HomeMy Public PortalAbout9555 LAS TUNAS DR_Electrical__ 768663-CE806 10,72 APPLICATION F R ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 9555 Ias Tunas
LOCALITY Temple City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST, Primrose
OUTLETS NO. EACHI FEE OWNER OR
$ $ FIRM NAMem le c ity Chamber of Comme
RECEPT._ MAIL
FIRST 20ADDRESS
LIGHT TOTAL .25
CITY TEL. N0.
SWITCH OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT 1`lV(?
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS /� .,( (xA0^
SPACE HTR. AIR COND. CITY dj.4 TEL. NO. �j 6
CLOTHES WASH. DISHWASH. LICENSE OR
CLASS.c-
REG. NUMBE
FAN OTHER 1.00 1 HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 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
0 - 1 1.00 LICENSED AS REQUIR D BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH I AM THE LEGAL OWN OF THE ABOVE
1 - 1O 3.00
DESCRIBE REST NTIAL PROPE O
U
PERMITE
10 - 50 5.00 SIGNATOR O
I
50 - 100 10.00 W
DISTRI T N .
T
ROCE SED BY a
100 - 500 15.00 o Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS ' DATE INSPECTO 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
Y,mas Street Lighting IFINAL
THORIZED
25 sockets O. NOTIFIED
9
f /
PERMIT FEE (SUB TOTAL) 1-7
PLAN CHECK FEE erPERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Fee Waived'. 1DEC 5 4. U .� (� A`1b
-- _
City Manager
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
r
76A663-CE806 11-71 APPLICATION� FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 9555 Las Tunas
LOCALITY Temple City
NEAREST �y� y�yy�
FOR APPLICANT TO FILL IN CROSS ST. Prix ose
OUTLETS N0. EACH FEE
s $
OWNER Temple Cit Chamber of Co coerce
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
CITY TEL. NO.
SWITCH OVER 20 .10
PLAN CHECK
FIRST 20 25 APPLICANT
LIGHTING TOTAL
OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TE 'No.
PERMIT
RANGE DRYERWTR. HTR. APPLIC
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY I 'i a(/ TE NO.
CLOTHES WASH. 01SHWASH. I LICENSE NO. O CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 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 1 AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I .THE EG,L OWNER F, AN INTEND TO
1 - 10 3.00 RESIDE IN, TME OVE DES E, RES ENT PROPERTY.
,� 0
- - 50 5.00 SIGNATURE
1
OF PERMITT - -=r'L O
50 100 10.00
DISTRICT NO. CLASS IZONE - PROCIISSED BY IU
100 - 500 15.00 .�C?g C_ N
SIGN, GAS =SIGN ONE CIRCUIT 5.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 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, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
V ROUGH CONDI UT
Ymas Street Li htin WIRING
25 sockets
FIXTURES
POWER AUTHORIZED
PERMIT FEE - (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL _ ! 7
PERMIT ISSUING FEE 3.001 1
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CA RMIT VALIDATION CK. M.0. CASH
Fee Waived:
ity Manager 4 4 0 D .e,;0-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -
� ye
76A663-CE806 11/70 APPLICATION FOR* ELECTe&L- - PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 9555 Las Tunas
BUILDING AND SAFETY DIVISION . ADDRESS
LOCALITY Temple City
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST Pr1mrOS2
FOR. APP=LICANT•TO FILL IN - 4OWNER
CROSS ST.
OUTLETS NO. EACH FEE Temple City Chamber of. Commerc
RECEPT. $ $_ MAIL
LIGHT TOTAL FIRST 20 25. ADDRESS '
SWITCH OVER 20 ,10
- CITY TEL. NO.PLAN CHECK
LIGHTINGFIRST 20 25 -APPLICANT`
TOTAL ADDRESS
FIXTURES OVER 20 10 -
.APPLIANCES CITY TEL. NO.
