HomeMy Public PortalAbout9205 LONGDEN AVE_Electrical__ 088 S-A 12-44 _ -• • APPI. UTION-FOR-PERM . .
DEPARTMNT OF BUILDING AMID SAFM a r�'+ �1
COUNTY OF LOS ANGELES ET L�♦ l RI�i
WM.J. FOX CHIEF ENGINEER .
Z D15TRlCT NO. GROUP ZONE PERMIT NO.
_S NAME
V AODRE.S -L q.%
E � /J
CITY ,Q TEL.NO. -1 g RECEI $D BY READY FOR DATE ISSUED• .
COUNTY /y n FIRST ECTION.
CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JA13
DESCRIPTION OF PORKORESS D
NUMBER:OF OUTLETS ON CIRCUITSCALITY
LOCATION BY ROOMS, AREST
LIGHT OUTLETS SW. PLUGS OSS 8T.
CIRCUIT A B C . D E F G HNAME.
MAILADDRESS
CITY. TEL.No.
AM THE. LEGAL POSSESSOR OF THE ABOVE LOS
NGELES COUNTY CERT.Ik�ICA7 E.QF Q 1FICATION..
• 1 r/ ELX=RICIAN.
i AM THC&ZOAL OWNUR OF THB PROPERTY DESCRIBED
ABOVE
OWNER.
CORREMONS
Z
O
TOTAL .
NO: OF OUTLETS . $ APPROVALS
I NO. OR FIXTURESS DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUIT
NO. OFSIaNS TRANS. $ WIRING
NO. OF RANGES 91HREMIXIMIS _ $ FIXTURES
MISCELLANEOUS ffi pp POWER'
PERMIT FEE $ [ 0 e0 UTILITYCO.NOTIFIED 1