HomeMy Public PortalAbout9112-9114 LAS TUNAS DR_Electrical__ °DS-A 12-43 2SM EPAAPPLICATION FOR PERMIT
RTMENT OF BUILDING AND SAFETY,
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER-- -
NAME s�a� DIST GROUP ZONE R/��
J '^
ADDRE��SSS Jyy� ,,ff�� u,fR
U CITYI �S rH j �,l1�TEL.NO. RECEIVE READY FOR DATE ISSUED
W FIRST INSPECTION
A COUNTY
W CERT.NO. j 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 SW.1 PLUGS FuiT CROSS ST. ..'`
CIRCUIT A B C. D E F G H W NAMEeo O
MAIL _
ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE. OF QUALIFICATION..
fi/ �Xf1�7L• / ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Q
_Z
' � O
D
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 a b
MISCELLANEOUS $ POWER G\\\
hi`d
PERMIT FEE $ UTILITY CO.NOTIFIED A V R! '%w+'�QQ
TOTAL FEE FINAL I / r !� ��
DB 5-A 12-43 25M - - `"PLICATION $AOR PE�Dw1�7111]7
DEPARTMENT ®F BUILDING AND SAFETY, f'� s ■V� it 1V 1 Ti1LL�YLY 1
COUNTY OF LOS ANGELES ELECTRIC
wm. J.:_FOX CHIEF ENGINEER
z NAME DISTRICT NO. GROUP ZONE PERMIT NO.
Q �i� n
U
ADDRESS, �V
C
U CITy� AiRTEL..yO. /� 'l% 4 RECEIVED BY FIRST INSP.E_C/TREADY RION DATE✓ISSUE[D'�
-1 OURW CERT.NO: .EXPIRES 1��7!/�"'e�.c -Y 1 /v�(�Y �"'
APPLICANT FILL IN HEAVILY:OUTLINED-PORTION ONLY,JOB
7
DESCRIPTION OF WORK. ADDRESS
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 1% NAME 1 , ,
Z MAIL
.ADDRESS' Cl
O �, D
CITY, " ...TEL.NO.
I AM THE- LEGAL POSSESSOR OF THE ABOVE LOS
ANGFsLES COUNTY CERTIFICATZ OF QUALIFICATION.:
EL
ECTRICIAN.
AlAM'THE LEGAL OWNER OF THE PROPjERTY DESCRIBED
Al BOVE
&,e OWNER.
CORRECTIONS
J ,
— a
z
17
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
PERMIT FEE $ UTILITY CO.NOTIFIED' IfJ
TOTAL FEE FINAL Z� �ibY^`