HomeMy Public PortalAbout5813ALESSANDRO AVE_Electrical (4) DEPARTMENT ® BUILDING AND SAFIM APPLICATION FOR PER1VIlT
COUNTY OF LOS ANGELES ELECTRIC Of
WM J FOX CHIEF ENGINEER
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NAME �y � e e ,�j��/ DISTRICT NO GROUP ZONE PERMIT NO
U ADDRESS MDQ m+d /
tC
I' RECEIVED BY READY FOR DATE ISSUED
CITY TEL NO ®` FIRST INSPECTION
COUNTY
CERT NO �r EXPIRES ,
APPLICANT FILL IN HEAVILY OUTLINED PORTION ON/LY
(DESCRIPTION OF WORD. ADDRESS /��S`S
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS_
NEAREST / O 5 �q��,3`
LIGHT OUTLETS SW PLUGS FIXT CROSS ST ��/ Iia
CIRCUIT A B C D E F G H X NAME L�Gd iGM
3 ADDRESS
O
CITY TE No
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OEgU ALIFICATIO�/
E 9-CCT•fRII`CIAN
1 AME THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOV
AW-11 4
OWNER
CORRECTIONS
vie
W
F
Q
J
a
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A
TOTAL
NO OF OUTLETS $ APPROVALS
NO OF FIXTURES $ DATE INSPECTOR S NAME
NO OF MOTORS HP $ CONDUIT
NO OF SIGNS TRANS $ WIRING
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ 00 UTILITYCO NOTIFIED
TOT
FEE 0 QB FINAL