HomeMy Public PortalAbout4942 ROSEMEAD BLVD_Electrical__rT ,
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"A'°' Y
Oss.[w 3-" APPLICATION FOR ELECTRIC PERMIT 1'
DIVISION OF BUILDING AND SAFETY
of
WM.J. FOCOZZ COUNTY N61NS>gt ADDRESS .7
CAA*ATT D,GRIFFIN. sura or EIUILDme
LOCALITY
FOR PEBMT L TO FILL IN CROSSNFARNST
CR08ri if.
NUMBER EACH FEE
OWNE
LiGNT OUTIET6
MAIL
RI31-'T LES ADDRESS
WALL SWITCHES
TOTAL OuTLrrs
etL.EC.RANGEo 25 ELECTRICI 1
GLEC. HEATERS 25 ADD
KW EA NO
FLXTUR 1
NUMkB:R OF LIGHT CIRCUITo - DISTRICT O. aRQ�,P Z aiADY FOR IKIr[cilo[
NUMBER OF REC8PTACLS CIRCUIT➢ Z
MOTORS
NumaxR HORSEPOWER F" INSPEG'rION RMORD
FI[w MVD. HP ov Kr IMC- LACH
Lira .25
.50
2 D 1.00
5 15 1.50
115 60 2.50
50 200 '5.00 '
Misc-
NO.SIGNS -NO.TRANS. '
JBIGNIF NO S '
OR EA FI
WIRING 1.00
FIXTURHS qi.4OO d
GUIPPLAMR14TARY VO AMOVAIS
TOTAL FtZs DATE INSPECTORS SIGRATURE
I HEREBY ACKNOWLEDGE THAT1 HAVE READ TH S'AP TION CONDUIT
AND STATY THAT TH$ ABOVE IS CORRECT AND AGREE TO COYhLY
WITH ALL COUNTY ORDINAIiCES AMD STATS; LAWS "GULATING WikING
ELECTRICAL WIRHIG.
I HEREBY CERTIFY THAT 1 AY PROPERLY REGISTERED AXD/OR FIXTURES
LICENSED RIiQUIRED S ANGET COURTY AND STATE OF
CALIFORNIA R T ■ Q LFiGAL OWNER OF THE BOVE POWKR
DESCRIBED R TY.
SIGNATU UTILITY CO.NOTIFIED
90, FINAL
wiLIJ_A_M J. FOX.COUNTY IINGiLNmt AMN A.C.VETT.CHiQ gL.■cT. INsr[IIToR
LTZ 6 1 4 9N MAY 17 2 425
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