HomeMy Public PortalAbout4436 TEMPLE CITY BLVD_Electrical__ 7^ DDB" '-w APPLICATION FOR PERMIT
DEPARTMENT OFAND SAFETY ��������
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COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENOINEER
FOR ICANT TO FILL IN DISTRICT�ya GROUP ZONE PERMIT NO.
1 4 SM 16
ELECTRICIAN RECEIVED BY READY ran DAT[ ISSUED
ADDRESS cv r t!'L 7:7 FIRST IMBPE12TION
CITY TEL.NO 76, 1
COUNTY LICENSE Fig IOU EXPIRES BUILDING
ADDRESS
PERMIT FEES _
FEENUMBER EACH LOCALFTY L' Har
LIGHT OUTLETS 13 NEAREST
RECEPTACLES IT
CROBR ST. a /
WALL SWITCHES J OWNER r(-t- 4 1(l
TOTAL OUTLETS BD Y MAIL
ELEC RANGES E8 ADDRESS
[LCC HEATERS ES CITY TEL NO
fIKTUREe S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER CF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING.
MOTORS ' I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMMR HORS POWEqFI[ ANaEL[S COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
N[W 'Mw HP pVLR INp [ApH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVL
s t " S 251 SIGNATURE Or
VA G 501 PERMITTrr
a E 100 INSPECTION RECORD
B is 1 BC
is BC 280
BO RCC Sao
YOO BOO 1000 J
SOC /CCD ISO[) Z
OVER 1000 EO a0 9
M G mrT/rRcQ CHANGER-HP
WELDERS-AC-KVA O
S[NERATORB - KW
TRANSFORMERS - KVA
TEMP. MOTORS (76 or only
MOVEP MOTORS (76 or CRIM)
MIBC
SIGNS
'ND NO TRANS. APPROVALS
NO NO LAMPS
FOR EACH PERMIT: DAT[ I NSPECTOR'B NAM[
WIRING S7 CO p V CONDUIT
FIXTURES S7 OD O O
WIRING
SUPPLEMENTARYO FIXTURES
POW&W
TOTAL FEE _ 0 UTILIry DD NOTIFIED 1 .v
J FINAL