HomeMy Public PortalAbout5717 PRIMROSE AVE_Electrical_4/7/1949_75828 HEATER D.B.H.SA 23M SETH 10-47 AP*CATI0N FOR PP
DEPARTIO�IENT OF BY�ING AM � i9-a a������ ii/`w/y-
COUNTY OF LOS ANGELES
CHIEF ENGINEER
Z „�. D15rTRICT GROUP ZONE PER N0.
Q NAME "^�
O ADDRESS
I
CITY TELNO ® �� RECEIVED BY READY FOR DATE ISSUED
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/ �/ FIRST INSPECTION e�f_ 2 , r
COUNTY
CEREXPIRES
T.NO.
APPLICANT FILL IN HEAVMY OUTLINED PORTION ONLYJOM
IDESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION Eff ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS 11213tr CROSS ST-,-
CIRCUIT A 113 CID E R G H W NAME 43 A,41�
Zr MAIL
3 ADDRESS
O
CITY TEL.NO.
1 AL b
AM THE LEGAL B
OF THE ABOVE LOS
ANGELES COUN !' F QUALIFICATION..
!' @ ELECTRICIAN.
AI AM
BOVE THE LEGAL OWNER OF THE PROPERTY DESCRIBED
OWNER.
' CORRECTIONS
a�
z
0
TOTAL
NO. OF OUTLETS ffi APPROVALS
NO. OF FIXTURE13 ffi DATE INSPECTOR'S NAME
rNO.
MOTORS H.P. ffi CONDUIT
SIGNS TRANS. ffi WIRING
F RANGES OR HEATERS ffi FIXTURES
N ffi POWER
PERMIT FEE ffi ® UTILITY CO.NOTIFIED
9%-MAT CCR In FINAL �/ s