HomeMy Public PortalAbout9228 HECLA AVE_Electrical__ `=76A6%3� RES SA 7-51 APPLICATION FOR PERMIT
'i'_-DEPkRTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER / r„
DISTRICT NO. GROUP ZONE PERMIT N.O.
FOR APPLICANT TO FILL IN `� • �� ��
ELECTRICIANI/ h 4./���'. wv. N-ey A�
/, + RECEIVED BY READY FOR DATE ISSUED
_ADD.R��JJES94!7•, '1.l-1,-,1 /�� B�b1o1')a✓7_q' �i!'� /� ../�'✓, .� FIRST INSPECTION
CITY.A'��_ �d�l �. �i TEL. N13.&g- 21l.
COUNTY LICENSE NO. - EXPIRES -t<3 BUILDING q �o
PERmrT FEES ADDRESS
FEE
NUMBER EACH LOCALITY
LIGHT
LIGHT OUTLETSp NEARESTCR098 9T.
RECEPTACLES Edo.
WALL SWITCHES A A OWNER
TOTAL OUTLETS Sc $ rl rF.,d PAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT.THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENBE, 00_1 AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTT,IIAL7 PROPERTY DESCRIBED ABOVE.
%2 6 LESS $ .25 SIGNATURE OF/
V2 2 .50 PERMITTEE/
013
a s 11.500.5
5 15 INSPECTION RECORD
Q- ..a o� �.
15 so 2.50 V _c a 5 'e /-'`Y/ fj
so 200 5.00-- a lk (fl-)+H10 `-
_
2110 ' 1500 •1 0.011 J
500 1000 15.00 - a
OVER 1000 20.00
_ M.G. SET/FREQ. CHANGER-HP Q�
WELDERS:AC-KVA O
GENERATORS - KW
'TRANSFORMERS ° KVA
TEMP. MOTORS (75% of ORIG.) -
MOVED Q0TDRS (75% OF
MISC. i
SIGIYs
NO. NO.TRANS. APPROVALSNO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 0- 0 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ �`�` UTILITY CO.NOTIFIED
FINAL ��
76AS63 DBS 5A 7-51 APPLICATION FOR PERRM
]DEPARTMENT OF BUILDING AND SAFETY �
COUNTY OF LOS ANGELES ELECTRIC p;•I
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN , g .1 g Z
ELECTRICIAN IA ef,
v� ',v j ��� �� RECE VED BY READY FOR DAT ISSUED
ADDRESS FIRST INSPECTION
CITY �- •...F,a_+ . TEL. NOtC _.7 2-
COUNTY LICENSE NO. ✓ .I� EXPIRES -J&®S BUILDING �p3 n Pi, �Q
PERmrr FEES AODREHH V-% 2P /^� L
NUMBER EACH FEE LOCALITY7" -J" ///4L. �/ 7 _
LIGHT OUTLETS .� NEAREST I I �
RECEPTACLES / CROSS ST. 1/ /
WALL SWITCHES ! OWNER
TOTAL OUTLETS , Y 5C $ A 96 MAIL
ELEC. RANGES -�--cam 25 ADDRESS
ELEC. HEATERS .� 25 e.g CITY TEL. NO.
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER, FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVo. I OVER INC. EACH qq OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
t/ lop
A LEss $ .25 �G SIGNATURE OF
%2 2 .50 PERMITTEr• ,"
a
2 5 1.00 INSPECTION RECORD
5 15 7.50
15 50 '2.50 J/ ''kL
_ sO 200 5.00 S71QGL .� D H/7
200 Boo 10.as E?ns0 o�,�-L�,s` ova .�o✓ Q
Boo 1000 15.00 Z
OVER lonn 20.00 19
_ M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA _ /Sdf EJ j7-p� O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of ORI G.)
MOVED MOTORS (75% Or ORIO.)
MISC.
SIGNS
NO. NO.TRANS.
NO. NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE. INSPECTOR'S NAME
WIRING $1.00 G O CONDUIT 'L/&A
f .
