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APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOB ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING / 7
BUILDING AND SAFETY DIVISION ADpREH6 �7
JOHN A. LAMBIE. CouNTY ENGINWIR
WILLIAM JENSEN SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERM F. .g CROSS ST
OWNER
ITEM NUMBER EACH FEE MAIL
L101GHT R¢CER _ Ew �O' s 10 s O A_DRI?SG 5
LIGHTING FIXTURES f0 CITY NO
ELEC RANGm CLO DRYERS ELECTRICI N
WATER HEATER¢ DO ADDRE6
RILED SPACE HTRS. DISHWASHERS GI TEL NO
MBAGE DISPOSEMS taw- STATS
STA COOKING UNITS 26 LICENS
j 11
MOTORS OVER INC H Pit IN
E115TRI TN P zONE PR
0— 2, 26 0
VE- 2 60 INSPECTION RECORD
2— 6 foo
6— 16 ISO
Is— 60 260
00-200 6 010
SIGNS NO TRANS
No LAMPE
SERVICE 0-600V / f00 0
SERVICE OVER 600V boo
MISC
WIRINGPERMIT 100 Q
FIXTURE PERMIT 1 p0
SUPPLEMENTARY PERMIT 60
TOTAL FEE •
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS IGTIOR APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE AROVE IB COMECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCEB ARD (TATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
I HERESY R
CETFY ITHAT I AM PROPERm D
LY REGISTERAND/OR -WIRING
S I
LICENSED AREQUIRED MY LOS ANGELES COUNTY AND S
STATE OF FIXTURES
AL
CALIFORNIA OR THAT 1 AN THE LEGOWNER OP \ AOVE
DESCRIBED RESIDENT IwL POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERM ITT!IL
FINAL
®r /f)4. �UPERV161N0�/�
0 CASH ELECTRICAL ENGINEER
CK YO GBM
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9.0 0
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' COUNTY OF LOS ANGELES TEMPLE CITY - k 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304050018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _
' • PHONE (626) 285-0488 EXT
i
LEGAL ID FEES PAIDBUILDING ADDRESS
ON FILE 5139 SULTANA AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803048
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15388-019-025 Al PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY CAI
HA FAU LESS 311P 1 00 FAU 11 00 1 1
TENANT LA N-RES EX FANS LT 3HP 1 00 EX 15 30 TISSUED ON PROCESSED BY PLAN BY
ILA 100 AMP PANELS, MCC 1 00 PAN 3B 90 104/05/13 SR 1
I - 'TOTAL FEES 93 00 I 1
TOWNER TEL NO I FINAL DATE FINAL BY CODE
MlRENDINO MARTIN T (626) 537-1214- �d���
5139 SULTANA AVE
ITEMPLE CITY CA 917BO 1DV,.SCRI�N'OF WORK 1
REPLACE ELECTRICAL PANEL THREE CIELING LIGHTS NEW 30 AMP
1 SWITCH DISCONNECT
APPLICANT TEL NO
CORREA, MANUEL (909) 931-4464-
2509 EUCLID CRESCENT , (SPECIAL CONDITIONS
(UPLAND CA 91784 I I -
I I _ I I
CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
XTREME BUILDERS (626) ]86-234]- 1 1
12509 EUCLID CRESENT E LIC NO 1 ITEMPORARY POWER POLE I I 1
1UPLAND CA 91764 627142 I -
I ` IUNDERGROUND CONDUIT
IARCHITECI OR ENGINEER - TEL NO
_ - FUFER GROUND
I LIC NO - IROUGH CONDUIT
TROUGH WIRING
IMAIN WATER LINE I I
(PLASTIC YIN METAL YIN I 1 1
(UTILITY COMPANY NOTIFIED�( 1 -
I I
I I I I I
I 1 I I I I
I I I I I
IREPORT ID DPR265 ROUTE TO BS0508
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