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APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fADDRESS
UILDING ��.
BUILDING AND SAFETY DIVISION 3 - ' �. L
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D GRIFFIN, SUPT OF BUILDING OCALITY r^
FOR APPLICANT TO FILL IN AR ST.
PERM FEES
I T E M- NUMBERI EACH FEE OWNER off
�Y
OUTLETS. $ $ MAIL
LIGHTS RECEPT.L SW. .IO ADDRESS
LIGHTING FIXTURES ' .10 CITY TEL. NO.
ELEC. RANGES CLO. DRYERS ELECTRICIAN ISt
WATER H EATERS I •SD ADDRESS k4*132-
ELEC SPACE HTRS'DISHWASHERS - - p
GARBAGE DISPOSERS t AUTO.- CITY TEL. N0.Lil -
STATE
WASHERS STA. COOKING UNITS .25 LICENSE NO. C3
MOTORS OVER INC. H.P.
o— 1/2 ,25 s/ DIST R CT NO. GROUP zONE PR CES D BY
1/2— 2 so a INSPECTION RECORD
2— 5 1.00
5— is 1.50
IS— 50 2.50
50-200 5.00
NO. TRANS.
SIGNS:
NO. LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC
WIRING PERMIT 1.00 00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ 0 APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE I8 CORRECT AND AGREE TO COMPLY CONDUIT \
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I�
ELECTRICAL WIRING. WIRING L CX
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER /
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE UTILITY CO NOTIFIED 1,
OF PERMITTEE
FINAL i ,
VALIDAARTHUR C. VETT,
SUPERVISING ELECTRICAL ENGINEER
' - CK MO SH
�` bAC05 5 7 9°; APR 23 2 A 1 -090
' COUNT Y OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1306170022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID- I FEES PAID BUILDING ADDRESS 1
ON FILE I 5335 GOLDEN WEST AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803248
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LAS TUNAS 1
18589-003-016 IAl PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY CAI
I IG1 OUTLETS-LGT,SW,RECP 7 00 OUT 14.00
ITENANT IH2 RES GRBG DISP LT 3HP 1 00 DIS 11 00 (ISSUED ON PROCESSED BY PLAN BY 1
IH3 RES DISHWASHR LT 3HP 1 00 DIS 11.00 106/17/13 SR 1
IH4 RES RANGE HDS LT 3HP 1 00 HOO 11 00 1
(OWNER TEL NO I TOTAL FEES 74.80 IFINAL DAT FINA Y CODE
1LIANG,GOLDEN
CEI - �j��- `
15335 GOLDEN WEST AV
(TEMP 917803248 ID SCRIP N OF WORK
1 17 OUTLETS, GARBAGE DISPOSAL, DISHWASHER, RANGE HOOD FOR 1
(KITCHEN AND BATHROOMS REMODEL 1
(APPLICANT TEL NO 1
(WANG, CHEN (626) 327-7668-
13302 DELONITA AVE 1 ISPECIAL CONDITIONS 1
HACIENDA HTS 91745
CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
IAJS GENERAL CONTRACTOR INC (626) 327-7668- 1
13302 DOLONITA AVENUE LIC NO ITEMPORARY POWER POLE
IHACIENDA HEIGHTS CA 91745 961946 I
(UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I
I - I-
I
I LIC NO IROUGH CONDUIT
(ROUGH WIRING I 1
I I I I I
IMAIN WATER LINE
PLASTIC YIN METAL YIN
(UTILITY COMPANY NOTIFIEDI I
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