HomeMy Public PortalAbout9861 OLIVE ST_Electrical__ DBS 5-A Iz-aa APP11CATION FOR PERMIT
DEPARTMENT OF BUILDING, AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WM. J. FOXCHIEF ENGINEER
NAME DISTRICT NO. GROUP ZONE PERMIT NO.
P. 7<< 1
U ADDRESS c: A / ✓�'i I
CITY TEL.NO. RECEIVEp BY FIRSjTEADY IIINS " ION DATEISSUED
W CERT.NO. EXPIRES COUNTY !cf `� - �r t`
ZI APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS .2 v,/
vty
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEARESTt, 1,
LIGHT OUTLETS JSW. PLUGS FIZT CROSS ST. y
CIRCUIT A 113 C I D I E F G JH m NAME
p C Z MAIL
3 ADDRESS
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Q
_Z
[7
!Y
O
TOTAL ii-H 16- 21- 1
NO. OR OUTLETS
9 $ 1 v, APPROVALS
1 NO. OF FIXTURES $ �~ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
PNO.
OF SIGNS TRANS. $ WIRING
OF RANGES ORHEATERS $ FIXTURES
ELLANEOUS $ POWER
IT FEE ffi i UTILITY CO.NOTIFIED
G
Trre. aee a .✓ FINAL