HomeMy Public PortalAbout10115 LA ROSA DR_Electrical__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC
M. J. FOX CHIEF ENGINEER
NAME DISTRICT NO. GROUP 7NE PE�]RMI✓T�NO.
ADDRE6S 't�p�. .� "'rv/ I 'I Ik
U CITY (�(/LCL(� TEL.N Rp RELCEIVED BY FIRST INSPECTION DY FOR DATEISSUED
j COUNTY y ` )
W CERT.NO. /T EXPIRE6
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS 2 7 /s Rear
NUMBER OF OUTLETS ON CIRCUITS LOCALITY -P�_�_�
LOCATION BY ROOMS NEAREST 1
LIGHT OUTLETS SW. PLUGS FI%T CROSS ST.
CIRCUIT/� A B C D E F G H @ NAME L!
MAIL
Bp,ETv(/Y/ 3 ADDRESS 2 7 /q,��5��
A- � O CITY J I..-c/I'�! Ct%(.(il TEL.NO.
1 AM THE L AL POSSE OR OF THE ABOVE LOS
ANGgLES COUNTY CERTIFICAT OF QUALIFICATIO
7'.
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
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TOTAL
NO. OF OUTLETS 2 $ /.s` APPROVALS
NO. OF FIXTURES / $ 2 // 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 iz FINAL l ��.