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HomeMy Public PortalAbout10038 GREEN ST_Electrical__ DSS 5A 25M SETS 1-AS •111ELId'/ATIiA'}ilT FOR 1DEt1Wr DEPARTMENT OF BSG AR'D SAFETY ������i� COUNT' OF LOS ANGELES W . J. FOX, CfJIEEKN4alllLKER ZDISTRICT NO. GROUP ZONE PERMIT NO. q NAME....,._,.,a U ADDRESS' RECEIVED BY READY FOR DATE ISSUED i CITY yTOI rlJ FIRST INSPECTION COUNTY CERT.NO. RXPI RES 7-71 �: APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS - NUMBER OF OUTLETS ON CIRCUITS LOCALITY � !` LOCATIC14 BY ROOMS NEAREST , LIGHT OUTLETS JSW. PLUGS FOeT CftoSS ST. CIRCUIT A B C D E F 6 i H 19 NAME W MAIL ADDRESS O CITY TEL.NO.. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM T"L"AL OWNER OP'THE PROPERTY DESCR BED A®OVE OWNER. CORRECTIONS J TOT Q Z_ t7 O AL NO. OF OUTLETS $ % APPROVALS NO. OF FIXTURES $ U DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES I E N OUS $ R PERMIT FEE $ 2� TILITYCO.NOTIFIED TOTAL FEE FINAL 06S S-A 6-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC � COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER Z DISTRICT NO. GROUP I ZONE PERMIT NO. Q NAME C ADDRESS F `- RE EIVgD BY READY FOR DATE ISSUED IU CITY ; J' 4 r. TEL.NO. / FIRST INSPECTION /` e de J COUNTY W CERT.NO. 7f EXPIRES 711 APPLICANT FILL IN HEAVILY TLINED PORTION ONLY DESCRIPTION OF WORK roe ADDRESS '.♦- NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS lsw.I PLUGS IFIkT CROSS ST. CIRCUIT A B C D E F G H _NAME @ r Z MAIL ADDRESS 3D O jJ CITY -`— TEL.NO [--� 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFIC4TE OF, QUALIFICATION.. ELECTRICIAN. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE p�� OWNER. CORRECTIONS J Q Z L 7 TOTAL NO. OF OUTLETS $ 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 PERM IT FEE $ © UTILITYCO.NOTIFIED TOTAL FEE ��rf FINAL