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76A663 CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY BUILDING
BUIILDING AND SAFETY DIVISION ADDRESS 4851t -N.' Fiesta
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY Temple City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT16 TOTAL NO EACH FEE
10 OUTLETS FIRST 20 $20 $ OWNER Peters
LIGHT00 MAIL
6 ADD L60 ADDRESS
SWITCH 10 .�— OVER 20 10
LIGHTING TOTAL FIRST 20110 20 2 00 CITY TEL NO
FIXTURES 1pOADR zo, o ELECTRICIAN R.L. Conlee & Son Ele
RANGES ICLO DRYERS WTR HTRe 100 ADDRESS 1930 N. Grandview Ave*
GARB DISP STA COOK CIT)SO, San GabrielTEL No At.0-200
DISHWASH AUTO WASH STATE '�� [,
SPACE HTRB STA APP (/s H P MAX ) 50 LICENSE NO V
MOTORS OVER NOT OVER HP DISTRICTN� GR P Z NE P E D B
O 1 foo
1 3 1 so INSPECTION RECORD
3 8 200
8 15 250
15 50 300
a
50 100 500 0
SIGNS NO TRANS
0
NO LAMPS
O
SERVICE O 600V NOT OVER 200A 1 100 Z O W
SERVICE O 600V OVER 200 A 200 H
SERVICE OVER 600V Soo ?
MISC
PERMIT ISSUING FEE 200 200
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE $ 60
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Q d-/ ✓ — i
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE OVE
DESCRIBED REBIDEN PERTY POWER
SIGNATURE
UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
LIDATION ARTHUR C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
U"9,6 8 7t2_ S& 3 2 D 1 ,O.6O- 1
7 i r
76A663 CE806 8/63 APPLICATION FOR EL ECTRICAL OERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 4851 N Fiesta
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY Temple C 1t
NEAREST
FOR APPLICANT TO FILL IN CROSS ST F
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER Peters
LIGHT MAIL
ADD 10 ADDRESS
SWITCH OVER 20
TOTAL CITY TEL NO
LIGHTING � FIRST 20 20
FIXTURES ADD 10 ELECTRICIAN R.L. Coulee & Son
OV R 20
RANGES CLO DRYERS WTR HTRS 1001 ADDRESS 10 30 N. Gran. dvlewp Ave.�7
GARB DISP STA COOK CITY S.San Gabriel TEL NO280-2001
DISHWASH AUTO WASH J STATE / C-l0
5 LICENSE NO 137 67 V
SPACE HTRS Z BTA APP (v,H P MAX) Z sO O
MOTORS OVER NOT OVER H P DISTRICT NO G OUP ZONE PRESSED BY
O 1 100 (_
1 s ISO INSPECTION RECORD
s 8 200
a
8 Is 250
15 SO 300
O
s0 100 Soo
V
W
SIGNS NO TRANS d
NO LAMPS H
Z
SERVICE O 600V NOT OVER 200A 1100
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE 2 O
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
SIDENTI OPERTY
DESCRIBED REPOWER
SIGNATURE d UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
VALIDATION ARTHUR C VEIT
( / MO CASH SUPERVISING ELECTRICAL ENGINEER
�/J
0 TP 27 2 D 2 0- r
TEMPLE CR"r `
76A663 CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 8 1 N. Fiesta
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER City WILLIAM A JENSEN SUP T OF BUILDING LOCALITY Temple C1 ley
NEAREST
FOR APPLICANT TO FILL IN CROSS ST LowerrAzus a
RECEPT 6 TOTALNO EACH FEE
LIGHT
1 OUTLETS FIRST 20 10 $20 $ 2 00 MAIL Peters
ADD L 10 ADDRESS
SWITCH 3i 10 OVER 20
TOTAL CITY TEL NO
LIGHTING F1RST20 120 PON
FIXTURES 1 ADD L 10 ELECTRICIANR.L Cionlee & Son i
OV R 20
RANGES CLO DRYERS WTR HTRS 100 ADDRESS1030 N Grand5
GARB DISP STA COOK CITYS. San GabrlelTEL NO 280-200
DISHWASH AUTO WASH STATE /Y
SPACE HTRS STA APP (1/.H P MAX ) 50 LICENSE NO 137567 C-10
MOTORS OVER NOT OVER H P DIS�21CT NYP ZONE P D
O 1 1100 1 _!rp
1 3 150 INSPECTION RECORD
3 B 200 (� cMDOW
8 15 250 f
15 50 300CL
f/ .. ) ,,� p a�yn 0
50 100 5 00 110G� TP" IF �� Y !� f2iJlr}s�^ U
SIGNS NO TRANS P ,7 / d',�� OL
NO LAMPS1�11C<J/,1
SERVICE O 600V NOT OVER 200A 100 1100A(lh/&I � � g��� ly
SERVICE 0 600V OVER 200 A 200 Z
SERVICE OVER 600V 500 +�
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE 20
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �J�/ �(,�► H
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR vg
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE OVE r (/
DESCRIBED RESIDEN OPERTY POWER p�
SIGNATURE UTILITY CO NOTIFIED o
OF PERMITTEE
FINAL �+
LIDATION ARTHUR`C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
t >�o 9 1 3 9 1131 mR 3 2 D 5 20 ,