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JOBSITE COPY     
ELECTRICAL CONTRACTOR
ELECTRICAL WORK PERMIT ##XXXXXXXXX
Contractor Name License Number
Aaaaaaaaaa Bbbbbbbb ABCD*12345
 
Purchaser's mailing address
Street address goes here
Somewhere WA 99999
Telephone number
 
Premises owner's name
Some guy
 
Address of inspection
Street address goes here  
 
Somewhere Some County
 
Power company
Some company name
Installation Description:
abcdefghijklmnopqrstuvwxyz
 
Services to inspect:
Inspection fee: $##,###,###.##
The department will perform 1 inspection for permits where total fee paid on permit is less than $98.99. For more than 1 inspection, additional fees are required.
Additional Fees May Be Assessed Upon Field Inspection
This permit expires one (1) year after the date of purchase.
Applied:01/01/2004 12:00 PM Expiration:01/01/2004
 
Date Approved By Date Approved By
WALLS
Insulation Only ___________ ___________ SERVICE ___________ ___________
Cover ___________ ___________ FEEDER ___________ ___________
 
CEILING
Insulation Only ___________ ___________ THERMOSTAT ___________ ___________
Cover ___________ ___________ DITCH ___________ ___________
 
Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector
 
________ ________________________________ _________ ____________
 
________ ________________________________ _________ ____________
 
________ ________________________________ _________ ____________
 
________ ________________________________ _________ ____________

 Property Owner: Retain Permit Number for your records

Attention Applicant! The Department will not conduct this inspection if there are unrestrained animals on the premises. Failure to comply with this requirement may result in additional inspection service fees and delay in service.

DO NOT POST THIS PAGE AT THE WORKSITE

You must request inspection prior to covering any electrical work, no later than three business days after completing the work or one business day after any part of the installation has been energized, whichever occurs first.

Failure to request an inspection of the work may result in civil penalties.
For permits ending with a B, L&I will enter inspection requests on a random basis. No request is required.

We get to most inspections within 48 hours of the date of the request. However, due to staffing levels, it may take longer, especially if you are in a remote area.

SAVE TIME AND MONEY BY MAKING YOUR INSPECTION REQUESTS ONLINE

This is your permit number:  

Use this authorization code:  

To request inspection, view inspection results or pay additional fees, use the QR Code below or open a web browser and search for  Request Inspection - My L&I

Enter your permit number & authorization code.

Select Next

Please provide a description of what you want us to inspect, how to find it, and instructions that allow the inspector to gain access to make the inspection.

Inspectors do not call unless requested in the comments section. Instruct them what to do to gain access.

Additional fees will be assessed if the inspector is not able to locate or access your installation.

After completing the request information:Select Submit Request for your request to be recorded

Note: If you are a high volume user of permits, subscribe to the EPIS system.
SUBSCRIBERS have ability to manage all their permit activity through Secure Access Washington