HomeMy Public PortalAbout9180 JAYLEE DR_Electrical_8/19/1947_outlets,fixtures DBS SA-11-46 APPLICATION FOR
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DEPARTMENT ®F BUILDING
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COQ '� OF LOS ANGELES
ELECT-RIC
'� WM. J. FOX CHIEF ENGINEER.
INAME DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS
RECEIVED BY READY FOR DATE ISSUED
CITY EL.NO. FIRST INSPECTION �� �CERT.NO. 02 G D �P EXPIRESAPPLICANT FILL IN HEAVILY UTLIINED PORTIION ONLY
]DESCRIPTION OF WORD ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST.
RCUIT A B C D E F G H K NAME
Z MAIL
ADDRESS
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CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
9 AM THE LEGA OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER. -
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PNF TS $ 0 APPROVALS
RES $ 3. DATE INSPECTOR'S NAMERS H.P. $ .CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ P UTILITY CO.NOTIFIED
I TOTAL FEE B 0 FINAL y