HomeMy Public PortalAbout5649 CAMBURY AVE_Electrical__ °R.sA II-46 1 1APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ` I
COUNTY OF LOS ANGELES ELECTRIC
CTRIC [f
M. J. FOX CHIEF ENGINEER
NAME DISTRI� O. GROUPZONE PERMIT NOT
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CITY O. RE 1 BY READYFIRST INSPECTION . DATE ISSUED
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W CERT.NO. 'EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONNLLYJOB
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DESCRIPTION OF WORK ADDRESS % �Z /� �+�/W�� z✓A
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS Fl1(T CROS6 BT.
CIRCUIT Al B C D E F G H rc NAME - ,.r..s �i-/Y1,r ' h
z MIL
L Z 3 AD DRESS
CITY .. /i/Li [�/i>(�.1. 121h TEL.NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE 0o. QUALIFICATION..
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I AM THE LEGAL.OWNER OF;rHE PROPERTY DESCRIBE!?,
ABOVE
OWNER.
CORRECTIONS
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TOTAL 3 I
No. oR ouTLETs .� $ Z - APPROVALS'—.,
NO. OF FIXTURES '7 $ DATE INSPECTOR'S NAME
NO,OF MOTORS H.P. II CONDUIT
[TOTAL
TRANS. $ WIRINGO. OF RANGES OR HEATERS $ FIXTURES
ISCELLANEOUSERMIT FEE $ ) UTILITYCO.NOTIFIED
FEE FINAL
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DDEPARTMENT OF BUILDING AND- SAFETY APPLICATION FOR PERMId!
COUNTY OF LOS/ANGELES ELECTRIC
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WM./:Il FOX CHIEF ENGINEER
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11 CITY Ap TEL.NO.CJ 7'7. �'/"� f RECEIVED BY READY FOR DATE ISSUED
M CERT.NO. 4- A )/ .}w 6 (fi4,t:krTd./ FI R87INSPECTION
J COUNTY L7 EXPIRES 1) ���` lVl4A
nC APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK n JOB
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST Lf3�'2+U VLf/3T/f /J
LIGHT OUTLETS 6W. PLUGS I vdT CROSS ST. ,p /,✓ / _
CIRCUIT A B C D E F G lH 6' NAME
3 MAIL
ADDRESS
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CITY �p`2A�(/A (f,, TEL.NO.
( I AM THE LEGAL POSSESSOR/OF THE ,ABOVE LOS
ANGELES COUNTY CERTIFICATE%OF QUALIFICATION..
I /�/i l,/il,/f/1/
V V�- ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
CORRECTIONS�+ OWNER.
CORRECTIONS
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TOTAL /
NO. OF OUTLETS $ lS APPROVALS
NO. OF FIXTURES $ J , DATE INSPPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT l//J/.({{/ /�
NO. OF SIGNS TRANS. $ WIRING
i
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ L POWER
PERMIT FEE ry ����' $ u• X t7 UTILITY CO.NOTIFIED 1
TOTAL FEE f` ` ./` FINAL 1