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Home My Public Portal About9529 1/2 LAS TUNAS DR_Electrical__ 76A663-CE806 4-65,5 APPLICATION FOR ELECTRICA PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 9529Y2 Las Tunas Urive BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE,.COUNTY ENGINEER Tem le Cit COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Y NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPTACLEI TOTAL NO. EACH FEE L OUTLETS I FIRST 20 $.20 $ OWNER emple City Appliance Ceryic LIGHT J} -MAIL 9529h Las Tunas Drive SWITCH ADD'L 10 ADDRESS OVER 20 _ TOTAL FIRST 20 .20 CITY Temole Cit TEL. NO. LIGHTING FIXTURES Hub Sion and Neon FIXTURES ADD'L 10 CONTRACTOR OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 3134 Maxson Rd. GARB.DISP. STA.COOK CITY E1 Monte TEL.NO. 448-7077 DISHWASH. AUTO.-WASH. STATE 19 SPACE HTRS. STA.APP.(yz H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIS I Op N P E O 1 1.00 0 ^ E 1 3 1.50 INSPE ION RECORD 3 8 2.00 S 15 2.50 d 15 50 3.00 O 50 100 5.00 V i1C SIG S: NO.TRANS- O NO.LAMPS SERVICE 0.600V-Nor OVER 200A 1.00 d N SERVICE 0.60OV-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 ov SUPPLEMENTASY PERMIT ISSUING FEE 1.00 TOTAL FEE $ APPROVALS DATE INSPECTOR'S SIGNATURE IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO POWER RESIDE IN,THE AB CW:2E RESIDE IAL PROP Y. SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE 0CK 1DATION JOSEPH C. ROOHAN MO CASH SUPERVISING ELECTRICAL ENGINEER 1 LAUo 3257-,D JUL 5 2 0 4.0.0 APPLICATION pq_ Igy,.�� (q_ PERMIT.pip/ppyl 76A653 APPLICA 9 ION FO ■ ELECTRIC i E tlMIT DBS•SA�3.55 "DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles P ;mss Bu1LDING WM.J. FOX, COUNTY ENGINEER:- ' / l ADDRESS CASSATT D.GRIFFIN. SUPT OF Bu_IioiNG LOCALITY FOR APPLICANT TO FILL IN IT71NEAREST PERMFEES CROSS ST. NUMBER EACH FEE LIGHT OUTLETS /' OWNER RECEPTACLES MAIL r ADDRESS WALL SWITCHES / TOTAL OUTLETS 5¢ $ CITY TEL. NO ELEC. RANGES 25 ELECTRICIAN 1. f _ELEC. HEATERS 25 ADDRES KW EA CITY TEL. NO. - FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS - DISTRICT NO. 1GROUP ZONES I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS RCUITS N 15Ti�__ , �„�aL> `-\ NUMBER HORSEPOWER FEE v INSPECTION REC(O�fRD NEW MVD. HP OVER INC. EACH u tat'slq� �`p.�•••� I��,��p-'6'��.,�'/,Jp' '^-�,.R-/'/ 1/2&LESS $ .25 1/z 2 .50 ' 2 5 1.00 5 15 1.50 is 50 2.50 50 1 . 200 5.00 A MISC. � NO.SIGN NO.TRANS. 02,- NO. LNO.SIGNS NO.LAMPS I � FOR EACH PERMIT: WIRING $1.00 1 FIXTURES $1.00 _ SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ F DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND 'AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPS REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGEL CUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE L WNER OF HE ABOVE POWER DESCRIBED RESIDEN TY• UTILITY CO. NOTIFIED SIGNATURE 11- OF PERMITTEE FINAL WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR `O 1.4 2:' WV 1 2 2.0 0 ' 7"dim-CE8063 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING/�' BUILDING AND SAFETY DIVISION ADDRESS �.�5 UGHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,Sup'T OF BUILDING LOCALITY FOR APPLICANT TO FILL, 1N NEAREST PERMIT FEES CROSS ST. ITEM NUMBER EACH FEE OWNER ,C' OUTLETS: - $ $ MAIL LIGHTS RECEPT. SW. 1O ADDRESS LIGHTING FIXTURES 10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ,G✓ /¢ S ELEC.SPACE HTRS. DISHWASHERS CITY!Z /� TEL. NO. (p GARBAGE DISPOSERS AUTO.