FIXTURES $1.00 �f Q WIRING ��$'Zf
SUPPLEMENTARY .50
FIXTURES w
POWER
TOTAL FEE g B_� UTILITY CO. NOTIFIED
FINAL
'76%663 DBS 5A 7-51 APPLICATION-S OR PERMIT
DE 1�I�TI ENT OF BUILDING AND SAFETY
COUNTY OF LAS ANGELES. ELECTRIC
T
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN G f-103 IA G
/)�;� ,� �rS7 ` �•�` RECEIVED BY READY FOR DATE ISSUED
ADDRESS
,s / FIRST INSPECTION f/s #7_ d�
CITY �1.. �P 6 / TEL. NO
COUNTY LICENSE NO. 2OEXPIRES I �Zd:�� BUILDING !i? ry A
PF"IT FEES ADDRESS LL
NUMBER EACH /p/�
FEE LOCALITY �� .• 1 GZ
LIGHT OUTLETS NEAREST '•,I , / �`jy dam.
CROSS ST. Py°'I / V _
RECEPTACLES
WALL SWITCHES OWNER /ie S S-e �✓
TOTAL OUTLETS Sc $ MAIL
ELEC: RANGES 25 ADDRESS
ELEC. HEATERS 25 .CITY TEL. NO.
FIXTURES - 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS-CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS" THE ABOVE VALID LOS
NUMBER HORSEPOWER. FEE 'ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL-OWNER
NEW MvD. HP VER /2 6 mesa $EACH OF
�� OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OF
�% 2 .50 PERMITTED
2 5 1.00 INSPECTION RECORD
5 15 1.50 -
111 50 2.50
50 200 5.00
2013 500 10.00 J
500 1000 15.00 a
OVER 1.000 20.00 [� .
'M.G.
SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA e
TEMP. MOTORS (7S% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1,00 WIRING
SUPPLEMENTARY .50 ,� FIXTURES
POWER
TOTAL FEE $ UTILITY CO.NOTIFIED
Q o FINAL
. 76A663-CE806 11/70 QppdOC-QT00�1 X06°3 wet p .nm 7
COUNTY OF LOS ANGELES
..DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS _P�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY'
s
FOR APPLICANT'TO FILLIIN NEARESTCROSS ST. '
OUTLETS NO, IEACH FEE -
OWNER
$ $
RECEPT. 46 ADDRESS
MAIL-
LIGHT TOTAL
FIRST 20 .Z5, iJ�
OVER 20
CITY—y— TEL. N0.
SWITCH_ .10 PLAN CHEC '
LIGHTING FIRST 20 25 APPLICANT
'TOTAL ADDRESS
FIXTURES .OVER 20 10
APPLIANCES crTV TEL. No.
PERMIT
RANGE DRYER_WTR. HTR, .. APPLICANT i Y22d
STA: COOK DISP. F.A.U. ADDRESS, l, �!✓
SPACE HTR. AIR COND. - CITY �. TEL. NO.d-75"Ys7,1L
CLOTHES WASH.' DIS'HWASH. LICENSE NO. CLASS. "
FAN OTHER ,.00 I HEREBY ACKNOWLEDGETHAT I HAVE READ THIS APPLICATION
AND STATE-THAT THE�AB OVE 'IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO -
'I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1100 LICENSED .AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALI-FORNIA OR THAT I AM THE LEGAL OWNER.OF, AND TEND TO ,�
1 - 10 3:00 RESIDE IN, THE ABOVE-. CR B RESIDENTIAL OPERTY.
SIGNATURE OCJ
10 - 50 5.00 OF PERMITTEE
50 - 100 10.000
DISTRICT NO. CLASS ZONE < PROC SED BY V'
100 — 500
15.00 g JLu
SIGN,'GAS SIGN AND ONE CIRCUIT _ 5.00 NOTES: Z
TUBE, OR - - -
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CE NOT OVER 600 VOLTS OR 2100 AMP 3.00 -
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 20.0 AMP - 10.00 -
TEMP.POWER POLE -
TEMP.SERVICE,POLE, &APPURTENANCES• 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH'CONDI,UT
t
WIRING' .I{�t
FIXTURE`S
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK 'FEE
FINAL m- '-7� �r. ��
PERMIT ISSUING FEE 3.00 3 2XG JOSEPH C. ROOHAN .
