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HomeMy Public PortalAbout5920TEMPLE CITY BLVD_Electrical (2) DB[J,SA 2- E.ETE 8-47 A7f11g CAnON ,OR PERM DEPARTMENT OF BUILDING AN® SAF�`�'Y j!«�A�wna��a���� COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER Z ` DISTRICT NO. GROUP ZONE PERMIT NO. _Z NAME tw �+5-- / ,.• t U ADDRESS `; C;' �! � '" •r+— .'� j CITY C 11 `{ `• ` TEL.NO.`�! , ��,, '� RECEIVED BY FIRST INY FOOTION DATE ISSUED COUNTY �} �7 CERT.NO..- � , / EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORM` ADDRESS ! G�• ;`x r J NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS SW. PLUGS Fl7iT CRO—sr- ! ` CIRCUIT A B C D E F G H B NAME 1 / 1 +t 9 �• �' 'I t , t-f AD RESS ' e O CITY TEL NO. fez, p �� .y 1 I AM THE LEGAL POSSESSOR OF THE ABOVE LOS AN6 COUNTY CERTIFI_C TE OF QUALIFI /J i � �a ELECTRICIAN. {•S� i AM THE LAGAL OWNER OF THE PROPERTY DESCRIBED ABOVS OWNER. CoRmcnoNs J Q Z I7 R O r . TOTAL NO. OF OUTLETS �� S APPROVALS 1 NO. OF FIXTURES B DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. £. WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLAN U $ POWER s PERMIT FEE -�.i' $ � UTILITY CO.NOTIFIED 1 / n T Ar vvr �� ��_ .f! �ry FINIAL ! ✓IZN