PERMIT
.'RANGE DRYERWTR. HTR, APPLIC
STA. COOK DISP. F.A.U. ADDRESS'S_j/
SPACE HTR. AIR COND. CITY (,Z,f„ ' EL. NO. -2'j•3.�
CLOTHES WASH. DISHWASH. LICENSE NO."l q CLASS.C_I-b
FAN - OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION
AND STATE THAT THE ABOVE 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
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT. I AM THE LEGAL OWNER OF, AND INTEND TO �-
1 - tO 3,00 RESIDE N, THE ABOVE DEE S�i1BED R SIDE NT AL PROPERTY. O
10 - 50 5.00 SIGNATURE V
OF PERMITTEE
50 - 100 10.00 0
DISTRICT NO. CLASS ZONE PROLES ED BY F
100 - 500 15.00 $ a
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: N
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOTOVER600VOLTS OR200AMP 3.00
APPROVALS DATE. INSPECTOR'S SIGNATURE
SERVICEOVER 600•VOLTSOR200AMP_ 10.00
TEMP.POWER POLE
TEMP.SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
Xmas Street Lighting WIRING
25 sockets
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) -
UTILITY CO. NOTIFIED
PLAN CHECK FEE - -
FINAL '
PERMIT ISSUING FEE, 3.00'
JOSEPH C. ROOFIAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.. M.O. CASH
FE WAI ED-
-140V an ger
L:"~tri? ` 10V 2 2 4 o D .G
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _
76A663-CE8061,70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS 9555 Las Tunas
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY Temple City
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.Primrose
OUTLETS NO. EACHI FEE
OWNER
RECEPT. $ $_ MAIL Temple City Chamber Of Commv.
LIGHT TOTAL
FIRST 20 20 ADDRESS
CITY- TEL. NO.
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYERWTR: HTR. APPLICANT
STA. COOK - DISP. F.A.U., - ADDRESS
SPACE HTR, AIR COND. CITY ? TEL. N0.
CLOTHES WASH. DISHWASH. LICENSE NO. /��0•�� CLASS.�''�Q
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
.1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0'- 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW OF, AND NT END TO
1 - 10 3.00 RESIDE IN, THE CRI PIED ES ENTIAL ROPERTY.
SIGNATURE 2
10 - 50 5,00 OF PERMITTEE I �' _ Q
50 - 100 10.00 DISTRICTNO.. CL�S,fi�� ROUP qNE PROFESSED BY �:_.
100 - 500 15.00 �/' O
SIGN, GAS �W
SIGN AND ONE CIRCUIT 3.00 - NOTES: d
TUBE, OR - h
MARQUEE ADDITIONAL CIRCUITS 1.00 z
SERVICENOTOVER600VOLTS OR200AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600 VOLTS OR 200AMP 5.00
TEMP.POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00 -
ROUGH CONDIUT
Xmas Street LiWIRING
25 sockets
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
FINAL , /4.s
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOSEPH'C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGI.NEEP,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Fee waived: " %.,- - , 6
C �J Ma �] }pry I f
SEE BACK OF APPLICATION FOR C MPLETE �IT$&ff
76A663-CE806 3-69
APPLI-CATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �S^
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS S
NO, EACH FEE
$ $ OWNER
RECEIPT. MAIL
LIGHT TOTAL
FIRST 20 .20 ADDRESS
CITY TEL.N0.
SWITCH OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES }_i OVER 20 .10 ADDRESS
RANGE DRYER_WTR. HTR. CITY TEL NO.
STA. COOK_DISP. F.A.U. CONTRACTO
SPACE HTR AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.N0. 3
FAN OTHER 1.00 LICENSE N0. :7136 CLASS. (f-/40
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND, HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF }
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0
10 - 50 5.00 U
SIGNATURE
50 - 100 10.00 OF PERMITTEE
0
iDD - 5DQ 15.00DISTRICT NO. GROUP ZONE O 55ED BY V
� W
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 O� N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
.TEMP. POWER POLE
MAI UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
JOSEPH C. ROOHAN
TOTAL FEE Fee waived:
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION C PERMIT VALIDATION ept.
