HomeMy WebLinkAbout838 W 5th St - Building
FROM BOB'S Electric
FAX NO. : 1 360 452 9943
Mar. 12 2002 09:49AM P2
.
c.
W
ELECTRICAL PERMIT APPLICATION
FOl.O"Tl<1A1.t.~()flILY
tbto!l...___. '___
"-i/;.:
Ilool.App......:'_____......
T!'IQ Electrieal P~I A~pliQ1tior\ ","lCt h. fill.d tnJf cO,"Dlot.~1
Clly. t3.J- ,c;~, 1. d-p ~ ,~:. r>t,,,,.
L1con,1i- ~~
CIjr,;:J-I-~H8~P ~J...
INSTAlLATION WlFlf.Q BY: 0 OWNER e eLeCTRICAL CQr'fT~C'rOR
Cndlt CsnI Holder Nil",..' (I A I'n "-- (T1.. \<.-" R G~ \':> C... {; L
BH1lnl1Addle$$' ~'d.-'t2., "DEE~ /4..1?K' City: ~(,+-A^~~J.R S
Cn:
Ow.", O' eloe. Contnocro, ~ti5D R '<::. ~J...i??'~r.c
Property Own..: ,K'.,t? ...,//" ;-f'
=~&~:g~f
PtaaselyPI or niP""' In Ink. ")'0... hav. 8f1Y ClU6otEons. ph!a80 Call 1.360) 417.
4'3$
FUllumaor: (36CI) 411-4711
REQUEST INSPECTION~
""o",,4S7-t,~g'7 ...:"1-'5;;.- 7<;</3
1M' .
7ip:
~&~
......<<'?-I:.f?F7
lll>: <if f- 3' "L.-
w"--
ZIp: '1 ~ ~'" 2..-
VlSA:.L IlIC,---
PRO.IECT AOllREll'l'
Q3,B_~1 57
TYPE OJ'WORK'
C~k lIl1 thaI apply: 0 New
o Alteration/Addition
~ReSldentlal 0 MulU.lamly 0 Commercial 0 Mobile Home Sq. Fl
Remote Meier 0 Detaehecf garage 0 Hot Tub 0 Swim Pool i:J Seplic Purrp "r Low VOllag8 [j Teleeom. :: Sign
.
"""'I'l\bet' of CheuitG added or altsmd:
DESCRIP1lON OF '1M! ELECTRICAL PROJECT:
~. b.AIJ ,
I~--d/A~I
, I
~A_I
e-uJJ1J-""'- ~ ~
ElAclncal HUll Lftsut .6...MCllorw
~ - / .e!!--
PERMIT FEE: ~
SlN"Vlco Information
o Baseboard
OFI8IIlICII
o Heal""""
CI Fan-wall
_KW
_KW
_ TON~,AA
_KW
C OvCfllead SeMce
r:1 Temp SeNlce
C Undorground Service
VOI:ago:
Ptlate: L.I 1 0 3
S8r.;~e SiZe:
Feeder SIZe: ___
I hereby certify that I have lead and examined this application and know that same to ba trrJfI and CCftflct, and I am
aulhori~ed 10 apply for this permit. I undarsland If is not th$ City's legal r&sponsiblllty 10 determintJ what parmits
8/8 required; if ramalns th9 applicants responsibility 10 determine whal permits ere fflqulred and to obrain such.
'--_........,~:~ """4""H"<..-
Owner or Elet. Cont. Slgnalu...: / Date: ~~h L
C:Jt:LECTRlCALPERMITAPPLICA TION ,
.