HomeMy Public PortalAbout9045 ACASO DR_Electrical_1/21/1947_111804 DBS
APPLYCATION FOR PERIVH'�
EPARIMIENT OF -BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
` WM J FOX CHIEF ENGINEER
z ���► �, DISTRI T'NO. GROUP ZONE PERMIT N .
NAME q 1�� ,��//����QQ
ADDRESS .[ 7 �� (/�l��I{�ir A T
G /W1/� ��lr
69 EIVED BY READY FOR DATE ISSUED
CITY a TEL NO ..� V FIRST INSPECTION ,/ �j
W CERT NO EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS 7 0:9
NUMBER OF OUTLETS ON CIRCUITS LOCALITY Z64 .
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW PLUGS FIXT CROSS ST '
CIRCUIT. A B I C I D E F G 1H E NAME �•r //C�� X5 / 9
3 3
ADDRESS AA
�� Gv (� •a
O
CITY .,/.!4�1 TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI TIC OR QUALIFICATION.
(ELECTRICIAN.
1 AM 7715 LEGAL OWNER OF THS PROPERTY DESCRIBED
ABOVB
OWNER
CORRECTIONS _
J
— ' Q
Z
L7
R'
O
TOTALY
NO OF OUTLETS ffi S APPROVALS
1 NO OF FIXTURES ffi DATE INSPECTOR'S NAME
NO OF MOTORS H P. ffi CONDUIT
NO OF SIGNS TRANS ffi WIRING
NO OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi POWER
PERMIT FEE Is
UTILITYCO NOTIFIED ,
TOTAL FEE FINAL