SEE BACK OF APPLICATION FOR COMPLETE_ FEE 5CHF.DULF.
I6A663-CEB06 10-60 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES 1
DEPARMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS �3
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF.BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN• CROSS ST.
PERMIT FEES OWNER
I T E M NUMBER EACH FEE MAIL -
OUTLETS:
LIGHTS RECEPT. SW. .10 ,
CITY - TEL. NO.
LIGHTING FIXTURES . 1O _
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. _ DISTR�T�V;V0. GROUP ZONE
N I PROCESSED B
1/2-, 2 .'.5O - �-. INSPECTION' RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50— 200 5.00
SIGNS: NO TRANS.
NO.LAMPS - 0.
N
SERVICE 0-600V
a
—.1.00
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT 1.00 V v
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 15 CORRECT AND AGREE TO COMPLY -
WITH ALL. COUNTY ORDINANCES AND STATE LAWS'-REGULATING CONDUIT
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 THA I AM THE LEG L OWN OF THY BOVE -
DESCRIBED RESIDE. A PROPERTY. POWER ,
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL 4/
(DATION ARTHUR C. VETT .
- CK. MO CASH 'SUPERVISING ELECTRICAL ENGINEER
MAPLE COTS ��-
78A669-CE806 10-58 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERT
DING ��
BUILDING AND SAFETY DIVISIONRESS (JOHN A. LAMBIE. COUNTY ENGINEERWILLIAM A.JENSEN,SUPT OF BUILDING ALITY t �JFOR APPLICANT TO FILLIN REST
PERMIT FEES cRoss sr. //
/ d ZeZ44t 4,-
ITEM NUMBER OWNER EACH FEE
OUTLETS: $ $ MAILADDRESS
LIGHTS RECEPT. a SW. .10
LIGHTING FIXTURES 10 CITY TES..-NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
�t Jwv,tiC
WATER HEATERS .50 ADDRESS 4
ELEC.SPACE HTRS. DISHWASHERS p� ''7�4 L
CITY �i TEL. NO',++
GARBAGE DISPOSERS AUTO.-
STATE ( /
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS:. OVER INC. H.P. DIST CT NO IG OUP Z NE P C E BY
O— 1/2 .25 �C I
1/2- 2 •50 CTI
�`INSPEO / ORRD f�
2— 5 1.00 ! 4 YI,
5— 15 1.50 ! �.
Ir f
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1..00
SERVICE OVER,600V 5.00
MISC. //
DO
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I 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
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENTIALP PERTY. /I POWER
SIGNATURE 1 �'.i'1. UTILITY CO.NOTIFIED
OF PERMITTEE'
FINAL
OF LIDATION ARTHUR C.VETT.
SUPERVISING ELECTRICAL ENGINEER
CK MO CAS,fiSH �{}u 2 �"] f� 0
I6A663-CE806 5.62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING +Ss
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'T OF BUILDING LOCALITY c e,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE 1
OUTLETS FIRST 20 $.20 $ OWNER"
LIGHT MAIL
A DO'L 10 ADDRESS
SWITCH. OVER 20
TOTAL CITY TEL. NO.
LIGHTING FIRST 20 .20
FIXTURES ADD'L 10 ELECTRICIAN
OV R 2062 G4Z
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS O
GARB.DISP. STA.COOK
CITY [ TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(+/z H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT GROUP . ZONE P O_,_ D BY
0 1 1.00
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50 d
15 50 3.00 O
V
50 100 5.00
O
SIGNS: NO.TRANS"
NO.LAMPS
W
CL
SERVICE0.60OV-NGT OVER 200A 1.00 N
Z
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MIS .
