HomeMy Public PortalAbout5919 TEMPLE CITY BLVD_Electrical (2) 78ASSS CBs 8A a-48 ® APPLICATION FOR PERMIT
DEPARTNUiT OF BUa.DIIRiG AND SAFETY ELECTRIC 1
COUNTY.OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMICTIf — yNO.
ELECTRICIAN r'A G3 -L-&n d
RECEIVED BY READY FOR DATE ISSUED
ADDRESS Z ✓ _ FIRST INSPECTION
CITY TEL. NO
[�'® B
6 67
COUNTY LICENSE Nd. Vi' � EXPIRES UILDING
PERIVIIT FEES I FEE ADDRESS
NUMBER OUTLETS EACH LOCALITY
LIGHTS SC S O NEAREST d
CROSS ST.
RECEPTACLES S 7-0
FIXTURES 5 O OWNER
WALL SWITCHES S MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE ANGE
NEW MVO. HP OVER INC. EACH LES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
V.e LESS S .25
ol
SIGNATURE
+/x 2 .50 OF M1
2 5 1.00 PERMITTED
5 is 1.50 INSPECTION RECORD
is so 2.50
50 200 5.00
200 Boo 10.00
Soo 1000 15.00 4
a
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP 13
WELDERS: AC-KVA rc
0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS 75% OF oRIG.)
MISC.
SIGNS
TYPE: NO. TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 (J b CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY ,5O FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL r� d