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APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGi
BUILDING AND SAFETY DIVISION ADDRESS '
JOHN A LAMBIE COUNTY ENGINEER rY
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
=MMMZ=WMM=j
FOR APPLICANT TO FILL IN NEAREST )
PFMMT FEES CROSS ST
ITEM NUMBER I EACH FEE OWNER _
OUTLETS $ MAIL
LIGHTS RECEPT / f0 SW 76
ADDRESS
LIGHTING FIXTURES ! 10 CITY EL NO
ELEC RANGES CLO DRYERS ELECTRICIAN /
WATER HEATERS 50 ADDRESS /
ELEC SPACE HTRS DISHWASHERS
CITY / EL NO
GARBAGE DISPOSERS / AUTO
STATE
WASHERS STA COOKING UNITS 25 LICENSE NO
MOTORS OVER INC H P DISTRICT NO I GROUP ONE P CESSED Y
0— 1/2 25
11/1-2— 2 so INSPECTION RECORO
2- 5 100
5— 1s 1 so
is— so 250 - ��
V p
50-200 s 00
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 100 1�
SERVICE OVER 600V Soo
MISC
WIRING PERMIT loo
FIXTURE PERMIT 100 1
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ o
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING D CONDUIT
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 1
CALIFORNIA OR THAT 1 tATHE LEGAL NOFH ABOVE
DESCRIBED RESIDENTIALER POWER
SIGNATURE
OFPERM TTE / r UTILITY CO NOTIFIED f 'A
FINAL
®n /SCI ON ARTHUR C VETT
(:y
l CCK/6f0O CASH SUPERVISING ELECTRICAL ENGINEER
LAf'o1391a tllkl262 1095 -
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0709050017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS I
ON FILE I 1 5437 BALDWIN AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802625
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET OLIVE
18588 019 022 JAI PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
I ILS 200 AMP PANELS MCC 1 00 PAN 38 85
ITENANT I TOTAL FEES 66 60 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON
I 109/05/07 SR 03/03/08
1OWNER TEL NO1 IF AL D T FI Y CODE I
ICHONG SUNG H JOANG H (626) 286 2134
15437 BALDWIN AV
ITEMP 917802625 I IDE CRIPTION OF WORK I
1 I (UPGRADE ELECTRICAL SERVICE PANEL TO 200 AMP I
1APPLICANT TEL NO I I
SAME AS OWNER i ISPECIAL CONDITIONS I
I 1APPROVALS DATE INSPECTOR SIGNATURE
(CONTRACTOR TEL NO I I I
SAME AS OWNER - I
I
LIC NO I ITEMPORARY POWER POLE I I I
(UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND
I I / I
1 I I I I
LIC NO 1 IROUGH CONE IT I I I
I I IROUGH WIRING I 1 I
IMAIN WATER LINE 1 I I
(PLASTIC Y/N METAL Y/N I I I
1 (UTILITY COMPANY NOTIFIE I i
i
I I I I I I
I I I I I I
I I f l I I I
I I I I I I
1 I I I I
I I I I I I
I I I I I I
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