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APPLICATION FOR ELECTRIcAL PERMIT-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 7sC(4t Al
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JOHN A.LAI4IBIE,COUNTY ENGINKM n r ,:
WILLIAM A.JENSEN,SUP'TOF BUILDING LOCALITY o�ic+-( K
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FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES cea ST
OWNER
1 T E M NUMBER EACH FEE MAIL
OUHT
LIGHTS RECEPT. BW, ADDRESS..10
LIGHTING FIXTURES ,10 C No.
ELEc.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .80 ADDRESS
ELECSPACE HTRS, DISHWASHERS CITY .- EL.NO.
GARBAGE DISPOSERS AUTO.. STATE
LICENSE NO.
WASHERS STA.COOKING UNITS
MOTORS: OVER INC. P. D TR T NO. GROUP ZONE PR ESSED BY
O— 1/z
V. — 2 ,80 , INSPECTION RECORD
2 — S i:o0 ► y,.
1.80 Il 3 At 1} i3
2.80 r cc
w
SO — 200S.oO
SIGNS: NO TRANS.
NO.LAMPS f°►, n
SERVICE 0.600V 1.00 toto
...
SERVICE OVER 600V 8.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .SO
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I 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 _y
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 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT PROPERTY. POWER
SIGNATURE UTILITY CO.
OF PERMt ' FINA
LIDATION ARTHUR C.VEIT.
OK NO CASH SUPERVISING ELECTRICAL ENGINEER
5 7 6 b ..'1 �� 2 D 10.-
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78A669-CE806 9-64 APPLICATION FOR ELECT CAL PE I
OT
COUItiTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �7 v4
BUILDING AND SAFETY DIVISION ADDRESS , !
JOHN A. LAMBIE, COUNTY ENGINEER r
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY L e
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER s5 � I ,U//T / �J
LIGHT ADD'L . ADDRESS,/471 A /T
SWITCH. 1�_ OVER 2O .10
LIGHTING I TO+ITAL t FIRST 20 •20: CITY �,�+ % TEL.NO.
FIXTURES 11F l� ADD'L 1O ELECTRICIAN C. L�•��. l C
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS �d IP
GARB.DISP. STA.COOK CITY yv(ry Ae TEL.NO
DISHWASH. AUTO.-WASH. STATE ••��
SPACE HTRS. STA.APP.lA H.P.MAX.) ,50 LICENSE NO.. /ice
MOTORS: OVER NOT OVER H.P. DISTRI T O. GROUP ZONE PCESSED B
O 1 1.00
1 s 1.50 INSPECTION. ECORD
8 8 2.006}^��OItt'i
8 Is 2.50
15 50 5.00
so too 5.00 Il�✓?_3�h! � 7 �✓1 ✓�„' LU
LU
SIGNS, NO.TRANS. f/
NO.LAMPS L �ly Z
SERVICE O.SOOV•NoT oVER 200A 1.00
r—
SERVICE O•SOOV•OVER 200 A. 2.00
SERVICE OVER GOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00 (!'L
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ Q
1 HEREBY ACKNOWLEDGE THAT I 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 �/a. ( fir f.�F4,. trj l"/_�TFI") ✓�(`
1 HEREBY..CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURESY
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEO OWNER OF. AND INTEND TO
RESIDE IN,THE ABOVE 9CR1 ED R I NTIAL JYROPBRTY. POWER
SIGNATUI �� �' UTILITY CO.NOTIFIED ... i s ✓ 1
OF PERMITTEE FINAL tea/p -v I 0!4"vv-r*w/
(_CKMO CA JOSEPH C.SI G ELECOOHAN I
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L Abo 5 93 2 SLP 2 7 2 D 4.60-
s
w COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS i 9701 LAS TUNAS EL 0508 1208290022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 5904 IT: 185 BL: .001 II I 6137 SULTANA AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801552 I
(ASSESSOR INFORMATION NUMBER: iI I NEAREST CROSS STREET:
15384-006-024 I1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY 1
I IIJB AC UNITS +3-3.OHP 1.00 AC 19.70 1 1
ITENANT: ILA 100 AMP PANELS, MCC 1.00 PAN 38.90 ISSUED ON: PROCESSED BY: PLAN BY:
I I TOTAL FEES 86.40 108/29/12 SR I
I1OWNER: TEL. NO: 1 1 NAL DATE FINAL BY: CODE: 1
DENNY, YU (626) 234-8922- 1 I 1
16137 SULTANA I () I
ITEMPLE CITY 1D CRIPTION OF WORK
1 I iIIPGRADE ELECTRICAL SERVICE TO 100 AMP
APPLICANT: TEL. NO:
NOTMAN LIU (626) 579-1559-
1 I
10932 GRAND AVENUE i (SPECIAL CONDITIONS:
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
INORMAN, LIU (626) 579-1559- 1 1 1
110932 GRAND AVENUE LIC. NO I ITEMPORARY POWER POLE I I 1
ITEMPLE CITY, CA 91780 NONE 1 I 1 1
(UNDERGROUND CONDUIT
1ARCHITECT OR ENGINEER: TEL. NO: 1 LIFER GROUND
_ p 1 1
I LIC. NO: I 1ROUGH CONDUIT 1 1 I
I I IROUGH WIRING
I I (MAIN WATER LINE
I (PLASTIC Y/N METAL Y/N
I 1 1UTILITY COMPANY NOTIFIE
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I IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 I I
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