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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0207100022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGA ID: FEES PAID BUILDING ADDRESS:
TR: 12392 LT: 15 5556 HALLOWELL AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD CA 910078417
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: DAINES
8586-013-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 63 LOCALITY: TEMPLE CITY
Gl OUTLETS-LGT,SW,RECP 53.00 OUT 83.55
TENANT: G2 LIGHTING FIXTURES 15.00 LGT 29.25 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 07/10/02 JK 01/06/03
H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 FINAL DATE FINAL BY: CODE:
ADAIMY•JACKIE (626) 355-1451-206 H5 RES WASH MACH LT 3HP 1.00 WAS 10.95
5556 HALLOWELL AV LB 200 AMP PANELS, MCC 1.00 PAN 38.85 �� Z
ARCD 910078417 TOTAL FEES 223.20 DESCRIPTION OF WOR
ELECTRICAL FOR ADDITION/REMODEL
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 G
i PLASTIC Y/N METAL Y/N
!I
UTILITY COMPANY NOTIFIED
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REPORT ID: DPR265 ROUTE TO: BS0508