HomeMy Public PortalAbout5204 FARAGO AVE_Electrical__ DB S A 12 43 25M I •nom*/�.�0� �� �grif*,mn `
DEPARTMENT OF BUILDING AND SAFETY I APPUCA !r iYi�ii�.
COUNTY OF LOS ANGELES ELECTRIC
VVM J FOX CHIEF ENGINEER
a NAME i DISTRICT�N,O GROUP ZONE PERMIT NO
��.. ADDRESS
WU CITY lz V TEL'- RECEIVED B READY FOR DATE ISSUED
FIRST INSPECTION
COUNTY s
W CERT NO EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED
22P�O/RTI PORTION ONLY
JOB
DESCRIPTION OF WORD ADDRESS aJ �/ �C
NUMBER OF OUTLETS ON CIRCUITS LOCALITY /� /j
LOCATION BY ROOMS NEAREST
illLIGHT OUTLET ISW I PLUGS FIxT CROSS ST
CIRCUIT A B C D I E F G H w NAME fl
7 Z MAIL
3 ADDRESS w
O
CITY
7 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANG&LES COUNTY CERTIFICATE OF QUALIFICATION
ELECTRICIAN
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE C_')17 ,i, (D 9;b/j
�}� �_,(,� ,OWNER J
CORRECTIONS
r J
a
U
TOTAL
NO OF OUTLETS $ APPROVALS
NO OF FIXTURES $ DATE INSPECTOR S NAME
NO OF MOTORS H P $ CONDUIT
I NO OF SIGNS TRANS $ 1 WIRING
NO OF RANGES HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ �to UTILITYCO NOTIFIED
TOTAL FEE S FINAL
S 5 A 12 43 25M
D DEPARTMENT OF BUILDING AND SAFETgf APPLYCATIOPT FOR PERM"
COUNTY OF LOS ANGELES ELECTRIC
CTRIC
WM J FOX CHIEF ENGINEER
Q NAME DISTRICT NO GROUP ZONE PERMIT NO
2 ADDRESS v /
W CITY TEL NO RECEIVED BY ' READY FOR eATEISSUEDJ COUNTY 1 -�, OLQ Is�//g�" FIRST INSPECTION r/
W CERT NO EXPIRES 1 �-�If •1L
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY S'2 0L
JOB
DESCRIPTION OF WORD. ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY �j ��f��T45
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW I PLUGS FIXT CROSS ST /
CIRCUIT A B C I D I E F G IH w NAME
Z MAIL �/ 7
3 ADDRESS
O
CITY TEL NO
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
ELECTRICIAN
I AM THS LEGAL OWNER OF TH POP TY RI
ABOVE
OWNER
CORRECTIONS
E
t a
U_
J
a
Q
TOTAL
NO OF OUTLETS )� $ Aat APPROVALS
NO OF FIXTURES / $ DATE INSPECTOR S NAME
NO OF MOTORS H P $ CONDUIT
NO OF SIGNS TRANS' $ WIRING
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
� r
PERMIT FEE S +l UTILITYCO NOTIFIED
TOTAL FEE RM . FINAL