IGIe '' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
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COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT No. GROUPZONE PERMIT No..
WIRING FIXTURES SERVICE I
RECEIVED BY READY FOR DATE ISSUED
RANGE HEATER POWER FIRST INSPECTION
SIGNS MISCELLANEOUS k,�,G L s \1\
PPLICA T .. FILL. _ H • VILY OUTLINED PORTION ONLY
JOB i
C NAME ��} 'r G ADDRESS
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'�• ADDRESI3I 1 ,{(�,�yQ��G ly C y p�S�Fri�y�� LOCALITY �6
W CITY r Y7 (rte{ = TEL No. � 1U/ CRO88 ST. ��[ a�9 /7� �,
N CERT NO. ® /J' EXPIRES -�/ tY NAME , f+I
DESCRIPTION OF WORK ' z MAIL
NUMBER OF OUTLETS ON CIRCUITS O ADDRESS
LOCATION BY ROOMS CITY TEL No.
LIGHT OUTLETS I SW.I PLUGS IPIXT• 1 AM THE LEGAL POSS SSQ• OF T ABOVE OS
CIRCUIT ANGELES COUNTY CERTIFI T /OF la LIFICAT1.
A B C D E FIG H
LIVING ROOM -_TI fA•`� -,'�
6Lg RIOIAN.
1 AM THE LEGAL OWNER OF THE'I'ROPERTY DESCRIBED
DINING ROOM __ ABOVE.
BRFST. RM.
BATH -_ I CORRECTIONS
ENT. HALL -
HALL NO.
FRONT PORCH
OUTSIDE
KITCHEN
SERV. PCH.
BORN. No. Q
CLOSET
C
BORM. No. v, O
CLOSET
�PF Bp
TOTAL
NO. OF OUTLETS S APPROVALS
NO. OF FIXTURES ffi DATE INSPECTOR'S NAME
1NO. OF MOTORS H. P. S CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS S FIXTURES
__MISCELLANKOUS S POWER
PERMIT FEE E UTILITY CO.NOTIFIED
TOTAL FEE $ FINAL �r "