HomeMy Public PortalAbout9042 ACASO DR_Electrical_9/10/1996_98819 DBS SQA 12x4; ' e */y�TION FOR 4fE11wA17T
I?EPARIMEMT OF BUILDING AND sAFETY jXCr�LiI,I.11�ll��'1'll�l�
`� COUNTY OF LOS ANGELES
WM J. FOX CHIEF ENGINEER
Z /� n DISTRICT NO. GROUP ZONE PERRMIIT}NO.
NAME ��J^rl♦ J /./.�. ,/ .Y I+' V V
U ADDRESS (7 S ) �id-tit/L(/!tJ
CITY //� ,/ .�l.Gt,TEL NO R IRST READY FOR INSPECTION ATE ISSUE
CCOUNTY RT NO + f�/tV & EXPIRES 6� ET/re�rp7da9 6T// /O
APPLICANT FILL IN gIEAVII.Y OUTLINED PORTION ONLY
DESCR"ON OF WORK ADDRESS p& gd.
NUMBER OF OUTLETS ON CIRCUITS LOCALITY _P
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW PLUGS FIXT CROSS ST /
CIRCUIT A B C D E F G H W NAME C' ! +✓VY�-.�J y«
<� /2 (. Z MAIL
3 ADDRESS v
� O
CITY, TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
ELECTRICIAN.
I AN THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
CORRECTIONS
J
Q
Z_
O
D
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A I A W A
a Or,
TOTAL 3 /2
NO OF OUTLETS $ APPROVALS
NO OF FIXTURES S DATE INSPECTOR'S NAME
NO OF MOTORS H P. 'CONDUIT
NO OF SIGNSTRANii E WIRING /� -.r ^".s
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS S POWER
PERMIT FEE ffi UTILITY CO NOTIFIED
TOTAL FEE FINAL