- _ STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DIST RI T NO. I GROUP ZONE PROCESSED BY 0— 1/2 .25 1/2- 2 .50 INSPECTION RECOfW 2— 5 1.00 5— 15 1.50 IS— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT EI ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANG S COUNT AND STATE OF FIXTURES 1 CALIFORNIA OR THAT 1 AM THE LEGA N R OF THE ABOVE DESCRIBED RESIDENTIAL PROP R POWER I SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL ®a % DATION SUPERVISING EL CTRICAL•ENGINEER CK MO CASH - 76A663-CEBOG-11-10 A P P L I C A T I O N FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ABUILDING DDRESS BUILDING AND SAFETY DIVISION CISA. LAE, County Engineer CASSAT.r DMSI. GRIFFIN,Supt of Suildim LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERMT FEES ,. ITEM NUMBER EACH FEE OWNER OUTLETS: S S MAIL LIGHTS RECEPT. SW. .10 ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES 'CLO.DRYERS ELECT.RICI. WATER HEA 7 ER S .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL.NO. 7 WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. 0 — 1/2 .25 DISTRICT NO. GR P NE READY FOR INSPECTION 1/2 — 2 .50 z - 5 1.00 INSPECTION�t RECORD 5 — 15 1.50fvf` 15 — 50 2.50 �� -�� (� _ ✓ 50— 200 5.00 SIGNS: NO.TRANS. .. NO.LAMPS SERVICE 0-600V 1.00 . SERVICE OVER 600V - 5.00 MISC. WIRING PERMIT 1.00 ' FIXTURE PERMIT 1.00 - SUPPLEMENTARY PERMIT .50' TOTAL FEE $ -. 0-e APPROVALS ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWN R OF THE ABOVE POWER /f DESCRIBED RESIDENTI 'PRO RTY. i / SIGNATURE ,tl UTILITY CO.NOTIFIED p/ '"� OF PERMITTEE - za x-�'`./ FINAL VALIDATI ARTHUR C.VEIT, SUPERVISING ELECTRICAL F-NGINEER 'f CK MO �,. 6 7 1 7 NOV 17 A . 2.00 � 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Z 2 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY t NEAREST / t FOR APPLICANT TO FILL IN CROSS ST. G RECEPT. TOTAL NO. I EACH FEE OUTLETS FIRST 20 $20 $ OWNER LIGHT MAIL ADD'L 10 ADDRESS SWITCH. OVER 2O TOTAL CITY TEL.-NO. LIGHTING F`IRST20I .20 FIXTURES ADD'L -10 ELECTRICIAN OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS Q GARB.DISP. STA.COOK J CITY , TEL. NO. DISHWASH. AUTO.-WASH. STATE 2 SPACE HTRS. STA.APP.0A H.P.MAX.) .50 LICENSE NO. / MOTORS: OVER NOT OVER H.P. DISTRICTiO. MIN' ZONE PRO SSED BY 0 1 1.00 S% ) �f L 1 3 1.50 INSPECTION RECORD 3 6 2.00 �� 8 IS 2.S0 ? 15 50 - 3.00 y- a 50 100 5.00 C> V SIGNS: NO.TRANS NO.LAMPS 0 O I.- SERVICE SERVICE 0.60OV-NOT OVER 200A 1.00 W SERVICE 0.60OV-OVER 200 A. 2.00 a' N SERVICE OVER 600V 5.00 ? MISC. d PERMIT ISSUING FEE 2.00 �1 V SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR r LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE GA ER OF THE ABOVE ' DESCRIBED RESIDE PE POWER SIGNATURE UTILITY CO.NOTIFIED_ ��`fit OF PERMITT@ 1 FINAL U -ZI'�� ''� LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 1 j 2 7 9 0 i�OV 2 1 2 D 4.00 N 6A663-CE806 5-62 APPLICATION FO E.LECTRICAt PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER '�-- WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY / C [NEAREST FOR APPLICANT TO FILL IN CROSS ST. I RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $20 $ OWNER lY LIGHT MAIL ADD'L 10 ADDRESS _ SWITCH. OVER 20 TOTAL ) LIGHTING 1 F1R5T 20 .20 CITY TEL. NQ,? FIXTURES 1 ADD'L OV 2O 10 ELECTRICIAN R RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK _ CITY T L.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(y¢H.P.MAX.) .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT7.O. GROUP ZO IE PR - SSED BY O 1 1.00 9 _ 1 3 1.50 _ INSPECTION RECORD 3 8 2.00 8 15 2.50 d 15 50 3.00 0 50 100 5.00 O SIGNS: NO.TRANS. U NO.LAMPS W a SERVICE 0-600V-NOT OVER 200A 1.00 N Z SERVICE 0.60OV-OVER 200 A. 2:00 SERVICE OVER 600V 5.00 MISC. aU PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ OIJ IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION APPROVALS DATE J INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 7, ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED A9 REQUIRED BY LOS A EL UNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM TH }'EGAL WNER OF THE ABOVE DESCRIBED RESIDEN OPE/-Y. