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"* COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806170042
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS: -
ON FILE 4859 AGNES AV
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP-CA 917803907
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: WOODRUFF
18589-020-018 1A1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, Cl
_IHA FAU LESS 3HP 1.00 FAU 10.95
(TENANT: TOTAL FEES 38.70 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
I 106/17/08 SR 12/14/08 1
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TOWNER: TEL. NO: � � '�' FINAL DAT xlplfaBY: CODE:
IMCGAVIN, LLOYD (626) 786-1010- 1
14859 AGNES AV I EA
TEMP 917803907 IDESCRIPTION OF WORK
T ELECTRICAL FOR FAU T
(APPLICANT: TEL. NO:
GLOVER (951) 279-0604-
15030 VICEROY AVE ISPECIAL CONDITIONS:
INORCO, CA 92860 - 1
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ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
(AIR TRO INC. (626) 357-5311- 1
11630 S. MYRTLE LIC. NO ITEMPORARY POWER POLE
IMONROVIA, CA 91016 258228 C10
I 1UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND
I LIC. NO: 1 IROUGH CONDUIT 1
TROUGH WIRING
IMAIN WATER LINE
IPLASTIC Y/N METAL Y/N
(UTILITY COMPANY NOTIFIEDI
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I* ADDITIONAL DATA ON FILE
IREPORT ID: DPR265 ROUTE TO: BS0508