TOTAL FEE SUPERVISING ELECTRICAL ENGIN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
r-
G JU1 _ _5
,' -- ;
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE804" 11-71 .. APPMCA HO 1 FOR ELEC IrMCQd- IPERWT
COUNTY OFA LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING r
BUILDING AND SAFETY DIVISION ADDRESS GLS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER
RECEPT.L $ $ MAIL
FIRST 20 25, -00 .
5® ADDRESS
LIGHT TOTAL !�
OVER 20 CITY TEL. NO.
SWITCH AD PLAN CHECK
LIGHTING
FIRST 20 "APPLICANT
-
TOTAL .25
OVER 20ADDRESS I
FIXTURES .1011
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS, �Q[G'L(/n✓(�,.
SPACE HTR. AIR COND. CITY TEL. NO �
CLOTHES WASH. DISHWASH. LICENSE NQ _yeCLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND'STATE THAT THEABOVE,IS CORRECT AND.AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE IN TYPE OVER TO
I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY•AND STATE OF
_H� CALIFORNIA OR AT I AM,THE LEGAL OWNER OF,.AND INTEND TO O RESIDE IN, T E A RIBED' RESIDENTIAL PR OPERTY. U 1 — 10 3.00 `J G�
10 - 50 5.00 SIGNATURE w
_ OF PERMIT E O
50 100 10.00F-
DISTRICTN6. CLASS PROC SSED Y N
100 - 500 15.00
h
SIGN, GAS =SIGN ONE CIRCUIT 5.00 NOTES: ��✓ � l .A
TUBE, OR n/
i
MARQUEE ADDITIONAL CIRCUITS 1.00 '
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00
TEMP:POWER POLE
TEMP SERVICE,POLE, at APPURTENANCES 5.00
'UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00 ,
ROUGH CONDI UT
WIRING ,
FIXTURES
POWER AUTHORIZED 'v
il PERMIT FEE (SUB TOTAL) -
UTILITY CO. NOTIFIED '
PLAN CHECK FEE
'�
' PERMIT ISSUING FEE 3.00 FINAL
TOTAL FEE
PLAN CHECK VALIDATION CK. M. CASH PERMIT VALIDATIONCK. M.O. CASH
AUO 0 7 3 5 Xl 21S 2 D 7.2 5* rz
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
t
C�1�1���rJJ�.//I�JJr�T Y��/����.' 6,P `�2�E�M P IL�/(�L� ���J()C //1��TX���rr��rJJ��))PERM 76A663C-�CE1606B_12/75 UUU U ��VCJW��M FOR L7LECYLIU�� K LSUUM
BUILDING AND SAFETY DIVISION
FOR-APPLICANT TO FILL IN - JOB ,.
New Residential Bldgs. & Pools EACH NO. FEE - ADDRESS /'
1 &2 Finaily Sq.'Ft. $ — $ LOCALITY TEA�y�/( L
Multi-family Sq. Ft. FNEAREST
Residential Swimming Pools CROSS ST. L
OWNER OR
FIRM NAME.
Outlets: Light, Switch& Receptacle MALL .
13 A
First 20 ADDRESS
ell
Additibnal CITY Tel. No.
PLAN CHECK
Lighting Fixtures - APPLICANT
First 20 ADDRESS
Additional
CITY Tel. No.
I
Fixed g ppliances Not Over 1 HP PERMIT
APPLICANT (JL
Ran a Heater_ D.W. ADDRESS YlJ 1)4) g
OvenDryer � W.M.
Top FAU W.H. CITY l -1 Tel. No. - y
Hood Fan LICENSE OR qq
REG. NUMBER
Disp. A.C. f(.U Class.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 0
AD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
NV
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W
Size&Type HP,.KW, KVA,or.KVAR ELECTRICAL WIRING.
