HomeMy Public PortalAbout9072 ACASO DR_Electrical_10/29/1948_outlets and fixtures 76ASS3 SA 25M SETS 7-48 • pPy/7 A/O WN FOR lfL�ff7fCNA
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—v— OF �M AM SAFEW
�9rsi�Lt.�ESa i�li� Sll r�i�l�i�
1_ r COUNTY OF LOS A1�TGEL�S -ELECTRIC
CHIEF ENGINEER
NAME DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS
- I �9a 79
CI - • • TEL NO F RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
COUNTY c Q
LICENSE NO EXPIRES
AP l`ANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB -
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS ` LOCALITY y
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW PLUGS FIXT RAS Err
CIRCUM' A B C D E F G H NAME !/ P
r ad
Z MAIL '
,= ADDRESS
� O
CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGRI.E6 COUNTY CERTIFI OP QUALIFICA
a
ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPF=Y DESCRIBED
ABOVE
OWNER.
CORRECTdONS
Z
O
- O
TOTAL—
NO
ALNO OF OUTLETS , $ APPROVALS
NO OF FIXTURES $ DATE INSPECTOR'S NAME
NO OF MOTORS H.P. ffi CONDUIT
NO OF SIGNS TRANS. $ WIRING /d�-7
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS ffi POWER
'PERMIT FEE UTILITY CO NOTIFIED�/ �ls� �,!(y'p
TOTAL FEE FINAL. ti'
Y