HomeMy Public PortalAbout5541 GRACEWOOD AVE_Electrical__ DBS SA 25M SETS 7-47 APPLICATION
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DEPARTMENT OF IIUILDING AND SAFETY rL14EYll r E31�111
COUNTY OF LOS ANGELES ELECTRIC
M. J. FOX CHIEF ENGINE R
NAME DISTRICT N0: GROUP ZONE PERMIT NO.
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re ADDRESS
1 ! RECEIVED BY READY FOR DATE ISSUED
0 CITY TEL NO. FIRST INSPECTION
A COUNTY ,
W CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS I FIRT CROSS ST.
CIRCUIT A B C D I E F G I H E NAME
Z MAIL
ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
AIdGLLEB COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LXGAL OWNER OF THE PROPERTY DESCRISED
ABOVE
OWNER.
s CORRECTIONS
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Q
_Z
D
R'
D
TOTAL
NO. OF OUTLETS j $ APPROVALS
I 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
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL FEE FINAL