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DESCREMON OF WORK
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TCAlC)C"D! ] EE APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFETY DMSION
Depoxtmeut of Covinty Fa earBUILDING /o �'
County of Los Angel" ADDRESS it U-vje�
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BU1LDINO LOCALITY
NEAREST
FOR P1PLIFCCASNT TO FILL IN CROSS ST
NUMBER OWNER
LIGHT OUTLETS MAIL ADDRESI e
MAILB V V
RECEPTACLES v
WALL SWITCHES FEE CITY ✓ TEL NO
TOTAL OUTLETS ® ar f ELECTRICIAN
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL NO
KW EA STATE
FIXTURES a LICENSE NO s/••7
MOTORS DIS RIOT O I GRP I ZONE rexor FOR IxAFett lox
NUMBER HORSEPOWER FEE
NEW MVD HP OVER INC mACM
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NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT Fl
WIRING PERMIT $t o0
FIXTURE PERMIT f100 fn •n
SUPPLEMENTARY DO AMOVALS
TOTAL FEE DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING 2- --
ELECTRICAL WIRING FIXTURES - -
I HEREBY CENT IFY THAT 1 AM PROPERLY REGISTERED AMD/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT AM THE OAL OWNER OF THE ABOVE
DESCRIBED RESIDENT ,RO UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL D
JOHN A MBI V, L AYION ARTHUR VETT
COUNTY ENGINEER (._OKJ MO CION BDPexVIHING ELECTRICAL ENGINllOr
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1
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0204250025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID: Fhk:S PAID BUILDING ADDRESS
TR 12706 LT. 5 BL .001 6434 TRELAWNEY AV
FEE DESCRIPTION QUANTITY: DOM AMOUNT: TEMP CA 917801313
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET- LEMON
5382-022-022 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID Ji LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 10.00 OIJT 19 50
G2 LIGHTING FIXTURES 3.00 LGT 5 BS issuED ON PROCESSED BY: PLAN BY EXPIRES ON
H5 RES WASH MACH LT 3HP 1.D0 WAS 10 95 04/25/02 VG 10/22/02
H9 RES APPL LT 3HP 1.D0 RES 10 95
OWNER JB AC UNITS t3-10HP 1.D0 AC 19 65 ti FINAL BY MOE:
WONG KENT K-LAU-WONG BETTY MANGES (626) 447-7529- TOTAL FEES 94 65 ''7 �}-�
6434 TRELAWNEY AV / - f (/ �_ �_
TEMP 917801313 DESCRTP'�—OF�K
ELECTRICAL FOR ADDITION
APPLICANT Tn—O
SAME AS OWNERCONTRACTOR TEL NO APPROVALS DATE
-
SPECIAL CONDITIONS'
SAME AS OWNER -
LIC. NO TEMPORARY
ARCHITECT OR ENGINEW TEL NO LIFER GROUND
LIC. NO ROUGH CONDUIT
ROUGH WIRING
WFUM LINE2
PLASTIC Y/M METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO BS0508 El