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13105-13A II•BB APPLICATION FOR ELECTRIC PERMIT
DIVISION OF BUMDngG AND SAFETY
Department Of County Engineer BUILDING // py��� /1
CO11II{{yy of LOB Angeles ADDRESS O Z /Cd1
JOHN A.L MIE.COUNTY ENGINEER
CASSATT D.GRIFFIN.BUP'T of BUILDING LOCALITY
FOR APT LICANT TO FILL IN NEAREST
S
CROSS ST.
NUMBER
i
LIGHT OUTLETS OWNERMAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL NO.
TOTAL OUTLETS 0 5¢ $ 1ELECTRICIAN
ELEC.RANGES 25
ADDRESS
ELEC.HEATERS 25
CITY SGL TEL.NO.
KIM EA
LDTR
FIXTURES g NOMOTORS FEE ICT NO s I GROUP „ZOiE I READY FOR INSPECTION
NUMBER HORSEPOWER � •—
NBW MVD. HP OVER INC. EACH -/�
&LESS 8 .25 24 m;'- INSPECTION RECORD
1h 2 .50 y,
2 s 1.00 �'`a �1 L11 r"I NA /V/
5 Is 1.50 /A/r aa!# .- YE7'-
IS 80 2.50
so 200 5.00 /�/�.+IK'•.`_i7 K”f`!
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00 00
FIXTURES $1.00
LTHAT
MENTARY •80 APPROVALS
TOTAL FEE $ �� DATE INSPECTOR'S SIGNATURE
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY CONDUIT _/'/ .Ili e.'r,"• i
LL COUNTY ORDINANCES AND STATE LAWS REGULATING �U ��ICAL WIRING. WIRING
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
RNIA OR THAT I AM THE LEGAL WNER OF THE ABOVE POWERED RESIDENTIA OPE UTILITY CO.NOTIFIED /�K:���/URE
RMITTEE FINAL `f AliI Vw
JOHN A.LAMBIE.COUNTY ENGINEER ATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK MO CASH
6 1 S 5L MW R 2 1 .2 S in
� A ® .
/.8A888-CEB06 I2-58 A®• ®L-ICA- s N 'FOR ELECTRIC
LECgRIV PERMIT
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COUNTY OF LOS ANGELES f
A
DEPARTMENT OF COUNTY ENGINEER 13UILDING �� /�' }
BUILDING AND SAFETY DIVISION ADDRESS .�. 'f l }
JOHN A.LAMBIE,COUNTY ENGINEER . Z y
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY•
0.
�. FOR APPLICANT-TO FILL IN NEAREST (' A m 1,A,Z Jr
PFJWT FEES CROSS ST.
ITEM NUMBERI EACH FEE OWNER '' �-
`.OUTLETS: S S ! 1 MAIL \
LIGHTS' RECEFf. ,J SW. .10C,./ ADDRESS /// �� �/ I; 1 -•.
LIGHTING FIXTURES .10 CITY aT�F't ! C £' 17 7 TEL.NO.
ELEC.RANGES 'CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS -
ELEC.SPACE HTRS: DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.STATE '
WASHERS STA.COOKING UNITS .25 LICENSE N
Morons: OVER IN(;. H.P. DISTRICT NO. 1GROUP1 DPR SSED BY
O- I/a .25
I/a— -2 .50 INSPECTION RECORD
1.00 '
5 15 1.50
IS— 50 2.50
50—200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
a SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 U `.
FIXTURE PERMIT 1.00 l �'
SUPPLEMENTARY PERMIT .50
TOTAL FEE SV APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 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 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
DESCRIBED RESIDENTIAL.PROPERTY. /' POWER
SIGNATURE •�4 •�:-4t t f�Lr !y I UTILITY CO.NOTIFIED
OF PERMITTE
VALIDAya10y`I ARTHUR C.SUPERVISING ELEI
CK MO CTRICAL ENGINEER
' CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1008020011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS:
6642 OAK AV
ON FILE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801309
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CAMINO REAL
15382-010-033 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J1 LOCALITY: TEMPLE CITY, Cl
I ILA 100 AMP PANELS, MCC 1.00 PAN 38.80 1
ITENANT: I TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY:
I I 108/02/10 SR
(OWNER: TEL. NO: 1 IFIZAL DATE FINAL BY: CODE: 1
IBERNABEI ALDO (626) 446-9716- I I I
1108 WISTARIA AV I II
(ARCD 910064674 1 IDESC IPTION OF WORK 1
ISERVICE UPGRADE 100 AMP 1
(APPLICANT: TEL. NO: 1 I I
INARDI, PAUL (323) 974-2728- I I I
11159 LAWARK ST. I ISPECIAL CONDITIONS: 1
LOS ANGELES CA 90041 1
I �
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
(PAUL, NARDI (323) 974-2728- 1 1 I
1159 LAWARK ST. LIC. NO 1 ITEMPORARY POWER POLE I I
ILOS ANGELES, CA 90041 544839 C10 I I I I
I (UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
I LIC. NO: IROUGH CONDUIT 1 1 I
(ROUGH WIRING
IMAIN I INE
ilu I PLASTICTY/NER L METAL Y/N I I
I I 1D
i UTILITY COMPANY NOTIFIED/
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I IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 1
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