HomeMy Public PortalAbout8841 LIVE OAK AVE_Electrical__ DBAPPLICATION FOR PFRIVAT
DEPABU
RTMENT OF WELDING AND SAFETY
_ - COUNTY OF LOS ANGELES
ELECTRIC
WM. . FOX CHIEF ENGINEER
Q NAME 6/'IF-F E L F-eT S H o ,� DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS
2 3 L-A 5 ulYy S
-}. S RECEIVED BY READY FOR DATE ISSUED
CITY / L - TEL.NO.A I /�� J Z (/d FIRST INSPECTION _
W Ty
CERT.NO. /7 � EXPIRES �"' - �p��D �
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY�f �/
DESCRIPTION OF WORK ADDRESS / L+ // ll� V A
NUMBER OF OUTLETS ON CIRCUITS LOCALITY M I"� L`�
LOCATION BY ROOMS /�
NEAREST �O s/- /•N r n
LIGHT OUTLETS SW. PLUGS Flxr CROSS ST /l
CIRCUIT A B C D E F G H m NAME /1.1 u 07TH - A6/ 0—
Z n Gf7�
MAIL
A S R 3 3 3 ADDRESS
C K o
bCITY TEL.No.
M THE LEGAL POSSESSOR OF THE ABOVE LOS
S �, rte" / ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
mC sm / 3 � .
W, PU T C } I / 1 ELE RICIAN.
1 AM TH6]LEGAL OWNER OF THE PROPFRTY DESCRIBED
o r c.4 1 1 ABOvs
J(�
/Yo, pOY(4l l 1E, OWNER.hss CORRECTIONS
FuRoom ,1'Ko, CWs Rm 3
/Yo C- I_ I
130 5, - o)leT
9 °
/yo C 1 ass l-
/ Lhss.J�M 12
Room
TOTAL h
NO. OF OUTLETS n s $ �+ I O APPROVALS
NO. OF FIXTURES SA $ l DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRINGJ(J�Y
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE I $ ' UTILITY CO.NOTIFIED
TOTAL FEE Vz '(4e 0 0 0 FINA