HomeMy WebLinkAbout1316 B St - Building
.:r-----.
09/19/2007 07:27 FAX
~001/001
l
l{l7 - 4711
~
~I
.......
't:::)
ELECTRICAL WORK PERMIT AP~LICATIO~~ ~
-....
-
Installation description
(J Commercial ~esideDtial
~
-t>
(J New
(J Altered/Addition
.
~~V'-M. tN.i:- ~~
\ I
L--
o Credit Card
Card #
Visa
Mastercard
Discover
'-
W
'"'--
6"
Owner as defined by RCw'19.28.21i1:(/) Owner will occupy IIIl! struclure> for twO
yearr ",fie" thts electrical permit is finalized. (2) Owner is required tel hirE: UIl electric:al
cUll/roc/or if above said propt!,.ry i~ l"r sale. relit 0" lease.
After readins the above ~tatcmcnt, I hereby cel'lify that I sm th~ owner of the above
named propert)' or u licensed electrical contractor. I am makin, the electricsl instal-
lalion or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.2&, WAC. Chaptcr 296-468, The City of rOft An~eles Municipal Code. and
Utility Specifications.
~gn e DC owner. electrlclIl cOlllraCIOr or el~t:i:;: q1tq3 or
Electrical Load Additions and or &ubtractlp.DJi
(J NO LOAD CHANGES
(J Baseboard _ KW
o Furnace _ KW
(J Heal Pump _ Ton _ LAR
Q Fan-Wall _ KW
1:I Cash
CJ Check #
Expiration Date
of card
\J\\
~nsP61c~
Service Information
1\
(J OVElrhead Service
(J Temp Service
(J Underground Service
V ollage
Phase (J 1 0 3
Service Size: _
Feeder Si;z:e:
~
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN 1'HERMOSfAT
Appl'll'c~ By
D.t.
Uate:
API'rovc" fly
^p~lOv.d Ry
SERVICE
DITCH
.FEEDER
Out..
ApplOYOd By
Dille
App'ovcd 8y
Inspcction
D.ue
Area, Building or Equipmenl Inspected
Action 'taken
Electrical
Inspector