HomeMy WebLinkAbout702 1/2 S Cherry St - Building
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by
o Electrical Contractor
Owner
Installation description
o Commercial ~eSidential
Electrical contractor name
License number
Date Expires
o New
Cl Altered! Addition
Purchascr's mailing address
City
State ZIP
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Telephone number
FAX number
Premises owner's name
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Ad ress of i~lpectlOn
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Pho?e number to schedule inspection:~_1
Owner as defined hy RCWI9.28.261:(I) OWI/er wifl occupy the st uc/ure Jor two
years after this electrical permit is finalized. (2) Owner is required 10 hire all electrical
contractur if ahove said property is for sale. rent or lease.
After reading the above statement, r hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal.
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Pori Angeles Municipal Code, and
Utility Sp c' ations.
Sig
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Expiration Date
of card
Inspection fee
$ 7 -Jd 0-0
Service Information
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase 0 1 0 3
Service Size: _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT
Date Approved By Dale Appro,'cd By
FINAL DITCH
~ Dale ApprQvcd By
SERVICE
Dale
Approved By
FEEDER
Dale
Approvetl By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
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