HomeMy Public PortalAbout5813ALESSANDRO AVE_Electrical (2) DBS SA 11-46 APMCATION FOR PERU
DEPARTMENT OF BUILDING AND SAFE'L'Y ELECTRIC COUNTY OF LOS ANGELES �i
WM J FOX CHIEF ENGINEER
= NAME DISTRI NO GROUP ZONE PERMIT NO
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ADDRESS D �F
CITY TEL NO �-L� l f RECEIV BY READY FOR 7-
APPLICANT
IIISJSUED f
M COUNTY / Mr EXPIRES 67-3)-4411, FIRST INSPECTION
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CERT NO � (�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLET Isw I UGS I FIXT CROSS ST
CIRCUIT . A 13 C D E F G IH W NAME
Z MAIL
3 ADDRESS g4- r
O
CITY / STEL NO
/ 1 AM THE LEG4E POS3ESSOif OF THE ABOVE LOS
ANGELES COUNTY cERTIFICAM OF QUALIFICATION
1 ELECTRICIAN
I AN THE LEGAL OWNER OF THE PROPERTY DESCRIBED
I ABOVIi
I 1 L k ' OWNER
CORRECTIONS
91
r-
` alp u
— � Q
z
0
TOTAL
NO OF OUTLETS APPROVALS
NO OF FIXTURES �V DATE INSPECTOR S NAME
NO OF MOTORS HIM $ CONDUIT 0(
NO OF SIGNS TRANS $ WIRING " L�"�� ✓q s
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE C UTILITYCO NOTIFIED
TOTAL FEE JL 40 1 FINAL