HomeMy Public PortalAbout5915 TEMPLE CITY BLVD_Electrical__ oB E.A 4.41 25M APPLICATION FOR PERMIT
• � DEPARTMENT OF BUILDING AND SAFETY. - ELECTRIC
COUNTS OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
'
WIRING FIXTURES II SERVICE _�/ r�f�� `r
—II RECEIVED BY READY FOR DATE ISSUED
RANGE HEATER POWER FIRST INSPECTION
BIGNB MISCELLANEOUS -
APPLICANT FILL IN HEAVILY OUTLINED,,PORTION ONLY.,
z ros r
NAME /! ADDRESS..I I}},.! ,�P .'d I �tR s.?);�3-.It /'t•�/ t
-- _ •- per' s��
ADDRESS oGp A 7 0i, LOCALITY
NEAREST
CITY TEL.NO. iL CROSS ST. -,f�T``��`3
COUNTY
CERT.NO.. EXPIRES OW' NAME f .�
DESCRIPTION OF WORK z MAIL
3 ADDRESSO ..�JJ1 ✓!.� d'..�'��.�:, -k - -
NUMBER OF OUTLETS ON CIRCUITS b
LOCATION BY ROOMS CITY.I t I;f,9A +'C.P .-, TEL.NO.
LIGHT OUTLETS SW. PLUGS Rlxn I AM T E LEGAL POSSESSOR OF THE ABOVE LOS
CIRCUIT
A B C D E F G H ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
LIVING ROOM ELECTRICIAN.
---------- 1 AM THE LEGAL OWNERJOF THE F-RdOERTY DESCRIBED
DINING ROOM — ABOVE.
BRFST.RM. - -------- t• � �. 6'.f .�=�-t�' �1
--------- OWNER.
BATH ----------- CORRECTIONS
ENT.HALL
HALL NO. 1
FRONT PORCH „
OUTSIDE
KITCHEN n i
4
SERV.PCH. __ .9
SDRM.NO.
CLOSET -
--�—� �,,;moi• s.._#_':#.-?- a
CLOSET
TOTAL
NO. OF OUTLETS $ i APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ �e/; POWER
PERMIT FEE $ J c UTILITY CO.NOTIFIED
TOTAL FEE $ !9L,.A FINAL tb o 10 A