(J
1
PERMIT ISSUING FEE 2.00
SUPPLEMENTASY PERMIT ISSUING FEE 1.00
TOTAL FEE $ G6
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP KATION APPROVALS O(ATTS INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT / /_ v_
WITH ALL COU NTY ORDINANCES AND STATE LAWS REGULATING `
ELECTRICAL WIRING. WIRING n I /l fjTJ,-/ ,�'•/I W/
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR / V
LICENSED AS REQUIRED BY LOS AN ELES, OUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE EG HER OF THE ABOVE
DESCRIBED RESIDENT OPE POWER
SIGNATURE - UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
VMO CASH ALIDATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
CK
L i Go 7 1 6 5 NOV 2 0 2 D 4,00-
�,
76AGSS-CESOB 9-68 APPLICATION FOR ELECTRIC .PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS � �`
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES cRoss sr.
OWNER -:
I T E M NUMBER EACH FEE MAIL
OUTLETS: S $ ADDRESS
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 CITY TEL.NO.
t-
ELEC.RANGES CLO.DRYERS ELECTRICIAN 6 /\
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY.5,0</( TEL. NO �.✓�
GARBAGE DISPOSERS AUTO.- 7�
STATE
WASHERS STA,COOKING UNITS .25 LICENSE NO. 6—Ce7 tc
MOTORS: OVER INC. H.P. _ DISTRI T NO. I GROUP I ZONEI P ESSED BY
0— I/2 .25 ?—
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE- INSPECTOR'S SIGNATOR
AND STATE THAT THE ABOVE IS CORRECT AND*AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE—L AL OW UR OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER E' --
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
FINAL
®F (TZATION - - SUCASHERVISING EL.CTRICAL ENGINEER
` � t/
�ll�l yw'.
I6A663.CEV610-60 APPLICATION_ F®R ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARMENT.OF,COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS 3 a
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
01
PERMIT FEES OWNER "
1 T E M NUMBERI EACH FEE MAIL
ADDRESS
OUTLET $ 5
LIGHTS RECEPT..� SW. v .10 CITY TEL. NO.
LIGHTING FIXTURES .10 ELECTRICIAN
ELEC. RANGES CLO. DRYERS
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS +�
CITY✓ �, EL NO.
GARBAGE DISPOSERS - AUTO.- STATE
WASHERS STA.COOKING UNITS ,25 LICENSE NO. yT
MOTORS: OVER INC. H.P. DISTRICT No. ) OUP SONE P SSED BY
0— 1/2 .25 I l_ f ,
yz - z 50 / INSPECTION RECORD
2— S 1.00 ?c" e CL
5— 15 �y a a
1.50 O.
15— 50 2.50
50— 200 5.00 G
NO TRANS. - Lu
NO.LAMPS d
N
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT - 1.00
FIXTURE PERMIT 1.00 -�
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS.APP (CATION -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 c Z 7' Gr/ 7_y�-.+. K.CA^�`•
1HEREBY 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 LEGA OWNER, OF THE ABOVE / -
DESCRIBED RESIE AL PROPERTY. POWER A /
SIGNATURE ', UTILITY CO:NOTIFIEDCr
OF PERMITTEE_' �.1•
FINAL _
'VALIDATION ARTHUR C. VEIT
cK MO CASH. SUPERVISING ELECTRICAL ENGINEER. .
cs
IBA889-CEBOB 70-80
`l APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESSS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY C Ci V
ml, NEAREST /
FOR APPLICANT TO FILL IN cRoss ST.
