HomeMy Public PortalAbout5336ALESSANDRO AVE_Electrical (2) DB 5 At4 41 25Y APPLICATION FOR PERMIT
I' DEPARTMENT OF BUILDING AND SAFETY ELECTRIC �
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP I ZONE PERMIT
�/.NO
WIRING FIXTURES SERVICE _ 7 ` 7b
REC IVED BY READY FOR DATE ISSUED
RANGE HEATER —I POWER FIRST INSPECTION SI
GNS MISCELLANEOUS / /4—Mr dz
APPLICANT FILL IN HEAVILY OUTLINED P'lORTION ONLY
zArk JOB
NAME � � ADDRESS
"
ADDRESS LOCALITY
� } �bNEAR
/p
IIII CITY Vj/� �^���p TELF ?3 CROSSE
S T w / z,� 017
)
yl COUNTY j It NAME
CERT NO ®� EXPIRES J 49�Z IY `
DESCRIPTION OF WORK 3 ADDRESS
S
NUMBER OF OUTLETS ON CIRCUITS O
LOCATION BY ROOMS CITY TEL NO
LIGHT OUTLETS SW PLUGS Plxr 1 AM THE LEGAL POSSESSOR'OF'f,THE ABOVE LOS
CIRCUIT A B C D E F G H ANGELES COUNTY CERTIFICATE OF QUALIFICATION
LIVING ROOM f ✓ ", LECTRICIAN
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRI6ED
DINING ROOM ABOVE (Jff
BRFST RM
-- OWNER
BATH CORRECTIONS
ENT HALL
HALL NO
FRONT PORCH
OUTSIDE
KITCHEN
SERV PCH -- -_-_ ..1
BDRM NO Q
CLOSET (�
BDRM NO
CLOSET
r
TOTAL
NO OF OUTLETS ',�, �y APPROVALS
NO OF FIXTURES $ :( DATE INSPECTOR S NAME
NO OF MOTORS H P $ �- CONDUIT 1�
A_ �v
NO OF SIGNS TRANS WIRING �^
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE �� $ UTILITY CO NOTIFIED d(
TOTAL FEE / $ �� /�/ FINAL v ��