HomeMy Public PortalAbout6026 TEMPLE CITY BLVD_Electrical__ 76AGG DBB SA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND.SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENG.INEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLIC�VT TO FILL IN .
ELECTR�ICIA -.���8- _ A° RECEIVED Y '" READY FOR DAT �-:TJ
ADDREScS_�I,'�d,. �* p -�t:T-!- 9 /,rte FIRST INSPECTION //�y CITY i�i*,�^ i Ks� TEL.NO. s � /���// . / �
COUNTY LICENSE AVO. EXPIRES TG
BUILDIN
ADDRESS
PERMIT.FEES
NUM6ER EACH FEE _LOCALITY -ILL
LIGHT OUTLETS NEAREST
RECEPTACLESMEE
CROSS ST. 19
WALL SWITCHES OWNER
TOTAL OUTLETS - Sc $ MAIL r
ELEC. RANGES S9 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES SIF I- HEREBY ACKNOWLEDGE THAT I 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL .OWNER
FEE OF THE RESIDENTIAL PROPERTY SCRIBED OVE.
. NEW MYD- HP OVER INC. EACH _
srI '84b6 LEHB $ .25 SIGNATURE Oe-
. .
%s 01 ,
2 .50 PERMITTEE
a 5 1.00 INSPECTION RECORD
5
is 1.50
.15 50 2.511
50 200 5.00 y
_ 200 Boo - 10.00 J
_ soo_1000 1s.00 Z
OVER 1000 20:00 0
[;M.IG3. SET/FREQ. CHANGER-HP
DERS•AC-KVAERATORS - KW
NSFORMERS - KVA
TEMP. MOTORS (75% OF DRIG-)
MOVED MOTORS (75% DF CRIB.) _
MISC.
SIGNS
NO. NO. S.TRAN
' APPROVALS • - -
NO. NO.LAMPS
DATE INHPECTOR'8 NAME
FOR EACH PERMIT: CONDUIT f 6
WIRING $1:00 ®�r / e
FIXTURES $1.00 IFV WIRING //`I-'
SUPPLEMENTARY .50 FIXTURES
POWER r
TOTAL FEE f u ° UTILITY CO.NOTIFIED
FINAL