HomeMy WebLinkAbout125 Motor Ave - Building
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Job ",ired by
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R E C EIXE::RuCALWORK PERMIT APPLICATION
AUG 2 0 2008
.. Electrical Contractor 0 Owner
Installation description
EP1!=Ol)]mercial . J'" Residential
Owner Q,1' defined by RCW 19.18.261 :(1) Owner will occupy the structure for two
years after (his electrical permit is finalized. (2) Owner is required to hire an electrical
contrac~or if above said property is for sale, rent or feme..
After reading the above ~tarement. I hereby certify that I ilIn the owner of the above
named property or a. licensed ekctrical contractor. I am makin.g tbe electrical instal-
lation or alteration in compliance with the electtiullaws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296.468, The City of Port Aageles Municipal Code, and
Utility Specifications.
Siloalure f owner, electrical contnctor or cledriul administntor
Electrical contractor name
~&D 1 &-1~TrI'c-
ppc~Or's ~~~d"'3 5J'"
City.
P"r"lIf'^5e/~J
Telephone Dumber
L{(,fJ-OS ~
Premiseslwoer's name
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Address of ~D~ection
_ l]b moTor
Ciry \>. A
Phone nombfer to schedule inspection:
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CI NO LOAD CHANGES
CI Baseboard KW
o Furnace KW
o Heat Pump _ Ton _ LAR
CI Fan-Wall KW
License Dumber Date Expires
"S"eDI(~r-=~qSJ c.z...
o Altered/Addition
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State ZIP
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I~o 0 "2
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7'1 J( :2
FAX number
Ave
G...pi@ A
Q Cash . '(cheCk #
o Credit Card VIsa
Mastercard
Discover
Card #
Date: J> -/1-0$
Expiration Date
of card
Service I nformBtlon
CJ Overhead Service
CJ Tamp Service
CJ Underground SelVice
VOl!ag&
Phase CI 1 CI 3
Service Size: _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN /' TIlERMOSTAT "\ SERVICE
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Dale App'ovod 8y '(' """ ApprovcdBy Dare A~~By../
AFmAL / DITCH FEEDER
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Dale ~ '-. Da:te ArprovedBy ,./ "- D." Appro~By .../
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Jn5(lector
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417-4735
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I OWNERlcorHRAC~OR
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APPROVED
o
0..
NOT ,A,PPROVED
DITCH, . 0
. . . . . . . . ROUGH iN/COVER. . . . . . . . . ., '" 0
, , SERVICE, , , 0
.....Fi~IAL. "'~
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CORRECTIONS'IEEDED .G.f (,,1 'Y~D-;E.C-' _O_~~6J!::lf,L5-.__
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0LL- j2~~i\c.(_iiS)!___________. .____
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NOTiFY iNSPECTOR WHEN CORRECTIONS
ARE COW'LETED WITHIN 15 DAYS
- DO i'JOT REMOVE -
:JL'i~'AP'C PRIN;ERS, 'Nc. (3oe) .152- 38~
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ELECTRiCAL iNSPECTiON
WiRING REPORT
417-4735
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~)WNER/CCNTFlI\CTOR
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I ADDRESS
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IINSPE(:~
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APPROVED NOT APPROVED
t-f--,-. . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . 0
o. . . . ROUGH IN/COVER . . . . . . . . . 0
o. . . . . . SERVICE. ................. 0
o. . . . . . . . . . . . . . . . FINAL. . . . . . .. . . 0
CORRECTiONS NEEDED:
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OL',',\,iPIC ?RINTEi1S, ~NC_ (36G) .152-1381