PERMIT FEES OWNER ML45
1 T E M NUMBERI EACH FEE MAIL
OUTLETS: $ $ ADDRESS
LIGHTS RECEPT. SW. •1O CITY C TEL. NO. / 7-66 6 L
LIGHTING FIXTURES ,10 �"
ELEC. RANGES CLO. DRYERS ELECTRICIAN i [��, ✓
W A T E R HEATERS .50 ADDRESS U IL- Cl /OSI
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL NO. —
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS ,25 LICENSE NO. 0 �I
MOTORS: OVER INC. H.P. DIST ICT O. G UZP tpNE I P ESSED Y
O— 1/2 .25
G. � L
1/2- 2 .50 `' K
INSPECTION RE
2— 5 1.00 � p �:71y1�� 0
5— 15 1.50 Asf/� t �r � J ! <f:''V
Cie
15— 50 2.50 4 = O
so— 200 5.00 ri
LLL
SIGNS: NO TRANS. (n
NO.LAMPS �
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT 1.00 0
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 1 .50
TOTAL FEE $
1
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT.AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/01,LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AMHE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA R ERTY. _ POWER ) /I
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEP FINAL
VALIDATp A THUR C. VEIT
CK Mo cases SUPERVISING ELECTRICAL ENGINEER
Ldry.t10 0 6 1 61 JUL ;?7 2 D 1 ,5 u � .
.76A663-CE806 B-62 ' APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING `
BUILDING AND SAFETY DIVISION ADDRESS �L�SJ^
JOHN A. LAMBIE. COUNTY ENGINEER �• p
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY / I
NEAREST -. -.
FOR APPLICANT TO FILL IN CROSS Sr. 1 1
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.20 $ OWNER
LIGHT MAIL v _
ADD'L 10 ADDRESS
SWITCH. OVER 20
FIRST 20
LIGHTING
TOTAL F .20 CITY TEL. O.
1 I '
FIXTURES J ADD'L10 ELECTRICIAN
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY t TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(%z H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER 1 NOT OVER H.P. DISTRICT NO. GROUP ZONE P ESSED BY
O 1 1.00
1 3 1.50 IN, RECORD
3 8 2.00 op /63 5,w 0<7
8 15 2.50
15 50 3.00 P
50 100 5.00 / " U
SIGNS: NO.TRANS cz
NO.LAMPS O
N
SERVICE 0.60OV-NOT OVER 200A 1.00 u
W
IL
SERVICE 0-60OV-OVER 200 A. ZOO, to
SERVICE OVER 600V 5.00 Z
MISC. G(j
PERMIT ISSUING FEE 2.00 �0
SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00
TOTAL FEE $ 0G
1 HEREBY ACKNOWLEDGE THAT ['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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I M 7HE GAL O OF THE ABOVE
DESCRIBED RESIDENT PERTe POWER L
SIGNATURE / UTILITY CO.NOTIFIED �� -�' - - 4z
OF PERMITTEE
FINAL t l -Z /- 6
VALIDATION ARTHUR EIT
OCKMO CASH SUPERVISING ELECTRICAL ENGINEER
La %o2 7 9 9 NOV 21 2 D 4.00 N �'
76ABe3_CESOB_it-to, APPLICATION F®R.. ELECTRIC PERMIT 1�
COUNTY OF LOS ANGS `
DEPARTMENT OF COL— C
INPER 13UILDING f�
BUMDING AND SAION
ADDRESS V
rrOHF A. LANMIE, CgineerCASSATPDGRIFFIN. Building LOCALITY ljp
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER y
ITEM NUMBER EACH FEE
OUTLETS: $ $ AIL
M
LIGHTS RECEPT. SW. .10 ADDRESS -
LIGHTING FIXTURES .10 CITY /,i- �jTYEL.NO.' p
ELEC-RANGES 'CLO.DRYERS _ ELECTRICIAN 4�,�Cf ,L.r .24
WATER HEATERS c50 ADDRESS �X`GY , fh.tep
ELEC.SPACE HTRS. DISHWASHERS
CITY?--�C—
GARBAGE
GARBAGE DISPOSERS AUTO.-
J TEL.NO.. -
WASHERS STA.COOKING UNITS .25 STATE
LICENSE.NO. 7-3;e
MOTORS: OVER INC. H.P. ..
o /z 29 DISTRIC NO. GROUP ZONE READY FOR INSPECTION
1/2 2 .50
INSPECTION RECORD
2 — 5 - 1.00
5 — 15 1_50
15 — 50 2.50
so— 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 $ Q APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE"'READ`THIS'-APPLICATION' _ ,DATE - .INSPECTOWS SIG
NATURE
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 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATUREL�J�'�� �� UTILITY CO.NOTIFIED
OF PERM ITTE iii���LlPPP -
FINAL
VALIDATION) ARTHUR C.VEIT.
