HomeMy Public PortalAbout5129 FARAGO AVE_Electrical__ DB 5 AAS 1243
ZZS�M+7�7r�t BUILDING
AND
SAFETY MP ICA TION FOR
PL�T111�V r
� DEC»A11Y111Yi1\Y OF DSJYY�E.DYliV7 Hl\&J �71-�'>G11 ELECTRIC I�/YC�����
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER
NAME .�_ DISTRICT NO GROUP ZONE PERMIT N[O]1f�
ADDRESS
DY FOR
CITY `�_ TEL NO RECEIVED BY FIRST INSPECTION DATE ISSUED/
J COUNTY �GL,QI/�i�7C- --`GLIL
W CERT NO EXPIRES T�
APPLICANT PILL IN HEAVILY OUTLINED PORTION ONLY
JOB
(DESCRIPTION OF WORD ADDRESS 3�3
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLET Isw I UGS I FIxT CROSS ST /"�
CIRCUIT A B C D E F G JH I It NAME 9:o4- D A/L�
Z MAIL �y
3 ADDRESS
O
CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
ELECTRICIAN
I AM THE LEGAL OWNER OF TH P PF,R RI
ABOVE
WNER
CORRECTIONS
SZi L
I �
a
z
a
0
l �
TOTAL I
NO OF OUTLETS $ LL APPROVALS
NO OF FIXTURES $ + DATE INSPECTOR S NAME
NO OF MOTORS H P $ CONDUIT n A
NO OF SIGNS TRANS $ WIRING
v
NO OF RANGES OR HEATERS $ FIXTURES
N
MISCELLANEOUS $ II POWER
PERMIT FEE Is UTILITYCO NOTIFIED
TOTAL FEE s FINAL
S S SA 25M SETS 10
D IDEPARTMENT7 OF BUILDING AND SAFETY' � EA'i'I®1V FOR PERSDEPARTMENT
COUNTY OF LOS ANGELES ELECTRIC
M J FOX. CHIEFENGINEER
Z NAME XNE
DISTFUC NO GROUP PERMIT NOU I,ADDRESS
RECEIVEp BY READY FOR DATE ISSUED
U CITYTEL NO t. / FIRST INSPECTION /—A)
W.1 COUNTY - JGKG
Id CERT NO S EXPIRES ®/
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
(DESCRIPTION OF WORD ADDRESS � -
NUMBER OF OUTLETS ON CIRCUITS LOCALITY 2Q2 na2Z��
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW PLUGS FIXT CROSS ST
CIRCUIT A B C D I E F G H it NAME
ZMAIL
3 ADDRESS
O
CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIF ATE OF QUAL1FAION
ELECTRICIAN
I AM THE LXGAL.OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
CORRECTIONS
v crn /�yJ
t
J
Q
_Z
[7
O
TOTAL
NO OF OUTLETS 2 $ APPROVALS
NO OF FIXTURES $ DATE INE ORS NAME
NO OF MOTORS HIP $ CONDUIT i
NO OF SIGNS TRANS $ WIRING
NO OF RANGES OR HEATERS FIXTURES J s
MISCELLA tOUS $ POWER ! l
PERMIT FEE $ UTILITYCO NOTIFIE �
TOTAL F FI AL /