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FIBAM-S-CEE806 5-82 APPLICATION FOR ELECTRI PERS IT
COUNTY OR LOB ANGELES
DEPARTMENT OR COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINRInt
WILLLAH A.JENWIN, SUPT OF BUILDING LOCALITY
N XAYdEST
F11i APP
C1ROM ST.
Cf TOTAL NO.
R[C[PT. OUTLETS FIRST 20 Sim ; � OWNER
LI[HT
I.Ao HAIL
ADD'L A ADDRXQG
DW ITCH. OVlIt 20 .1D '+
LIGHT TOTAL FIRST 20 .10 Q CITY T>�N0.
FIXTURES } , ADD'L 1D ELECTRICIAN
IL
ov It 20
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bIOTOFM ovot NOTovot HJ•. dST N GROUP ZON P D BY
O 1 1.00
VY -
1 a I.50INSPECTION RECORD
a 25 2.0.0 r
6 11! 2.50
is ao 3.00 -!3 a vOv
50 100 25.00
r O
•IGNeI NO.TRANS
NO.LAMM
O_
GJ3?VICIE 0.600V-Nar OVOt IOOA 1.00
Z
630WICE O-EOOV-OYMR 100 A. It.00
SERVIC=OVER a0OV 5.00
MIC.
P[1RJdrr ISSUING FtQ LOO
s1JrrL[YQrTAvy rwq rT 1SSULNG FIQ 100
TOTAL FlM ;
1 HrjtKwY AOQ*OALmai THAT 1 HAIR NKAD TMI> AITLM"ATION ALV DATZ
AND LTAU THAT TH= AbOVK u COWFA= AND A MM TO COIOLY CONDUIT
WITH ALL COUNTY ORDWAACJ[L AND LTATK LAW WGULATtma
VJCA VrpXAL WIRING
1 HROT Ca[17FT THAT 1 AM r116Atl-Y 19M.1- MID/OR '
LICOfOM) AL IRpUDIm NT LOG ANL<LCL COUNTY AND [TAT[ OF FIXTU I
CALtFO1RNIA OR THAT 1 AM THZ AAAAJ. OMNtA OF THI ALOVK
DCLgtn� rONO!
SIGNATURK UTl FI
OF Owr A;4
FINAL
ALIDATION ARTHUR C. VETT
CIC YO CASH SUrpRVIRING E xcnucAL ENc"mmR
� ,,.. .. .,, LAG03 3 8 321 X22 2 D
14.70 .
--
COURITY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0404200007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12998 LT: 46 BL: .001 9641 GIDLEY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804216
ASSESSOR INFORMATION NOPMERF- - NEAREST CROSS STREET: TEMPLE CITY BLVD.
8592-002-047 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C
JB AC UNITS +3-10HP 1.00 AC 19.65
TOTAL FEES 47.40 .
04/20/04 VG 10/17/04
OWNER: TEL. NO: FI DA FINAL BY: CME:
MIHO RTY TR RUBY MIHO TRUST (626) 579-4222- �w�
9641 G DLEY ST
TEMP 917804216
ELECTRICAL FOR NELI A/C
APPLICANT: TEL. W:
BRYANT HEATING AND AIR CONDITIONING (626) 286-1141-
SPECIAL
CONTRACTOR: TEL. W: APPROVALS DATE INSPECTOR SIGNATURE
BRYANT HEATING AND AIR CONDITIONING (626) 286-1141-
1350 E LAS TUNAS DR LIC. NO TEMPORARY POWER POLE
SAN GABRIEL CA 91776 221751 C20
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUNF-
LIC. N0: ROUGH CONDUIT
ROUGH WIRING
MAIN UATER LINE
PLASTIC Y/N METAL Y/N
REPORT ID: DPR265 ROUTE TO: BS0508