HomeMy Public PortalAbout5848ALESSANDRO AVE_Electrical DBS 5 A 12 44
DEPARTMENT OF DUII.DING AND SAFETY APPLICATION FOR PERS
COUNTY OF LOS ANGELES ELECTRIC
WM J FOX, r=HIEF ENGINEER
NAME DISTRICT NO GROUP ZONE PERMIT NO
��. ADDRESS-111/3 �_� ! 2— 5 O
W CITY e� /� TEL NO RECEIVED, r
� � BY FIRST INSPECTION READY FOR DATE ISSUED
COUNTY
CERT NO ,0 `1,7 EXPIRES 6 , UI 1 1
APPLICANT FILL IN HEAVILY OUTLINED
/PORTION ONLY
DESCRIPTION OF WORK ADDRESS D��/o A� C
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW PLUGS FIXT CR0S9 ST
CIRCUIT A B C D I E F G IH 0: NAME ,
Z MAIL
- 3 ADDRESS
O
CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
/ ANGELES COUNTY CERTIFICATE OF QUALIFICATION
��
1-3 It
I� ELECTRICIAN
AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
a OWNER
CORRECTIONS
S' s S
3 / 3
J
Q
Z_
O
R
O
TOTAL 13. 2 1 1 ✓ /3
NO OF OUTLETS n $ �y ,qO APPROVALS
1 NO OF FIXTURES b $ �6 DATE/ ? INSPECTOR S NAME
NO OF MOTORS Hp $ CONDUIT �. �S e#d
NO OF SIGNS TRANS $ WIRING
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ ` POWER
PERMIT FEE /1 � $ �/ UTILITYCO NOTIFIED J
TOTAL FEE FINAL, 7 P