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE FINAL LIDATION ARTHUR C. VEIT MO CASH SUPERVISING ELECTRICAL ENGINEER CK u �;o7 1 67 0N NOV20 2 D 4.00 TEMPLE CITY 76AG69-CE60610-69 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDINGS�/( �� BUILDING AND SAFETY DIVISION ADDRESS /S Z JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY - �IIIIIIIIIIII AL FOR APPLICANT TO FILL IN NEARS T. PERMT FEES OWNER ITEM NUMBER EACH FEE MAIL OUTLETS: $ ADDRESS LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES 10 CITY TEL.NO. i ELEC.RANGES CLO.DRYERS ELECTRICIAN WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. GARBAGE DISPOSERS AUTO.- STATE WASHERS STA.COOKING UNITS .25 LICENSE NO. MOTORS: OVER INC. H.P. DISTRICT . jROUP ONE PRO S D Y 0— 1/2 .25 IIS � 1/2- z so INSPECTION ORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 NO.TRANS. SIGNS: NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. n n v o WIRING PERMIT .00 00 _ FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50 TOTAL FEE S a G o IH ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS •DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I � WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT �r _ ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE FIXTURES DESCRIBED RESIDEN/Tj.AOPERT/ POWER I ,d I �[./ SIGNATURE 1 UTILITY CO.NOTIFIED OF PERMITTEE t Iy . FINAL �.�:��®.aY 1....••/'1r�/F��:�! ®F DATION ARTHUR C.VEIT, MO CASH SUPERVISING ELECTRICAL ENGINEER CK 5 2 9 3 Nov ?0 2 D 2.0 0 lk 76A663-CE806 4-68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. 'r?_NO. EACH FEE RECEPT._ $ $ OWNER MAIL 61 LIGHT TOTAL FIRST.20 .20 ADDRESS " :�j •.C,y2�s,� /�,(• SWITCH_ OVER 20 ..10 CITY TEL. NO. y PLAN CHE LIGHTING TOTAL FIRST 20 201 APPLICAN FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_DISP. F.A.U._ ,CON TRACTOR �yvL SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY TEL. NO. FAN—OTHER 1 1.00 LICENSE NO. t Cf-7 _ �_ r CLASS. —�• MOTORS.TRANSFORMERS RATING - IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED 'AND/OR 1 — 10 3.001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO 10 — 50 5.00 RESIDE IN, THE ABOVE DESCRIP.ED RESIDENTIAL PROPERTY. SIGNATURE 50 — 100 110.00. OF PERMITTEE O 100 — 500 15.00 V DISTRICT NO. GROUP ZONE PR CESSED BY Dt SIGN,GAS SIGN AND ONE CIRCUIT 3.00 J G�L' i O --'Z �G U TUBE, OR MARQUEE LLJ ADDITIONAL CIRCUITS 1.00 NOTES: - O_ CL SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 Z SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 6_0 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE ,j (,,' JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1410200075 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 6561 LT: 281 1 9529 LAS TUNAS DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802105 1 IASSESSOR INFORMATION NUMBER: i I NEAREST CROSS STREET: I 18587-013-013 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI F1 120V, 15/20A BR CKTS 1.00 BR 17.30 (TENANT: IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 4.00 (ISSUED ON: PROCESSED BY: PLAN BY: I TOTAL FEES 49.10 110/20/14 SR I I I I (OWNER: TEL. NO: IFINAL DATE NFINAL/ABY: CODE: I IPYEATT, JILL (626) 287-0948- 19529 LAS TUNAS DR I ITEMP 917803333 1 IDESCRIPTION OF WORK 1 I 1ADD 15 AMP CIRCUIT AND PLUG IN PHONE ROOM FOR ATT (APPLICANT: TEL. NO: I I IGONZALEZ, JOSE J (760) 680-5179- I 11921 W ELEVENTH ST I ISPECIAL CONDITIONS: (UPLAND CA 91786 I I I I I (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I IVCI CONSTRUCTION (909) 946-0905- 1 1 11921 W 11TH STREET LIC. NO ITEMPORARY POWER POLE 1UPLAND CA 91786 765716 I (UNDERGROUND CONDUIT I I I ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND _ I I I 1 LIC. NO: 1 IROUGH CONDUIT I I I IROUGH WIRING I I I IMAIN WATER LINE I IPLASTIC Y/N METAL Y/N I I I I I I I I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I