HomeMy Public PortalAbout6313 AGNES AVE_Electrical__ fD BSSA\ 5MSSETTS 10 47 � APPLICATION
PPLICAION FOR
PERIM2
DEPARTMENTOF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
O 1 E R
Z DISTRICT NO GROUP ZONE PERMIT NO
Q NAME InI
U ADDRESS l w J
iY
1 RECEIV BY READY FOR DATE ISSUED
U CITY TEL NO FIRST INSPECTION ���yyy
j COUNTY I? /j
W CERT NO EXPI ES
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APPLICANT FILL IN IIEAYR.Y OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS # AFS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY S: I /
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS ISW PLUGS FIXT CROSS ST d
CIRCUIT A B C D I E F G H K NAME
Z MAIL
3
ADDRESS logt
d
O
CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGEI.F.S COUNTY CERTIFI F QUALI IC TI
ELLCTRICIAN
him& 1 AM THE ILEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
10 OWNER
CORRECTIONS
n L. t,
s a , 7z
u Oko
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C
TOTAL
NO OF OUTLETS / $ uz APPROVALS
NO OF FIXTURES E DATE INSPECTOR S NAME
NO OF MOTORS HP $ CONDUIT
NO OF SIGNS TRANS WIRING
NO OF RA GES OR HEITERS -f— $ FIXTURES
MISCELLANEOUS $ i POWER
PERMIT FEE ' $ L UTILITY CO NOTIFIED
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TOTAL E FINA I I /y �'
ERWr
DES
DEPARTMENT OF BUILDING AND SAJlJyg �g9..Ylw�LYY�9ir FOR g
COUNTY OF LOS ANGELES ELECTRIC
J Ef ENGINEER
a NAME DISTRICT NO GROUP ZONE PERMIT NO
AD SS i
CITY TEL NO �O�T RECEIVED BY READY FOR DATE ISSUM
FIRST INSPECTION
J COUNTY (l(1 .yJ /C�1• /w/^G•��/
of CERT NO Z mCPI S6
APPLICANT FILL IN EWAVILY OUrLIINED PORTION ONLY
DESCRIPTION OF ®PORING AD REBS
HUMSER OF OUTLETS ON CMtCU1T6 LOCALITY
LocAnoN BY ROOMS
NEAREST
LIGHT OUTLETS 8W PLUGS PvcT CROSS ST
CIRCUIT /4 18 C D E FIG H 2: NAME 6L /xl OW D
Z MAIL
ADDRESS
O
CITY TEL NO
1 AM THE LE;GAL S.SS R F THE ABOVE LOS
ANGELES COUM . MQUALIFlCATION
E--RICAN
I AN TM LaGAL OWNER OF THE PROPMTY DESCRIBED
E
AOVE
OWNER
' COI&MMO.e1S
Zf
J
Q
_Z
I7
It
O
TOTAL
NO OF OUTLETS $ APPRO"LS
N OF FIXTURES $ DATE INSPECTORS NAME
NO OF MOTORS H P $ CONDUIT
RIO OF SIGNS TRANS $ WIRING
LNO OF RANGES ORHEATERS $ FIXTURES
U $ POWER
RMIT FEE $ UTILITYCO NOTIFIEDA FINAL
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