HomeMy Public PortalAbout6018 ROWLAND AVE_Electrical__ DAPPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFE'I'N
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
< NAME DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS
1- RECEIVED BY READY FOR DATE ISSUED
U CITY TEL.NO. _ FIRS'i INSPECTION
J COUNTY
W CERT.NO. EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF FORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FliT CROSS ST.
CIRCUIT A C D E F G� H X NAME
W MAIL
Z ADDRESS
3
o
_ CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE JeEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Q
Z
Lo
TOTAL I I I
NO. OF OUTLETS r $ 'NO.
NO. OF FIXTURES $ DATE INSF='CTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
J —
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITYCO.NOTIFIED I _
TOTAL FEE FINAL
1� .�D.B.S.
SA 25M BETS 10-47 y� ����Q�� ���Q� AT1f18Fgf'11 TION FOR
IDEPARTMENT O BUMI il�Cr EAIi�.Il �S1f�SLaIJL�Li3 1V Sl/ aaua�a.+aaa
SAFM
COUNTY OF LOS ANGELES ����� I�
FOX CHIEF ENGI EER
NAME �1.�'�..�a `;� /? t�A' 11 , DISTRICT NO. GROUP ZONE PERMIT NO.
ADDRESS l Ii► V7l�'
-T - ). to Pso
uCITY -TEL.NO. RECEIVED BY READY FOR DATE ISSUED
Q/ to FIRST INSPECTION
COUNTY , S -
CERT.NO. ,y � Cj EXPI[tE8
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK ADDRESS .�t.J `/7 � ,f-i 1pNUMBER OF OF OUTLETS ON CIRCUITS LOCALITY C,
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS ISW. PLUGS FI* CROSS ST
CIRCUIT' A B CID El F G IH 1 IN NAME
Z MAIL
II I/ ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANG5.ES COUNTY CERTIFICATE OF QUALIFICATIOIl1..
ELECTRICIAN.
I AM THE LEQAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORIII;C9i'iONS "
J
Q
_Z
5
O
No. OF OUTLETS 1 ffi n APPROVALS
NO. OF FIXTURES ffi S �+r ' ATE INSPECTOR'S NAME
NO. OF MOTORS H.F. ffi CONDUIT
NO. OF SIGNS TRANS. ffi WIRING c�
NO. OF RANGES O HEATERS FIXTURES `d� Y
SC NE US ffi POWER
PERMIT FEE ffi I 2 UTILITYCO.NOTIFIED
-TOTAL-FEE o FINA_ J