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�BABBS.CEBGB_,,.a„APPLICATION FOR ELECTRIC PERMIT 1
ccum OF LOS Andaft BUILDING
DEPABYlaw OF COIINYY mcvn F.EB ADDRESS
B=ING AND SAFETY DNMON
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LOCALITY
EST
FOR APPLICANT TO FILL IN NROR
PUB= FEES
ITEM NUMBER1 EACH FEE OWNER
OUTLETS S S MAIL
LIGHTS ( RECEPT SIN 10 ADDRESS nom•
LIGHTING FIXTURES 10 CITY TEL NO ,W4
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ELEC RANGES CLO DRYERS ELECTRICIAN -C—JJ4
WATER HEATERS BO ADD ESS1,970 ray 5^'
ELEC SPACE HTRS DISHWASHERS
GARBAGE DISPOSERS AUTO- CI ALD ff-TEL N06
WASHERS STA COOKING UNITS 25 STATE
LICENS N01794,49
MOTORS oYBR INC H P
O R 2S ...FOR INfFROTION
.1 ZONE
I/a — 2 80 `
DWE=ON RWOBD
2 — a too
a — is 150
15 — so 280IL
man
50- 200 1500
SIGNS NO TRANS
NO LAMPS
SERVICE O 600V 100
SERVICE OVER 600V goo
MISC
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT so
TOTALFEE S APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AT INSPE G URE
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 ANG LES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THA AM THE LEGA WNER OF THE ABOVE
DESCRIBED RESIDEN L P ERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE
FINAL
(V=AARTHUR
Mo CASHnON I SUPSRYI81NG1 L6CTRICAL 6NfiiNSER
4 2 A 290
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0902230011
BUILDING AND SAFETY / LAND DEVEIAPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS 1
ITR 6561 IT 724 UN 002 I 1 5750 OAK AV - 1
I IFEE DESCRIPTION QUANTITY DOM AMOUNT I TEMP CA 917802430 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LAS TUNAS I
18587-010-018 1A1 PERMIT ISSIIANCE FEE 27 75 I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY Cl
I ILE 200 AMP PANELS MCC 1 00 PAN 38 85 I I
(TENANT TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
102/23/09 SR 08/22/09 1
(OWNER TEL NO 1 IFI TE FI CODE I
IBARAJAS/ALEXANDRO, MARTHA (626) 450-5999- I 1 .� I
15750 OAK AV I I
ot
ITEMP 917802430 1 SCRIPT ON WORK I
I I (INSTALL NEW 200 AMP SERVICE PANEL 1
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ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
I LIC NO 1 ITEMPORARY POWER POLE I I I
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I I (UNDERGROUND CONDUIT I I I
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ARCHITECT OR ENGINEER TEL NO - i JUFER GROUNDf� I 1
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LIC NO I (ROUGH CONDUITI I I
I I IROUGH WIRING I I I
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I I IPLASTIC YIN METAL YIN I I I
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