cn
Up to 1 Incl. z
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM' THE LEGAL OWNER-,OF THE ABOVE
Over 10 YO 50 InCI. DESCRIBED RESIDEN/T/}�JL PROPt�}RTY, r
Over 50 to 100 InCI. PERMITEE ! / /1. r C 1
Over 100 SIGNATURE L_�l/I
DISTRICT NO. PROC SSED PY
Services
0-200 Amp. Under 600 V J &S,
201 -1000 Amp. Under 600 V APPROVALSDATE INSPECTOR'S .-
SIGNATURE
Over 1000 Amp.or Over 600 V
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits
ROUGH CONDUIT
(Other) - WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
TOTAL FEE NOTES
PLA; t; (fGKa�LALafDATI � �+�ppS-apg 1 = .ERMfT ,ALIDATION 1 M O CASH
s/� G i1
POLICY HOLDER._- _1�1 �1n:lala
POLICY NUMBER-
76A663C 868!2/75 &PPUMOZ FOR EL ECYREA PERM
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.& Pools
EACH NO. FEE ADDRESS
1 &2 Finaily Sq. Ft. $ — $ LOCALITY r
Multi-family Sq. Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets: Light, Switch & Receptacle MAIL
ADDRESS
First 20
Additibnal CITY Tel. No.
PLAN CHECK
APPLINT
Lighting Fixtures CA
First 20 ADDRESS
Additional qq /
CITY (?_107Tel. No.
PERMIT '
Fixed Appliances Not Over 1 HP APPLICANT l G.
Range Heater_ D.W. ADDRESSr
Oven Dryer —7—
W.M.
Top FAU W.H. CITY Tel. No. 33 71 S
Hood Fan LICENSE OR [� p�
Dis A.C.
^� REG. NUMBER 318' rT Class,e—�(� U
P.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
Size,&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING.LNG. LU
• a
Up to 1 Incl. ti
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR z
Over 1 to 10,Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA. OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 10 tO 50 Incl. DESCRIBED RESIDENTI L PROPERT
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
DISTRICT NO. P CES ED BY
Services �
0-200 Amp. Under 600 V 5G
201 - 1000 Amp. Under 600 V. 'APPROVALS DATE ISIGNATUURCTREE
Over 1000 Amp.or Over 600 V SIG
TEMP,. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT.
(Other) WIRING
FIXTURES
1
POWER AUTHORIZED
PERMIT FEE ( ub-Total) UTILITY CO.NOTIFIED ' Qv�{RJ I
PLAN CHECKING FEE (One- ourt wIt Fee) FINAL {/1
PERMIT ISSUING FEE , NOTES V7 /
TOTALFEE Ilk,
Z
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 77.51--?R 6 2 U 22.00 �. v
q)
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1209130013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
1TR: 17387 LT: 4 9228 HECLA AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803120
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18588-031-004 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 6.00 OUT 12.00 1
TENANT: 1H2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 IISSUED ON: PROCESSED BY: PLAN BY:
IH3 RES DISHWASHR LT 3HP 1.00 DIS 11.00 109/13/12 SR I
1H4 RES RANGE HDS LT 3HP 1.00 HOO 11.00 1 1
(OWNER: TEL. NO: 1 TOTAL FEES 72.80 IFINAL DATE FINAL BY: CODE:
(WANG LEECHUNG;LINDA (626) 232-2256- 1 1
19228 HECLA AV 1 1
(TEMP 917803120 1 IDESCRIPTION OF WORK 1
1 1 16 OUTLETS, GARBAGE DISPOSAL, DISHWASHER, AND RANGE HOOD
IFOR KICHEN AND 2 BATHROOMS REMODEL
1APPLICANT: TEL. NO: 1 1 1
IWANG LEECHUNG (626) 232-2256- 1 1
19228 HECLA AVE I ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 I 1 1
I I I I
I I I I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
1J C Y CO. (626) 676-9888- 1 1 1
112012 LOWER AZUSA ROAD LIC. NO I ITEMPORARY POWER POLE I I1
1EL MONTE CA 91732 582921 B I 1 11 1
I I (UNDERGROUND CONDUIT I I 1
i I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND 1 1 I
I LIC. NO: I (ROUGH CONDUIT I I1
1 1 ��r�� ROUGH WIRING
1
EX
�(j � ` t MAIN WATER LINE 1 j _1 I PLASTIC Y/N METAL Y/N 1 1
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(UTILITY COMPANY NOTIFIED(
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I (REPORT ID: DPR265 ROUTE TO: BS0508 ( 1 I 1
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