HomeMy Public PortalAbout5112 ROSEMEAD BLVD_Electrical__ . D.S.S.SA 25M SETS 10-47A
-DEPARTMENT
,TION ® '.0�' �, ` 1
NTY
-DEPARTMENT OF BUILDING AND SAFE'I'�' a1� ���IC;
COUOF LOS ANGELES `
H ENGI E R
z NAME �yy DISTRICT NO. GROUP ZONE PERMIT NO.
Ua—, ADDRESS �
►� RECEIVED BY READY FOR DATE ISSUED
UU CITY ° TEL.NO. FIRST INSPECTION
.1 COUNTY
W CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS 7710
f
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS ^
NEAREST `s
LIGHT OUTLETS SW. PLUGS FIXT CROSS '
CIRCUIT A B C D E F G H m NAME
Zr MAIL
3 ADDRESS
— O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE AE'=OVE LOS
ANGELES COUNTY CERTIFICATE OF QUAL!FIrATION..
r ELECTRICIAN.
_ I AM THE LEGAL OWNER OF THE PROPxRTY DESCRIBED
ASOVi.
d
OWNER.
CORK PIONS
A
J
Q
Z_
O
O
9
TOTAL
NO. OF OUTLIETJ O APPROVALS
NO. OF FIXTURES �+ ! ` DATE INSPECTOR'S NAM-E
NO. OF MOTORS H.P. $ yI CONDUIT
NO. OF SIGNS TRANS. v 1 WIRING
NO. OF RANGES OR HEATERS $ FIXTURES x r _
r
MISCELLANEOUS $ POWER
PERMIT FEE
�; UTILITY CO.NOTIFIED
' p�
TOTALM 19 ` FINAL