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APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESSDr. '
JOHN A LAMBIE CcuNTY ENGINssts
CASSATT D GRIFFIN Surr OF HYILDIns LOCALITY
FOR APPLICANT TO FILh IN NEAREST
PERM CROSS ST Broadway
OWNER
T 6 M NUMBER EACH F66
rLI7GHT8fRKCKPT
s s MAIL
BW t0 ADDRESS
LIGHTING FIXTURES 10 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIANCOnlee & Son ElActrin
WATER HEATERS ISO ADORES030 A
. Grandview Ave-
ELEC SPACE HTRS DISHWASHERS
CITY TEL N
GARBAGE DISPOSERS AUTO STATE
WASHERS STA COOKING UNITS 25 LICE SE NO 1325W 1-19
MOTORS OVER INC H P j DISTRICT NO G P ON P E S D BY
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Va- 2 ISO INSPECTION RECORn-
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5— Is ISO
Is- so 250 1
50-200 Soo
SIGNS NO TRANS
NO LAMPS
SERVICED GOON IS!ptoo 00
SERVICE OVER GOO zoo
MISC
WIRING PERMIT too d00
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT s0
TOTAL FEE s 2 APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT M TH GAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI OPE POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERM ITTE
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NO CASH SUPERVISING ELECTRICAL ENGINEER
lar-0470'nJUL30 2 A 200 N
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COMY OF LOS ANGELES
DEPARTbII'W OF COUNTY ENGINEER BUILDING
BU�Mp�DING AND SAFETY BDM IDN ADDRESS r r
C1e8i1Lne
1T D Ott Drl�dm� LOCALITY
T 3171a City
NEAREST +
FOR APPLICANT TO FILL IN CROSS ST
PERM FEES
ITEM NUMBPRI EACH FEE OWNER
Bade & 01 on
Oyy�� LL MAIL
L GHTS V RECEPT V SW O O s 10 s ADDRESS
LIGHTING FIXTURES O 10 00 CITY ' TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN( onl 8 & Son Electric
WATER HEATERS S0 ADDRES N. Grandview Ave,
ELEC SPACE HTRS DISHWASHERS Q�I /r
GARBAGE DIBPOSERS4 AUTO ' ._ ,
JJ CITYt7O G TEL N r
WASHERS BTA COOKING UNITS 25 STATE
LICENSE NO 132,967g-10
MOTORS OYER INC H P
Va 2s D IG;VPI RBADY POR INaraOTION
r
V/a — 2 130
2 — s too IIV MTION BWORD
s — 1s ISO �' S
IS — so 250 '��
SO— 200 goo
SIGNS NO TRANS
NO LAMPS
SERVICE O GOON 3. too
SERVICE OVER GOOV boo
MISC -4a.
WIRING PERMIT 100
FIXTURE PERMIT 1 00
SUPPLEMENTARY PERMIT s0
TOTAL FEE $21 APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO DATE INSPECTOR S SIGN URE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING f
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED 8 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M H EGA NER OF THE ABOVE POWER
DESCRIBED RESIDENTIA R
SIGNATURE UTILITY CO NOTIFIED i2 4
OR PERM TT-- •
FINAL 7
.tDATION TrH U R CLIT
CK MO CASH UPERVI8ING .ECTRICAL ENGINEBR
4390% RPA 1 2 A 2 1.5 0 I
a
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1107120038
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 7
PHONE (626) 285 0488 EXT
ILEGAL ID FEES PAID I BUILDING ADDRESS I
5736 5738 NOEL DR I
ON FILE IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802342 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET BROADWAY I
15387 022 038 IA1 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY Cl
I IG2 LIGHTING FIXTURES 2 00 LGT 3 90 I I
ITENANT I TOTAL FEES 31 70 107SUEE/11N PROCESSED BY PLAN BY
SR
(OWNER TEL NO I IF / DATE FINAL BY CODE 1
IGARCIA JOE & HILDA (626) 542 5496 I I I
15404 PARMERTON AVEI I I
ITEMPLE CITY CA 91780 I ID CRIPTIO OF WORK I
I 12 LIGHT FIXTURES FOR CARPORTTS 1
(APPLICANT TEL NO I I I
IGARCIA HILDA (626) 542 5496 I I I
I I ISPECIAL CONDITIONS 1
1 I I I
I I I I
1CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
IC B HOME INC (626) 279 5657 I 1 I
11608 E BANYAN COURT LIC NO I ITEMPORARY POWER POLE I I I
(ONTARIO CA 91761 961219 I 1 1-1 I
1 I (UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND 1 I I
1 LIC NO I IROUCH CONDUIT I I I
IROUGH WIRING I I I
I I I I I
IMAIN WATER LINE I I I
I I 1PLASTIC Y/N METAL Y/N I I I
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