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HomeMy Public PortalAbout5919TEMPLE 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