HomeMy Public PortalAbout5807AGNES AVE_Electrical DEPARTMENT OF BUILDING APPLICATION FOR PERMIT
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COUNTY OF LOS ANGELES ELECTRIC
NATURE OF INgrALLATION DISTRICTO - PYFE
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WIRING FIXTURES1_1 SERVICE ,/ ✓
READY FOR RECEIVEDBY DATYISSUED
RANGE HEATER POWER_ FIRST INSPECTION
SIGNS MISCELLANEOUS �(/ ,//4,J ✓d'
APPLIC FILL IN/,HEAVILY OUTLINED PORTION ONLY
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NAMEi�- ADDRESS
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¢ ADDRESS LOCALITY
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NEAREST
W CITY TE No CROSS ST
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W LICENSE No REG No tY NAME
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DESCRIPTION OF WORK Z MAIL
3 ADDRESS
NUMBER OF OUTLETS ON CIRCUITS
CITY TEL NO
LOCATION BY ROOMS
LIGHT OUTLETS SW PLUGS PRT CORRECTIONS
CIRCUIT I AI BI CI D I EI I FI BIIH II
LIVING ROOM
DINING ROOM
BRKFST RM
BATH 1 1 1 1 1 1 11 l
ENT HALL
HALL No
FRONT PORCH
OUTSIDE
KITCHEN I I I I I I J
SERV PCH I I I I I I I Q
Z
BDRM NO
CLOSET I I I O
BDRIA No
CLOSET
TOTAL
NO OF OUTLETS APPROVALS
NO OF FIXTURES $ DATE INSPECTOR a NAME
NO OF MOTORS H P CONDUIT
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NO OF SIGNS TRANS $ WIRING
NO OF RANGES OR 13RArEas $ +J FIXTURES
MISCELLANEOU§ 8 POWER
PERMIT FEE 7S) UTILITY CO NOTIFIED 3 7 ae,
TOTAL FEE $ INAL /1-1'4- r
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