HomeMy Public PortalAbout9450 GIDLEY ST_Electrical__ '°"°°'
DW-DA 11-D4 APPLICATION FCR ELECTRIC PERMIT ]�
DIVISION.OF BUILDING AND SAFETY
Deparlm-nt of C—tr Kpgt ..r
Coaatp of Los Angelis + . FNt
DING O c
WM. J. I+O UNTY HNOIN[IFt ECJi
CA"ATT D. a IrIN.Atur-r or aummme
FOR APPLICANT TO FILL IN7 LITY o
PE Mff FEES EB1S (J
NUMBER EACH FE!<
el—
LIGHT OUTLL; v WN
RSCtp`I'ACLFG MAIL - ^�- ���•P
- I
ADDRESS • -
WALL HW17CHIES _ -
ToTAL OUT'LETD E - CITY N6.-'
ELEC. RANG - 25 E�L CTRJCI N
hI CC_ HPLATEBS 215 ADDRE88
KW EA '
C TY TEL NO
FIXTURCA a• LIC 1 NO. C�
NUMBER OF LIGHT CIRCUITS DISTRICT NO. GjjQUP ZOiVE R¢Aot jo■ I[[r[tT1011
M07OR�`
NUMBER HORAR HrOWEK FEE IIBSPECTION RECORD
NCW UVD, INC FACH .
a .2a d
: .a0
2 a 1..00 - -
e lb 1.60
is aC 2,a0
50' 200 6.00
MI '
NO.810NO NO. TRLINM. _
O elutis NO' LAJAP& .
WIRING $1.00
F I XT U R IES -
SUPP ARY 5.0
A�PROVAISS
TOTAL, P-EE $ DATie fNSPECTOR'S 619KATURS
1 H EBY ACK1 OWL{.ED99 THAT 1�HAY¢ READ THIS APPLICATION ONDUI
AND > ATC THAT THL C
ABOVE Is CORRECT AND AGREQ TO COMPLY
WITH
/ALL C�
E ZCTRICALUNTY ORDINANCES AND STATH LAWS REGULATING WIRING
IRING.
1 HEREBY CEjmFY THAT f JAM PROPERLY A Q1 ED AND/OR FIXTU -
LTCkNS D AS REQUIRED Y LOS ANGELES COUNTY D STAT4 OF POWER
CALIFORNIA OR THAT Y THE GAL. N THE AB-OYR
DESCRIBED RESIDENT ROP6RT1'. ILITY CO.NOTIFIED I •R�
SIGNATURE
OF PERM ITT FINAL
WILLJAM J FOX.CooNTY ENGINKt VALMAnON 6.85 n
hug5. 2
UTY