HomeMy Public PortalAbout5828 ROSEMEAD BLVD_Electrical__ oG s-A ■,SISI SIGN APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY *,Q y,�,.e.n,*�
COUNTY OF LOS ANGELES r"o"rd .g�
WM. J. FOX, CHIEF ENGINEER
NATURE OF DISTRICT NO. I GROUP ZONE PERMIT NO.
-T' 7.
WIRING FIXTURES SERVICE
READY FOR RECEIVED MY DATE IMBUED
RANGE HEATER POWER FIRST INSPECTION
SIGNS MISCELLANEOUS '�' ' ' V
I APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Z 7-1' -,
NAME GAF r •' ADDRESS % p/E �1
_ �,�-i
ADD • LOCALITY
,�� NEAREST
j CITY +�=�•' TEL No. J CROW ST.
fl Rau I EXPIR � tl.0 g .00
NAME L.r, .:
.r-DESCRIPTION OF WORK f MAIL
NUMBER OF OUTLETS ON CIRCUITS ADDRESS
IACATION BY ROOMS CITY TEL NO.
LIGHT OUTLETS I iW. PLUG lrl3rr. CORRECTIONS
CIRCUIT IA B C D E 116 H
LIVING ROOM I
DINING ROOM I
BRFST, RM. I _
MATH i
ENT. HALL __ J
HALL NO. Z
r
FRONT PORCH
OUTSIDE
KITCHEN
MERV. PCH.
MDRM. No.
CLOMET
MORN. NO. /
CLOisr APPROVALS
DATE INGPECIMOM NAME
CONDUIT
WIRING �- ram
TOTAL II xTUREs IF--
r
NO. OF OUTLETS i
NO. OF FIXTURES i �` UTILITY CO.NOTIFIEDAl I
li UN
NO. OF MOTORS H. P. I FINAL -,74-!,:j
NO. OF iIGNi TRANS. i 1 AM THE LEGAL OWNER OF TH ABOV ANGELEM
COUNTY REGISTRATION NUMB �I y�y
NO.Mg.OF RANGEi OR HEATERS i .t, .�•, r jr/
Ammus
I AN THE LEGALE�{]f.�D�ScresD
PERMIT FEE E f
ABOVE. ,
TOTAL FEE I i K"NF owNSR.