HomeMy Public PortalAbout5846ALESSANDRO AVE_Electrical (2) DBS SA 25M BETS 2 47 "PLICATION PLICATION �jOR P RMU
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
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COUNTY OF LOS ANGELES
WM J F X CHIEF ENGINEER
a NAME D qO DISTRICT NO GROUP ZONE PERMIT NO
ADDRESS
ISSUED
CITY TEL NO d RED BY FIRST INSPECTIONDY FOR a COUNTY'
TE ,
CERT NO ®®6Y. EXPIRES r
T l�y��APPLICANT' FILL IN HEAVILY OUTLINED JP�ORTION ONLYJOB
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DESCRIPTION OF WORK ADDRESS (J a
NUMBER OF OUTLETS ON CIRCUITS LOCALITY 1
LOCATION BY ROOMS
CROSS ST
LIGHT OUTLETS SW PLUGS FlxT -
CIRCUIT A B C D E F G H K NAME t6. . eC
Z MAIL e
3 ADDRESS tl
O
CITY TEL N
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
' ANGELES COUNTY CERTIFICATE 6 rz;�O
� ELECTRICIAN
1 AM'rHS LEGAL OWNER OF THE PROPrRTY DESCRIBED
ABOVE
OWNER
COR.RECTlg1NS
a
z
c�
F y
1
r
r
TOTAL lyY
NO OF OUTLETS $ APPROVALS
NO OF FIXTURES $ DATE INSPECTOR S�NAME
NO OF MOTORS H P $ CONDUIT {
NO OF SIGNS TRANS $ WIRING
N8 OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ 4-% POWER
PERMIT FEE 124e $ Lf UTILITYCO NOTIFIED
TOTAL FEE B K `� FINAL