HomeMy Public PortalAbout9161 JAYLEE DR_Electrical_8/19/1947_10297 outlets,fixtures DBMS 1SSA 1111-446/ � p {� ,ygT�y{p�7,/O �{'�1'gp SAM
MgyU prmION tLU RDp.li�fl�[7.O
I7Y9'JFL•f.9tl@ll1VllEY1!(�T17�O FIDLL I�L/11.1ll.L�G F111VD S�'ll11�'J ll]7 ' li u•x�Ulil�►f�lg9iY1V iL YYllfl II JL'�71ai1'Sa 2l. � .
COUNTY OF Y.�®S ANGELES. - IE F�LAR('
WMA.J. FOX CHIEF ENGINEER fA w �� J1
Q "NAME ,,/ ��� DISTRICT I�10., GROUP ZONE PEryRMIT NO.
ADDRESS _ r c'1 � /v
CITY RE FIVE BY FIRST INSPECTION DY FOR DATE�IgS}SUED
W' CERT.NOCOUNTY. cy EXPIRES
APPLICANT FILL IN HEAVILY &TUNED PORTION ONLY
DESCRIPTION OF WORK ADDRESS esz-
'NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW.� - PLUGS FIXT CROSS ST.
CIRCUIT A B C D E F G JH W NAME
MAIL
-71
ADDRESS
O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATF, OF QUA (CATION..
ELECTRICIAN.
I AN THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORAEMONS
L
J
Q
Z .
L7
d'
0
TOTAL
NO. OF OUTLETS .2 $ r APPROVALS
NO. OF FIXTURES $ J 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 $ UTILITY CO.NOTIFIED
l Js n ism
TOTAL FEE FINAL �✓