HomeMy Public PortalAbout5021 TEMPLE CITY BLVD_Electrical__ F- -
' r76ABBa Dat BA II-BD APPLICATION FOR PERM
DEPARTMENT OFG ASAFETY ELECTRIC 1
COLLNTY OFF LOS LOS ND ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIIIT.NO
ELECTRICIAN — fl J
/B � � � � RECEIVED BY READY FOR DATE ISSUED,
ADDRESS ofM/�/�� l FIRST INSPECTION
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CITY TEL NO •V S / ^�'
COU LICEN O BUILDING SA�/
PERMIT, FEES + ADDRESS VV
Pet
NUMBER EACHI LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST
RECEPTACLES
WALL SWITCHES OWNER 92
TOTAL OUTLETS BC 8 MAIL -
ELEC RANGES IIS S ADDRESS
ELEC HEATERS 23 CITY TEL NO
FIXTURES E D
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUMB" HORSEPOWERI ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
PER OF THE RESIDENTIAL ROPERTY DEE RIBtO ABOVE
N[w MYD H► ov" INC GCM
•LKSM S IIB SIGNATURE OF
I E ED PERMITTEE
II 5 1 Do INSPECTION RECORD
B 1B I Bo
1S Bo 2 Eo
Eo 200 E oo
IIOO Soo 10 00 J
500 1000 is 00
Z
OVER 1000 IID DO
M G BET FRED CHANGER-HP E:
WELDERS AC-XVA O
GENCRATORB-KW '
TRANSFORMERS-KVA
TEMP MOTORS 78 0FORIG
MOVED MOTORS 176 OF ORIG
B
SIGNS
NO NO TRANS APPROVALS
O NO LAMP11
FOR EACH PERMIT DATE INSPECTOR NAME
WIRING 41 00 CONDUIT
FIXTURES $f 00 opWIRING
SUPPLEMENT RY SO FIXTURES
POWER
TOTAL FEE i UTILITTCO NOTIFIED C
FINAL, ; O