HomeMy WebLinkAbout2026 E Hwy 101 - Building
FROM
BOB'S Electric
FAX NO.
1 360 452 9943
Nov. 16 2006 09:35AM_ P1
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ELECTRICAL WORKPERMlT APPLICATION
Job wired by
~Electri~1 Contrdctor 0 Owner
El tl'i I cont~trr "a,rye r . ~
o - t::-e. '1'rr c y.l'l C.
)~'9j m(;;/e~d'r~fk fJ
Jbr} tf~~ I~
elephane nu ber
o If -6
:;"iJ'OlJnl':Se
Ad~:;O ~,pe.ti1J. ~ 0/ 10 J East
:ro.fd- f9.r1j~ (-eJ
PJw e'numb~ h s;t~e'in5pection:
Owner as defined by RCW./9.28.26J:(1) 0'*71(1T' will occupy the .s"lructllre for' two
years q;rer this electrical penn:! L~ finalized. (2) Owner is required 10 hi,.t, an eleOrj(:Ql
oontructor if above :;aid propeny i... for ~CJle, rent or ll'ase.
Afttr reading the above statemen t, I hereby eenify th..lt J am the owner of the above
named propcrt)" 01 u licensed cJccnical contractor. J am making the electrical instal-
lation or alteration ill compliance with the eleclrical h'lws, N.E.C., ReW. Chapter
]9.28. WAC. Chapler 296-46B, Thc Cily of )lon Angelcs Municipal Code, and
Utility Specificatinns.
:gn.lur. of o,~"" el..t .'I~nnt".,or ur 'J~t~~;: J~dm~~'~:/
ElectrIcal cad Add, ions and or subtraotions
'S'NO'U:lAD 'CHANGES'
o Baseboard KW
o I=umace KW
o Heal Pump _ Ton _ LAR
IJ Fan-Wall KW
!nslallatioll description
~ Commercial Cl Residential
DSle Expires
o New
.2f' Altered/AdditioD
Statc
ivtl-
adl
add
F;
J I"ILL 't}f ; /I S hCJvV t&u...... ~ Y1..e
1(" Ovj- $1 on .s oA-J, $')cLe tv-r1JJ.
e N:sf-l ..sho"c;"
~
,
o Cash
o Check #
o Credit Card
Card #
VISa
Mastercard
Discover
----------------
E'..piration Date
of card
a Overhead Service
Q Temp Ser....ice
CJ Underground Service
Voltage
Pha,e0103
Service Size: _
Fesder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
-,
ROUGH-IN " "- THERMOSTAT SERVICE ,
'- o.~ ApproV<<! I.ly ./ Dlle ^JlprOVeClBy \. D;lle APl"'I'ov,.4B)'
DITClI '\ / FEEDER
'./~ FINAL
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"- Dn!,. APPf'(W~ by "- Du, Approvad !:ly
,
Inspection Area, Ruilding Of Equipmc=nt Inspected Action Taken Electrical
'-, D,Hr:: , Inspector
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