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DAPPLICATION FOR ELECTRIC PERMIT 1
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DIVISION OF BUILDING AND SAFETY
1ofC-untyEughwwr
Cocin(T of Los Aaualm eU1L.DING
W .J. FOX. CO
ASUNTY ENGIN[IR ADDREBH �
CA$SATT D. GRIFFIN. $u�r of■UILDINO
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FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAR ESTr
CR088 BT.
FEE
NUMBER EACH
LIGHT OUTLETS OWN R
RECEPTACLEO MAIL I y
ADDRESS
WALL,EWrTCHED
TOTAL OUTLETS a# s CITY EL NO.
ELEC. RANGES 225 EL-E=IQAAfN
ELEC.HEATM8 25 ADDREZ9
KW EA CITY TF-L. NO.
FIXTURES 15 LICENSE NO.A/on 2
NUMBER OF LIGHT CIRCUITH
DISTRICT NO. GROUP 'ZONE RUDY FO■ Iespvc7ioN
MOTORS
NuMaCN HORSEPOWER FEE - INSpEC'I'ION RECORD
NEW MVD. HP OVKH INC. [ACTH
•Lw .26
7 .150
2 e 1.00
I
15 ie
1D DO 2.150
IIf ST
I 150 200 25.00 .
dim
MI
-�
NO. SIGNS NO.TRANS.
O SIGNS NO. PS:
WIRING $1.00 Q
FIXTURES 1,00 Q /7
SUPPL,EMENTA .150
APPHOYAIS
TOTAL FSE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT 7-
AND FA.L H OABOVE 19 CR
WITHLCOUNTYRDINANCESANDITATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AN PROPHRL REGISTERED'AND/OR FIXTU
LICENSED AS REQUIRED BY LOS ANGELES COUUNTY AND STATE OF
CALIFORNIA OR THAT 1 AY THE LEGAL 0=1 OF THE ABOVE FOVJJER
DESCRIBED RWDENT 0 TY. UTILITY CO.N IPI D �l
$IdNA'rURE
OF PERMITTEE FINA
Will J. FOX,CoUNTY"ENaIN13M VALID ON
4 4 5' 01S 7 2 495
$Y r
COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0404010027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: rEES PAID- BUILDING
TR: 13277 LT: 9 6109 CAMELLIA AV
FEE DESCRIPTION: QUW ITY: UOM: AMOUNT: TEMP CA 917801734
NEAREST.CROSS STREET:
5385-015-015 Al PERMIT ISSUANCE FEE - ZT.jS. THOMAS PAGE:-5% - GRID: -J2 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP ' 1.00 FAU 10:
JB AC UNITS +3-10HP 1.00 AG 19,65ISSM . . EXPIRES ON
LB 200 AMP PANELS, MCO _1.00 PAN 85 04/01/04VG Q9 /04 .
TOTAL FEES .20
BRAWLEY BARRIE J,•RODENBECK HELEMN G (626) 286-3457-
6109 CAMELLIA-AV - AL2 y
TEMP 917801731. DESCRIPTION OF 6MK
QPGR DE SERVICE 200 AMP AND INSTALL CIRCUITS FOR ACAPPLICANT: TEL. NO: '
MELEMNDEZ ELECTRIC (818) 897-5544-
AL COW ITION9-'
.
MCLENDEZ ELECTRIC -(8t8) 897-5544-
12326 SPRING TRAIL LIC. NO TEMPORARY POWER POLE
LJIKEVIEY TERRACE, CA 91342 677755-C10
ARCHITECT OR ENGINEER: TEL. UFER GR"D
LIC. NO-
. ROUGH CONDUIT
MAIN WATER LINE
PLASTIC Y/NI METAL Y/N'
UTILITY COMPANY WTIFIPD(
REPORT ID: OPR265 ROUTE TO: BS0508