HomeMy Public PortalAbout5607 ENCINITA AVE_Electrical__ De S-A 17-43 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC �
COUNTY OF LOS ANGELES i
WM j FOX CHIEF ENGINEE
Q NAME y DISTRICT NO. GROUP /ZON/E PERMIT NO.
UADDRESS
CITY TEL NO I L_I [ Z RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
WCOUNTYjj��
CERT NO /a EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS i
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS ISW I PLUGS FIXT CROSS ST
CIRCUIT A B C I D I E F G H IX NAME
Z MAIL
ADDRESS
CITY TEL.NO
1 AM THE LEGAL POSSESSOR
RO�OF�R�uTHE
�' ABOVE LOS
ANGELES COUNTY CE T��9" O' FI�CATION.
kEL F-*ICIANRICIAN.
1 AM THE rr�OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
' CORId.ECTIONS
a
z
0
0
TOTAL
NO OF OUTLETS ffi 2.0 APPROVALS
A
NO OF FIXTURES $ DATE INSPECTOR'S NAME
NO OF MOTORS H P $ CONDUIT
NO OF SIGNS TRANS $ WIRING
NO OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS $ A c POWER /j 1
PERMIT FEE $ I n ?® UTILITYCO NOTIFIED
[TOTALFE
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