SUPERVISING ELECTRICAL ENGINEER
CK MO. CASH
k y
!_ 106 5 9.. NOV 12 2 A 2.00
7GA663-CESOH-,11-87, APPLICATION. F®R,"ELECTRIC PERMIT - 1
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER BUILDING S S
BUILDING AND SAFETY DIVISION ADDRESS
IOHN A. LAMBIE, County Ea ees j
CASSATT D. GRIFFIN. Supt of Building LOCALITY
NEAREST �` •
FOR APPLICANT TO FILL IN s cRoss ST.
PERMIT FEES �r
ITEM NUMBER EACH FEE OWNER
OUTLETS: $^ $ MAIL t�
LIGHTS RECEPT. SW. .10 ADDRES "
LIGHTING FIXTURES .10 CITY J TEL.NO.
ELEC.RANGES CLO.DRYERS ED ELECTRICIAN L...
t 10 v—
WATER HEATERS . .50
ELEC.SPACE HTRS. DISHWASHERS ADDRESS ',t
GARBAGE DISPOSERS AUTO.- CITY ,EL.NO. [/
WASHERS STA.COOKING UNITS .25 STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
0 — 1/z 25 DISTRICT O. GR,UP Z E READY FOR INSPECTION
IIY�
1/2 — 2 .50
2 — 5 1.00 INSPECTION RECORD
5 — 15 1.50
15 — 50 2.50
so— 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'
TOTALFEE pd APPROVALS
1 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_
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES I
CALIFORNIA OR THAT I AM THE LEGAL WNER OF THE ABOVE POWER
DESCRIBED RES EN P PER `
SIGNATURE y�ff J UTILITY CO.NOTIFIED
OF PERMITTE V— FINAL
VALIDATION AR fH U R c.V ETT.
SUPERVISING ELECTRICAL ENGINEER
-CK MO, SH "
DB 5-A 7-40 25M APPLICATION FOR PERMIT '
DEPARTMENT OF BUILDING AND SAFETY-
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. 'GROUP ZONE PERMIT No.
WIRING x I FIXTURES SERVICE a� / ( c• � I�__31 f/
-
RECEIVED BY READY FOR DATE ISSUED
RANGE HEATER POWER FIR/ET MSPEEFTION
SIGNS MISCELLANEOUS (/
APPLICANT FILL IN HEAVILY OUTLINED- PORTIQS OINLY
JOB
Z NAME ADDRESS
Q
a ADDRESS LOCALITY
WF NEAREST
CITY TEL No. CROSS ST.
w COUNW KA
CERT. NO. EXPIRES NAME
DESCIII ION OF WORK Z MAIL -
ADDRESS
NUMBER OF OUTLETS ON CIRCUITS O
LOCATION BY ROOMS CITYTEL No.
LIGHT OUTLETS III SW.I PLUGS JFIXT. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
CIRCUIT I A I B I C I D I E k F IG H I ANGELES COUNTY CERTIFICAT. OF Q�UA�L(j(CATION.
LIVING ROOM I — ZLECTRICIAN.
1 AM THE LEGAL OWNER/OF THE PROPERTY DESCRIBED 5
DINING ROOM _—II ABOVE.
6RFST. RM. —_ OWNER
BATH CORRECTIONS �
i -I-
ENT. HALL I _
HALL NO.
1
FRONT PORCH _
OUTSIDE I
KITCHEN
SERV. .PCH.
