HomeMy Public PortalAbout5033 DOREEN AVE_Electrical__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
VVM. J. FOX CHIEF'ENGINEER
z DISTRICT NO. GROUP ZONE PERMIT NO.
NAME
ADDRESS
CITY RECEIVED BY READY FOR DATE ISSUED
U TEL.NO. r '
/ FIRST INSPECTION
J COUNTY
W CERi.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK 'ADDORESS 30 �IJ�C?I��AJ �GI LC.
NUMBER OF OUTLETS ON CIRCUITS (LOCALITY I ("/i(•fA
LOCATION BY ROOMS
NEAREST y�I
LIGHT OUTLETS SW. PLUGS FI%T CROSS ST. �//ill/
CIRCUIT A B C D , E F IS H . rc NAME� z AIL
. v QQ
ADDRESS
O CITY
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE c,
OWNER.
CORRECTIONS
l
J
Q
• Z
[7
E
TOTAL 17 Ll
NO. OF OUTLETS $ . /d APPROVALS
i
NO. OF FIXTURES $ O 3 DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE X $ yJ UTILITY CO.NOTIFIED
TOTAL FEE v /I FINAL G