HomeMy Public PortalAbout5328 ROSEMEAD BLVD_Electrical__ DIDEPARTMENT OF BUILDING AND SAFETY, MPLI(CATI®IST FOR PERMI'r
COUNTY OF LOS ANGELES
WWJ. FOX.CHIEF ENGINEER'
a DISTRICT NO. GROUP ZONE PERMIT NO
Q NAMED
ADDRESS 1L/i//' oc
I Wit! RECEIVED BY READY FOR DATE ISSUED
IU CITY of TEL.NO. FIRST INSPECTION
.I COUNTY
.W CERT.NO '- EXPIRES
APPLICANT FILL IN HEAVILY"OUTLINED�PORTION ONLY
(DESCRIPTION OF WORD JOB.
ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY"
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS , - SW. PLUGS FIXT CROSS ST.
CIRCUIT A 13 C D I E F G'l 1-I m NAME
;ti •�- a^. 3 ADDRESS
O f ,
•Ki' O'�a �_. ` rL / CITYa TEL;NO. .
;114d 1 AM THE LEGAL POSSESSOR OF'THE ABOVE LOS
e ANGELES COUNTY' CERTIFICATE OF QUALIFICATION.. .
. ELECTRICIAN. .
b !f I AM THE ISGAL OWNER OF THE,PROPE,RTY DESCRIBED
�y } ABOVE
OWNER.
CORRECTIONS ."
— Q
Z
TOTAL
NO. OF OUTLETS $ 51 ;' APPROVALS
NO. OF FIXTURES $ Q DATE
i'- INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS . TRANS. $ WIRING1/�1
NO. OF RANGES OR HEATERS $ FIXTURES --.��✓�7 Z bl
ISCELLANEOUS ffi .:.POWER
PERMIT FEE' G'1 a ffi / +4/ UTILITY CO.NOTIFIED
TOT L FEE C 0 FINAL
DB 5-A 12-43 25M - APPLICATION FOR PEI61.11r
DEPARTMENT ®F BUILDING AND SAS
>. ELECTRIC
a,
,COUNTY OF LOS ANGELES ' .
WM. J. FOX CHIEF ENGINEER
z NAME �q DISTRICT NO. GROUP ZONE J�PERMIT NO.
ADDRESS t\ ^
I' RECELVED BY READY FOR DATE ISSUED
WU CITY TEL.NO. FIRST IN®SPECTION
,.I COUNTY 6i1s 2 P.I F I
1+1 CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION!,ONLY
Joe
(DESCRIPTION OF WORD ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FUCT CROSS ST.
CIRCUIT A. B C D I E F G H W NAME
Z MAIL yy
ADDRESS
U CITY
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROP DESCRIBED
ABOVE
11A I - OWNER.
e CORRECTIONS
f
((te�l
ip
Z
o
TOTAL
a NO. OF OUTLETS $ APPROVALS
' NO. OF FIXTURES - $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ 4!1 UTILITY CO.NOTIFIED
TOTAL L FEE I - ' FINAL