HomeMy Public PortalAbout4949AGNES AVE_Electrical (6) 71AG63 54 25M SETS 7 48 i I "PLICATION FOR PERTY11$
DEPARTMENT OF BUILDING AND SAFI•~'I'Y
4-
'ELECTRIC
COUNTY OF LOS ANGELUS
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WM J FOX CHIEF ENGINEER
Q NAMEd'v DISTRICT GROUP ZONE PZ:RMI
ADDRESS —
U CITY„ TO NO - -
RECEIVED BY FIRST INSPECTION READY FOR DATE I;5NO
J COUNTY �` \ I
W ICEN.riE N EXPIRES r ccc..JJJ
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS �
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW PLUGS FIXT CROSS
CIRCUIT A B C D E F G H W NAMEILI
1
Z MAIL ,
3 ADDRESS , 6�
CITY TEL NO
{ AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
ELECTRICIAN
I AM WW LEGAL O TY ESCRISED
ABOYB
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TOTAL
NO OF OUTLETS E (V APPROVALS
NO OF FIXTURES ffi DATE INSPECTOR S NAME
NO OF MOTORS H P $ CONDUIT
NO OF SIGNS TRANS B WIRING
NO OF RANGES OR HEATERS FIXTURES r
MISCELLANEOUS ffi POWER
PERMIT FEE UTILITYCO NOTIFIED
TOTAL FEE FINA