HomeMy WebLinkAbout2027 W 6th St - Building
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CITY OF'PORT ANGELES
DEPARTMENT OF, COMMUNITY D~yEL()PMENT '..- BUILDING DMSION
321 EASt 5TH STREET, ~$>RTANGELES, WA 98362
------------------------------------------------------
Permit. . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
permi.t Fee . .
J:ssue Date . .
Expiration Date
Qty Unit Charge Per Extension
1.00 . 35.3000 BC EL-LOW VOLTAGE
-'---;~;d~--~-~-~-~-----.,~~~.,~~;--:.-"'----------------------~~~~~-
Additional desc
perDlit Fee
J:ssue Date
EXPiration Date
. . AppMCation Number .'.
. 'Pidperty;.Jiddress . ..
ASSESSOR PARCEll' NUMBER:
Appl~cation description
Pioperty Zoning . . . .
Application valuation .
OWner
CEBELAK DAVJ:D A
2027W 6THST
PORT ANGELES
Qty unit Charge Per
03-00000189
2027 W 6TH ST
0630991034450000
MECHANICAL PERMIT
4950
Date:2!28/03
Contractp.r ,
------------~-------~~--
WA 983631611
PENINSULA HEAT
502 W.S1'1l..$T.
PORT ANGELES
(360) 457-2775
WA 98362
35.30
2/28/03
8/27/03
Plan Check Fee
Valuation . .
.00
o
61.70'
2/28/03
8/27/03
Plan Check Fee
Valuation . .
.00
o
BASE FEE
14.7000 ECH ME- INSTALL '100- FAU
Extension
47.00
14.70
Fee summary
Permit Fee Total
plan Check Total
Grand Total
Charged
Paid
credited'
Due
...
~"
~.
97.00
.00
97.00
97.00
.00
97.00
..00
.00
.00
.00
.00
.00
'^......
.s.it l...........'.'.,..
,-r;,.;o:;
SePlSr~fe.l;'er~lts are required for electrical wo,rk, SEPA; S~orel!ne, ~SA:utilities,private .and public imRrovemel1iS.']lI~pi~'t~tomes
nlJn~l1dyC)~d .lhvorkor construction authorized is not commenced wlfi1.ln .180. days, if construction or~ork Is susP-~lJq.~.~t.ilin~one~
for aperi04fof:189 daysa~er thework"s,s ?>mmenced,or ifJeq.u,!~'.~.~!~.ctlon~hay~ no~been requ. sted withiri'180~~ysW??,':t?ela~t
Inspect!on..1 hereby certify that I have read and .examlnedthls appllcatlo!1andknowthe same to be true and cgrr~i~,t}IIl-lrovISl()n&()f
laW&~!ll1()rd.i~...a..nc. .es go~eming. this type ofWO.rk will b.. e cprnplie~ witt:' whe\her specified herein o. ~. not.. The g~n~,ngrOfape.rm....... It. :<:1..0. e. s n.o. t
presume to give authonty to Violate or cancel the provlslons;of anystafe or local law regulating nstructiOnorth~Rer:f.()rmcmceof
construction. . . '1.
OlU F I Lt:=-.
Si9!1~~pte of Contractor or Authorized Agent
Date
Signature of Owner (if owne
T:\PLAt:!NJN<N:ORMS\1102.1S [412002)
?--~77S-
t- ~.?(53"
I'
..~ '
I
t
BUILDING PJRMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. . PLEASE PROVIDE At MINI~M 24 HOUR NOTICE. IT IS UNI0WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.' POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS A 1:JOB SITE
INSPECTION TYPE DATE ACCEPTED < COMMENTS '.:' ,.-,',
, " YES NO '-', , "
FOUNDATION: .'
FOOTINGS
WALLS
FOUNDATION DRAINAGE '"
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ,;,
ROUGH-IN I " I
PLUMBING "
UNDER FLOOR! SLAB "
ROUGH-IN
WATER LINE
GAS LINE "
BACK. FLOW! WATER ,
AIR SEAL
WALLS ,
.
