HomeMy Public PortalAbout5919 TEMPLE CITY BLVD_Electrical DOS SAA-:e-4s'- APPLICATION FOR PER=
DEPARTMENT OF BUILDING AND-3AFM
-COUNTY OF LOS-ANGELES ELECTRIC:
WM. J. 'FOX CHIEF ENGINEER
a NAME - -DISTRICT NO. GROUP ZONE PERMIT NO.
• U ADDRESS �'•Y � - _ _
q RECEIV D READY FOR DATE ISSUED'
CITY TEL.NO. �—�%� * FIRST INSPECTION
J COUNTY �' / 4 '
W. CERT:NO. fa EXPIRES 1•
APPLICANT FILL IN HEAVILY OUTLINED.PORTION O . Y.
_ ' DESCRIPTION OF WORK = JOB ' /
ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS 8W.,. PLUGS FiXT CROSS ST. A
CIRCUIT A B G D E F - G H W -NAME.00
a - Zr MAIL
,= ADD KSS
CITY TEL.NO.
I -AM THE LEGAL POSSESSORt OF THE ABOVE. LOS
AMOK—Lee-COUNTY._9199"I I !r5 OF-QUALIFICATION..
• V •ELECTRICIAN.
A�B TII6 X11{.OWNER OF THIC PROPERTY DESCRIBED
•.00, OWNER. -
`' ' CORRECTIONS
Z.
.19
TOTAL '
NO. Or-OUTLETS "PROVALS
NO. OF FIXTURES. $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P.- $ CONDUIT-
NO. OF SIGNS TRANS. $ WIRING �i` p � ✓C "'
NO. OF RANGES-OR HEATERS $ FIXTURES
MI.BCELLANEOUS $ - .POWER
Ao
PERMIT FEE $ ®. UTILITY CO.NOTIFIED
TOTAL-FEE + FINAL _*n-ev"l