HomeMy Public PortalAbout5320 ALESSANDRO AVE_Electrical__ DB 3 A 12 43 a5M APPLICATION FOR. PERM
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC �
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER
z DISTRICT NO GROUP ZONE �" PERMIT NO
NAME /
jAD ESS
CITY TEL NO r,jECCIVE7D BY READY FOR DATE ISSUED
�r�6'L���^ �"'If/' FIRST INSPECTION
` .WI COUNTY �/ �i
W CERT NO EXPIRES/,-9--5/ /
APPLICANT FILL IN IIEAVILY OUTLINED PORTION ONLY �y,��J2 ;� t
JOB li
DESCRIPTION OF WORK A DRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY /7or �
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW PLUGS FIXT CR 05S ST ,f(�.ri�ty�1
CIRCUIT A B C D E F G H N NAME/G C7"
J / Z MAIL
/ / I 3 ADDRESS
O
CITY TEL NO
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANG9LES COUNTY CERTIFICATE OF QUALIFICATION
llldd✓✓lj''//ADD// L/�7C/1J�.Jf
ELECTRICIAN
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
All' t .e CORRECTIONS
J
Q
_Z
O
D
TOTAL
NO OF OUTLETS` $ Q� 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 $ POWER
PERMIT FEE $ / YS UTILITYCO NOTIFIED
TOTAL FEE III FINAL �LD S� ���iD"vPflJL