SDRtd. NO.
CLOSET
0
BDRM. NO.
CLOSET I
Y -
-i�
TOTAL I / �/,r} p
NO. OF OUTLETS iY IS APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H. P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING -
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ ' POWER
livy
I PERMIT FEE $ ri UTILITY CO. NOTIFIED
TOTAL FEE S E (J FINAL
S S-A 12-43 25M
DDEPARTMENT OF BUILDING AND SAFETY ' APPLICATION FOR PEW=OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
Q NAME /�LQ,. 1/A DISTRICT NO. GR
O
UPZONE PERMITNO.
U ADDRESS
e'8 rT B/t RECEIVED BY READY FOR DATE ISSUED
CITY /}+/���17-�,//� TEL.NO. °� FIRST INSPECTION
WCOUNTY
CERT.NO. / EXPIRES ""� sled
APPLICANT FILL IN HEAVILY OUTLINED PiO,RTION ONLY
JOB
DESCRIPTION OF WORK ADDRESSL1/-z,
NUMBER OF OUTLETS ON CIRCUITS' LOCALITY /,-- lei`
LOCATION BY ROOMS NEAREST 1
LIGHT OUTLETS SW. PLUGS MeT CROSS ST.
CIRCUIT A B C D E F G JH m NAME l
Z MAIL '
— 3 ADDRESS
O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION-
ELECTRICIAN��
I AM THE LEGAL OWNER OF THE�/PROPERTY DESCRIBED
ABOVE
QWNER:—
CORRECTgONS
J
Q
Z_
I9
R
O
TOTAL
NO. OF OUTLETS $ 7 O APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ 0 UTILITY CO.NOTIFIED
TOTAL FEE FINAL ��
Temple City Chamber of Commerce Christmas. Lights
76A663-CE806 4-68 APPLICATION FOR ELECTRICAL PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY UILDING AND SAFETY, DIVISION BUILDING
B 9555 Las Tunas Drive
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST . Primrose Ave. '
CROSS ST.
NO. [EACH FEE
RECEPT._ $ $ OWNER Temple Cit Chamber of Commerce
MAIL 5827 Temple Cit Blvd .
LIGHT � TOTAL FIRST 20 .20 ADDRESS em P Y
SWITCH_ OVER 20 .10 CITY Temple City TEL. NO. 286'--3101
PLAN CHECK
LIGHTING 1 TOTAL FIRST 20 .201 APPLICANT
FIXTURES I OVER 20 .10 ADDRESS
RANGE—ORYER—WTR.HTR._ CITY TEL. NO,.
STA.COOK—OISP. F.A.U._ CONTRACTOR
R. P. Horstmann
SPACE HTR. AIR
COND.—'ADDRESS 4835 N. Ryland Ave.
CLOTHES WASH,_DISHWASH._ CITY Temple . ity TEL. NO. —392
FAN—OTHER 1.00 LICENSE NO. CLASS. -
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP_ KW-. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO 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 3.00 LICENSED AS RED IRED BY LOS ANGELES CPVIKY AND STATE OF
-
CALIFORNIA OR THAI LEGAL OW R 0,#, AND INTEND .TO r
10 - 50 T 5.00 , RESIDE IN, THE 'ROVE CR .ED ESI NTIAL ROPERTY.
U
SIGNATURE
50 — 100 10.00 OF PERMITTEE
O
100 — S00 15.00 MIIIIII ~
DISTRICT NO. GROUP J.ZONE PROCESSED BY w
TUBE, OR
,.S
DISTRICT
ONE CIRCUIT 3.00 N
MARQUEE SIGN,GAS ADDITIONAL CIRCUITS 1.00 NOTES• j A
/.
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
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
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINALLot
LIZS �y
TOTAL FEE JOSEPH C. R661HAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
�Lt o 7 5 3 9ZOO DEC 5 4 0 0
C
4:
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE