HomeMy Public PortalAbout5852 PRIMROSE AVE_Electrical__ 08 S-A 4
'41 "P" - _ APPLICATION FOR PERMIT
DEPARTMENT 'OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICTNO. GROUP I ZONE PES.RMIT NO.
WIRING FIXTURES SERVICE _
RECEIVED BY READY FOR DATE ISSUED
RANGE HEATER POWER FIRST INSPECTION
SIGNS MISCELLANEOUS-
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
= NAME JADDOB
i( a RESS
U
wADDRESS LOCALITY l p—�
WI NEART
CITY , TEL.NO. CROSS T.
ly COUNTY
CERT.NO. EXPIRES NAME
DESCRIPTION OF WORK z Matt
ADDRESS
NUMBER OF OUTLETS ON CIRCUITS O
LOCATION BY ROOMS CITY TEL.NO.
LIGHT OUTLETS SW. PLUGS FIXt I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
CIRCUIT
A B C D E F G H ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
LIVING
ROOM (L, ---- fG. /i': ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
DINING ROOM ABOVE.
BRFST.RM.
OWNER:
BATH ——_——— __ CORRECTIONS
ENT.HALL
HALL NO. -----
FRONT PORCH r
OUTSIDE
KITCHEN
SERV.PCH.
---------- J
SDRM.NO. Q
CLOSET (�
BDRM.NO. -- 0
CLOSET
TOTAL
NO. OF OUTLETS $ ,�. APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
ILZ
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE Z UTILITY CO.NOTIFIED,/
TOTAL FEE 8 FINAL j �¢
oB 3-A4.41 25M APPLICATION FORT PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT
1NO.
WIRING FIXTURES SERVICE 2' r rl J
C
VED BY READY FOR DATE ISSUED
RANGE HEATER -I POWER FIRST IN PECTION
SIGNS MISCELLANEOUS `
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY J,
t NAME f ••bit / �1 r'G' •� ADDRESS - ..l'!(
U ? (7 f
ADDRESS ` , .1¢ •, L LOCALITY
_ NEAREST
W,.11 CITY .,idL ; I�: TEL.NO. C Er 1 CROSS ST. �� -t•t, ! A�_ '
yi COUNTY 1
CERT.NO. EXPIRES u� NAME 1 I r
DESCRIPTION OF WORK z MAIL
ADDRESS _.. el s*t
NUMBER OF OUTLETS ON CIRCUITS O p
LOCATION BY ROOMS CITY .. �'�;t2. {,-C TEL.NO.
LIGHT OUTLETS SW. PLUGS Fix I AM THE LEGAL APOSSESSOR OF THE ABOVE LOS
CIRCUIT
A B C D E F G H ANGELES COUNTY CERTIF C E QUA41FICI�FION^f'
---- / � � �rF •� `�`' e r
LIVING ROOM EC 1 wN.
----------- 1 AM THE LEGAL OWNE QF THE PROPERTY DESCR!
DINING ROOM ABOVE.
BRFST.RM. -/ ---- f OWNER.
BATH
CORRECTIONS
ENT.HALL
HALL NO.
FRONT PORCH
OUTSIDE
KITCHEN
---- --
SERV.PCH. ----- ----_ ..I
BDRM.NO. Q
CLOSET (�
BDRM.NO. ----- -- O
CLOSET
t
TOTAL
NO. OF OUTLETS 1�"a $ Jul^., APPROVALS
NO. OF FIXTURES Al J -1 DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT `
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE y $ .`j UTILITY CO.NOTIFIED
TOTAL FEE FINAL 7