CEILING I I "
"
FRAMING
JOISTS! GIRDERS
SHEAR WALL
WALLS! ROOF! CEILING
DRYWALL ,
T:BAR ,
" ,
INSULATION ,
SLAB
WALL! FLOOR! CEILING I I
MECHANICAL ,
HEAT PUMP
WOOD STOVE! PELLET! CHIMNEY
HOOD! DUCTS '
PW UTILITIES! SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE! METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTlNG BSA:
LANDSCAPING' SHORELINE:
..
-.- ,', FIN~;INSPECTIONS REQU~RED PRIOR TO OCCUPANCYIUSE . "'-' "
RESIDENTIAL DATE- YES NO COMMERCIAL DATE ACCEPTED
,', ).>. I" Nd
". " YES
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAl; , '
, ~pHT DEPT d
, .+. ,..,
CONSTRUCTION R. W.! PW! CONSTRUCTION -R. W.,'
ENGINEERING 417-4807 PW ! ENGINEERING
FIRE 417-4653 FIRE DEPT. ,
PLANNING DEPT. 417-4750 - PLANNING DEPT.
,
BUILDING , 417-4815 "!!. - J cr -0 --S [~k' BUILDING ,
T:\PLANNlNG\FORMS\1102.15 [412002)
BUILDING PERMIT - PREAPPLICA TION
fOR OfFlCL\L USE ONLY:
Da!o R.c.: Z -?~:?
Permit II: I
J'ro.Ap ClalpIcu7
0a1c Approwd:
-,
e
~~
The Building Pennil - Preapp/icalion must befUJd DuJ comp/etely.
PIC&Je type or print In Ink. It you bavc any qUCltlolll, plC&Jc call 417-481S
Applicant and/or Agent: C h Cl Y 10 +-!e And.a-vs OY\
Owner: D (it ve. . Ce- be t tL..-l<-
Address:,).6 d I k!, 0 -lli Sf-. City: PorT- /l:r.j e iR s
Phone:
Phone:
Lf57-a 77 ~
LfS7-569:cr
Zip: '1 ~b
Architect/Engineer:
ContractocPe (\ l Y\<S w\ tt ri-e a j-
Address: Sf) 2- k) '8'+11
PROJECf ADDRESS: :2 D ~ 7 W.
LEGAL DESCRIPTION: Lot:
Phone:
License #: ~rv) IV HIOQEq8-1?-,
City: ~ (-b AY-\J e ~ So
b +h <Sf .
Block:
Subdivision:
TYPE OF WORK: SIWV ALUA nON:
o Residential 0 New Constr. 0 Reroof 0 Woodstove SF. @ S /SF. &:: S
o Multi-family 0 Addition 0 Move 0 Garage ", SF. @s /SF." S
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ S /SF. .. S OQ
o Rcp,;,. 0 Sign.o TOTAL VALUA)10N . ~ ~y 0 _
BRIEF DESCRIPTiON OF TIm PRomer: 1-ki.. -r PIA <m..f ::7Av,-h11 II I L.lJW V" I : :-: 'M ~ tel! f'otJ.:J
COMMERCIAUREsIDENTIAL: Occupancy Group:
No. of Stories: _ Lot Size: % Lot Coverage:
Existing Lot Coverage: _ _ /sq. ft. + Proposed Lot Coverage:
Occupant Load:
COnstruction Type:
"
/sq. ft. II: TOTAL LOT COVERAGE:
Isq.ft
PLANNING USE ONLY:
Pcnnits Required:
Max. Height: Setbacks:
Site Plan and Use Approved by:
ESNWelJand(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No
APPROVALS:
PLAN
BLDG
DPW
FIRE
OTIlER
Notes:
ZOning:
Date:
Other:
PRf.ApPUCA nON SUl3MlTrAL: YDur appBcatJon and site plan must b~filJe.d Dut CDmpldelJ1 to be tlccepted fDr review. The Building
Division can provide you with more detailed information on the application and plan submittal requirements.
