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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0507070012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 13329 LT 44 5000 CLOVERLY AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803812
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LA ROSA
8590-019-001 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY C
B2 1 OR 2 FAMILY DWELL 5575 00 SQ 585 38
TENANT TOTAL FEES 613 13 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
07/08/05 JK 01/04/06
OWNER TEL NO FINAL DATE FINAL BY CODE
KAI HENRY (626) 833-2792- _ (
5000 CLOVERLY AV
TEMP 917803812 DESCRIPTION OF WORK
ELECTRICAL FOR NEW RESIDENCE
APPLICANT TEL NO
SAME AS OWNER -
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO UFER GROUND
LIC NO ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID DPR265 ROUTE TO BS0508