HomeMy WebLinkAbout3204 McDougal St - Building
10/29/2003 16:15 FAX 3604523498
OLYMPIC ELECTRIC
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ELECTRICAL PERMIT APPLICATION
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ThQ E laelT1C\l1 Pl!lm'lil Application m~S;1 be flhd QLH C:OI"P'I of.-tall'.
Ph1l1l5. typo or r.prll'lt In Ink- If you hava any QUCl't~. pl...e c:.1I (360) ..l1-4n~
F~x Mum bvr: IJl".iO) 4,7-4711
mDic ElecLric CU., Inc.
Phon.: u;7-5303
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I<52-31J98
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Olympi: Electric
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Phooe. !.JS7-S303
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Co., Inc,
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City:
rurt Angeles
Zlp 96363
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INSTALLA-:"IO:'ll WIRE:.O 8Y;
w OWNER
I>l ELECTRICAL coNTRACTOR
Cr&dll CaT1J Hold.". Name: Charles T. aurkhardt, Olympic Electric Co., Inc.
Billing Addreu: Same
Crlldlt Card Nutn~
City: lip:
Exp. Data: VISA: X Me:
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PROJECT ADORESS: m [, 0 D u:JO {
TYPE OF WORK: Check all \hat apply 0 New
= Residel'ltial 0 Multl-fsmily
o Commercial II Mobile Home
Sq. Ft.
:J Remole Meter rJ Detached gerell" 0 Hot Tut> 0 Swim Pool 0 Septic Pump
[l Low VoIlage 0 TelEtalfll. . Q Sig
Number oj Circuit. adde" or "Iwred' ::1
OESCRJP1ION OF THE ELECTRICAL PROJECT,__po.k__mDLl.-ifl y A
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Electrical LOl;ld Addition. and or lIubtl'1>Ctlo",
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Service Inlormation
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u ~arhe8d SaNies
c: Temp Se.ovtC8
C Underground Service
Voltage:
Ptl..e: C 1 C 3
S6rv~C8 SJze:
feeaer SIze;
c: 6s.6eboBro
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c..: fan-Wall
KW
KW
TON
KW
PAMC 14.05.060(8): FO( Indus:lr\a.I. comm(,trci!lll. & r~kJ6ntiaJ proj8c~ larger than a dllpl8X, a OIle - line d"""'lng of the EIGcrric.aJ Servic8 &
FeQjers, building size (SQ. ft.), Io8.Q calcuraUon8. and the ty pe & of CDnductors- and/or raceway is rnqulred and. shall accom pany tne
ElectMcut pa,nnit 6ppllcetion.
I hereby cerlify that I have read and examined this applir;alion and know Ihal same to be 1Iv9 and r;orrsct, and I ar
authorized to apply for this parmit, I understand it is not Ihe City's legal rssponsibility to determine what permits
are rgquirad; it romain$ tha app ts responsiblliry to determine what permits are required and to obtain such.
v.dh C.rd Hcla."'s Slgnalure:
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/O~I J3 Own., 0< Elec. Con'. SI.no.ur.: ~ Dol.' --.Ji ()
~','V'9C19(71D' PERMIT FiE: $ ~,30 "':f1 (~,3;
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