HomeMy Public PortalAbout9068 ACASO DR_Electrical_10/11/1948_58413 DBR ILA 25M 8VM 7-47 APPLICATION FOR PERWr
DEPARTMENT OF BUILDING AND SAFETY EIsE� IC
COUNTY OF LOS ANGELES
WM j FOE'
O CHIEF INE R
_ NAME DISTRICT NO. GROUP ZONE PERMIT NO.
U
ADDRESS
"'f • .� DIVED B READY FOR DATE��UE
CITY ;� _ Ysw EL NO. ,� FIRST INSPECTION
CEUNTY-
RT NO EXPIRES /O _
Aj?PUCANT FILL IN MW.AVII.Y OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK - ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY •`
FY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS low PLUGSlm CROSS
CIRCUIT A S C I D E I F IG I H E NAME !✓(/
Z MAIL -
ADDRESS
• O
CITY TEL NO
p 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANG¢i.ES COUNTY CERTIFICATE OF /Q�U/AALIFy ION.
ELECTRICIAN.
i AM THIi r v�OWNER OF Tiff PROPL;RTY DESCRIBED
ABOVE
OWNER.
Fd CORRECTIONS
•
� J S
- Q
_Z
5
D
TOTAL
NO OF OUTLETS s C APPROVALS
NO OF FIXTURES " �` DATE INSPECTOR'S NAME
NO OF MOTORS HIM $ CONDUIT
NO OF SIGNS TRANS $ WIRING /D - p -
NO OF RANGES OR HEATERS FIXTURES
MISCELLAN US $ POWER
PERMIT FEE E VOW- I UTILITYCO NOTIFIED
TOTAL FEE SSf FINAL