HomeMy Public PortalAbout9023 JAYLEE DR_Electrical_12/1/1947_22316 outlets light fixtures DDEPARTMENT OF BUILDING AND SAMr PLICATION FOR PERIIIIT
COUNTY OF LOS ANGELES ELECTRIC
VWM. FOX CHIEF ENGINEER Q
a NAME x DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDR 22-31412
REE�EIVED' Y READY FOR DATE ISSUED
U CITY _ TEL. , .�a FIRST INSPECTION
J COUNT r �
W CERT.NO. �ar'i" EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB 1
(DESCRIPTION OF WORK ADDRESS /
NUMBER OF OUTLETS ON CIRCUITS LOCALITY -
LOCATION BY ROOMS +gam
NEAREST � y� � "� F .
LIGHT OUTLETS SW. PLUGS FACT CROSS ST. a
CIRCUIT A E C D -E t F. I.G H _ :W NAME
Alf,
3 MAIL ...
ADDR,
O a
CITY TEL.NO.
1 AM THE LE�aAL POSSESS0�2 OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
• E�TRICIAN.
I AM THE LE OWIIER THE PRGPFJ4�D�� RISM
ABOVE j!z.m�w .
OWNER.A71
CORRECTIONS
. JK
Q
_Z
t7
p
TOTAL
NO. OF OUTLETS $ r �", ! APPROVALS r�aa
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING lime,.
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER r/J
PERMIT FEE + $ . -UTILITY CO.NOTIFIED'/ 10 tic/ 11/1,/1 n
TOT.AL•EEE FINAL