HomeMy Public PortalAbout6058 CLOVERLY AVE_Electrical__ DSS,'S-A 6-46 1 LIYIMSA'/�/ ION FOR
O 517�*1w+C(►fl
DEPARTMENT OF O F LOS AG EANDM sA�I �=�1�1�1�11�1V�Y IJA�IL��.ua
COUNTY OF LOS ANGELES
W . J. FOX. CHWF ENGINEE
DISTRICT NO. GROUP ZONE PERMIT/NASO.
ADDRESS
UN CITY ♦ TEL.NO. RECEIVED BY READY FOR DATE ISSUED
J COUNTY FIRST INSPECTION
W CERT NO. ® Z V EXPIRES�pAPPLICAN'P FILL �2(VNL'Y OUTLINED PORTION ONLY
JOB
DESCRIMON OF WORK ADDRESS m
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW PLUGS FIxT CROSS ST.
CIRCUIT A B C D I E F G H W NAME
ILI/ Z MAIL
/ 3 ADDRESS`
Edo I O CITY TEL.NO.
1 AM THE LEGAL PO ESSO F THE ABOVE LOS
ANGELES COUNTY AT UGLIFICATION.
13 r v
ELECTRICIAN.
.. ✓ v I AM THE LXGAL OWNER OF THE PROPERTY DESCRIBED
ABDVE
/ OWNER.
CORREEQ.RONS
/ 1
3
i
0
1 -
TOTAL
NO. OF OUTLETS $ S t APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
L
MOTORS H P. ffi CONDUITSIGNS TRANS. $ WIRING
1 RANGES OBRB $ /' FIXTURE$
LANEOUS $ 11POWEn FEE $ IUTILITYCO.NOTIFIEDFEE 8 1FINAL I . Z