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HomeMy Public PortalAbout5919TEMPLE 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