HomeMy Public PortalAbout5941 GOLDEN WEST AVE_Electrical__ . •DEPAIZTIVIENT OF BUILDING APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
NATURE F.' TI – DIS IGT No. GRA/O'7UP T��Y/P/fit PERMIT No.
WIRING FIXTURES SERVICE -^"—� '� . � / ,3S
READY FOR RE EI ED Y - DA E 188 ED
RANGE HEATER POWER - FIRST INSPECTION t �� - / A -
_ SIGNS MISCELLANEOUS �^ _ r/((O GdJ
APPLICANT FILL IN HEAVILY OUTLINED,PORTION ONLYJOB
'Q NAME R V ADDRESS
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ADDRESS / LOCALITY
U � w �� _ NEAREST _
W CITYSTATEjK/��"� -TEL.'No , CROSS ST �/J = n A
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W LICENSE NO. rT I G. No ' W NAME. /
DESCRIPT �f
ION.OF WORK '' - o ADDRESS '_ l�
NUMBER OF OUTLETS ON CIRCUITS ' CITY TEL. NO.
LOCATION BY ROOMS
LIGHT OUTLETS ISW.I PLUGS Plxr. CORRECTIONS
_CIRCUIT I Al BI CI D-I El
LIVING ROOM
DINING ROOM I I I I I
BRKFST. RM.
BATH I I I I I I I I
ENT. HALL
HALL No. I•S� I I I I I �{ I '
FRONT PORCH I I I �J I� { I I ✓
OUTSIDE
KITCHEN I I j,-�I v1 I I / I I ' I Q
SERV. PC . i I I I I I I I I Z
BDRM. O. i /I I 1 +/�
1ZI I I I I .o
BDRM. No.
CLOSET { - I I I I. I _- I IJ I -
TOTAL. I 1, L3"I I I/O I .
NO OF OUTLETS � APPROVALS
NO OF FIXTURES - - �/ / DATE. INSPECTOR'S NAME
-NO OF MOTORS H. P. S , CONDUIT
NO OF SIGNS TRANS. $ WIRING
NO OF RANGES OR HEATERS s FIXTURES r
I MISCELLANOUS - $ POWER
E
1r
PERMIT FEE' hIE
IK UTILITY CO. NOTIFD
TOTAL FEE $ FINAL-- y �/. -Y1 7 - A�
D.S S.SyA��255Mr SETS
.110-447 A*�. g�T • s�v�p "P4pCAry� N FOR PEED}p,(gr
]DWAfAalYiE 1 OF Dl.lalW ING AND SAF1CiY�, HSA YII Y'll r+111�16L
COUN'ff OF LOS ANGELES _ ELECTRIC
ENGINEERMum
NAME DISTRICT NO. GROUP I ZONE PERMIT NO.
U (oADDRESS8
RECEIV BY READY FOR - DATE ISSUED
U, CITY TEL. FIRST INSPECTION
COUN Ts fl l I'X
4! CERT.NO. � EXPIRES
TTT 1
7DyAPPL.ICANI' FILL IN HEAVILY OUTLINED POR'T'ION ONLY
JOB
DESCRIPTION P y ION OF WORK —ADDRESS �
NUMBER OF OUTLETS ON CIRCUITS- LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS lsw. PLUGS I FIXT CROSS ST.
CIRCUIT A B C D E F G H w NAME
Z MAIL
3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL P SEES OR OF THE ABOVE LOS
ANdEL68 COUNTY CE 1 A F QUALIFICATION..
i
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
COPMEMONS
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Q
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[7
O
TcrrAL is-
NO. OF OUTLETS I E
APPROVALS
NO. OF FIXTURES ^ E DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISC U $ [ POWER
PERMIT FEE a7 UTILITYCO.NOTIFIRD
TOTAL FEE__ FINAL —
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