HomeMy Public PortalAbout5813ALESSANDRO AVE_Electrical (3) DEPARTMENT OF BUILDING AND SAFETY` APPI.ICATdON FOR PERMIT
COUNTY OF LOS ANGELES Ei EEi����C
M J FOX CHIEF ENGINEER
Q NAME � DISTRICT NO GROUP (ZONE PERMIT,NO
U ADDRESS
K
U CITY TEL NO`�'1"�"� SII RECEIVED BY READY FOR DATE ISSUED
U COUNTY �/ FI TINS ECT ON
W CERT NO D P� EXPIRESA-3�-'/"& � �
APPLICANT FILL IN HEAVII,Y OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORD ADDRESS 3
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS ISW I PLUGS IFIXT CROSS ST
CIRCUIT A_113 C D E F G H NAME + .d+ �l
2 MAIL
3 ADDRESS
s ,(�y�aPf�< +f'�aL.+�
O �,g
r /,�c�/CITY (�si�& TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANG&LES COUNTY CERTlFLqkTE OF QUALIFICA ION
E�ecrR�c+�rl ,
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
1 ABOVE
�^ OWNER
CORRECTIONS
J
— Q
_Z
b 1'
Q
5
TOTAL
v
NO OF OUTLETS $ ell APPROVALS
NO OF FIXTURES $ DATE INSPECTOR S NAME
NO OF MOTORS ~ H P $ CONDUIT 44 /11( Mf
NO OF SIGNS TRANS $ WIRING
NO OF RANGES OR HEATERS $ FIXTURES
0
MISCELLANEOUS $ POWER
PERMIT FEE $ 60 UTILITYCO NOTIFIED
TOTAL FEE A A V 9-1 FINAL ~-A-r-
G'��d