HomeMy Public PortalAbout6164 BURTON AVE_Electrical__ °B''°-A 2-" APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
M. J. FO CHIEF ENGINEER
z " �A'�S_ DISTRIC NO. GROUP ZONE PERmiT/NO.
NAME I., IY�%! ,G� / �� b V
U ADDRE �GG�� ✓ r
RECP'VED BY READY FOR DATE
V CITY tixf�f���.t�'.F�.TEL.NO. '� / FIRST INSPECTION
J COUNTY
w CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK JAODBDRESs ® �'s C fes^-�•�
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS . NEAREST
LIGHT OUTLETS JSW. PLUGS FIxT CROSS ST.
CIRCUIT A B C D E F G H K MAIL
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ADDRESS � •G/L�%�- -��
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CITY /LC,•� .G.6�-.<!<i TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THIS LEGAL OWNER(LF THE PROPERTY DESCRIBED -
ABOVE .Y• � , I
OWNER.
CORRECTIONS
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TOTAL
NO. OF OUTLETS $ ' n� APPROVALS
NO. OF FIXTURES / $ •�� DATE // INSPECTOR'.S NAME
11
NO. OF MOTORS H.P. $ CONDUIT F19 d,",
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE / / S UTILITY CO.NOTIFIED
TOTAL FEE aIT FINAL