BUILDING PERMIT APPUCATION SUJ;lMlTrAL: Your completed application. site plan (for additions) and building construction
?lans are to be submitted to the Building Division. Any addition larger tban SOO .q. ft. will need a PreappUcatlon Rcvlew.
V ALVA nON OF CONSTRUcnON: In all cases. a valuation amount must be entered by the applicant niis figure will be reviewed and
nay be revised by the Building Div. to comply with CWTent fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
:> LAN CHECK FEE: Your plan chcck fee is due at the time the building permit application and construction plans are submitted. AU other
lCflIlit fees are due at the time of pennit issuance. '
:XPIRATION OF PLAN REVIEW: Uno permit is issued within 180 days of the date of application. this application win expire by
mitatiCX1S, The Building Official can extend the time for action by the applicant up to 180 days. on written requC$& by the applicant (see SccUoo
04(d) of the Uniform Building Code, CWTent edition). No application can be e>.1ended more than once.
hereby curify lhall haw read and examined this application and know Ihe sam, 10 lu lrue and co~ct. and I am aUlhorized 10 apply for
:is p('~m.i~. I underJI~nd il is nOII~le City's le~al respoluibiliry 10 .de/~rn . e what penniu are reqUI.red.. it remailU the applicanl'l
'po""b,luy 10 d'''''"n, wh., pennu, .,u.qu,nd and 10 obl.'n ',UCh. ~ ~,_
Applicant. ~~ tc. ?b/j 03
r:C:\DAT A\WNCEEP~l.DAPP.fRM P\l/.ll02.eJ[IW.2IHJ
HTE -[A Customer At AGlance- CITY OF PORT ANGELES FINANCE DEPARTMENT]
Mard131.2W53:32PM
Home I New Window I
Emaill
Support
Help
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.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO 71~ /7
JO/7/fy;'
, r t. I
DATE
Site Address:
o READY FOR
INSPECfION
License Number:
o WILL CALL FOR
INSPECfION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW _ ~
., FAN/WALL I(1W- ~7[
'b6' RESIDENTIAL
10 COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGRO~E~CE
VOLTAGE: /2 ;;;z~u
)f 1 r/J 0 3 r/J_ arl5ln
SERVICE SIZE ~.r AMPS
FEEDER SIZE ~<<J.O AMPS
.
o..,,,,,,oc,;.''" ~M ~~i -{o ~
( ,
f u::~~
MR:6:-1~ __, _
!'f1~ ~ ~ r~.
SERVICE SIZE
'"3;:){)
riw
W.S. No.
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Aough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
New Meters
Installer:
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Aeport
or on the Building,Eermit. PHONE 457-0411, EXT. 224. .#
~/~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ If' fo
Electrical Inspector Permit Fee
WHliE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Add ress:
o READY FOR
INSPECTION
license Number:
~WILL CALL FOR
INSPECTION
Phone:
Instalied By:
,;(002 7 Clj ,
y( CbEi4tC
~L
Owner/Business:
Owner/Business Address:
~ ~6~~~~~~LL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
~ SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
~
JIJ-sIn-/
.3;20
I
~
/
itJ/ec f'~~
'\
PERMIT NO. .;? 609'
S?Y/f-L-
DATE
Phone:
Sq. Ft.
o OVERHEAD SERVICE
~OCi-~8~:RJ~~~ICE
~ SINGLE PHASE
10 THREE PHAS,3
SERVICE SIZE :.<0 AMPS
d::du ~
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
t?t,
Ie 4- J.
Installer:
Permit/Receipt No.
.;:? t, fF!
L
New Meters
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
:Z:a:ector
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - FHe by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
&0
.s:s -
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
.
N? 15794
Port Angeles. Washington______no_.C;..._::....?::___________no______.______.._no. 19.~..::"
In accordance with the City Ordinance to regulate the installation. extension, or repair of elec-
trical equipment in. on. or about any building or other structure In the City of Port Angeles. per-
mission is hereby granted to do electrical work as listed below.
~
; 'J ,.' ~U C. ,~/ y
Address .____._____._.-nonono-non----n------nono--nomnno-------------no--nono--no Occupancy ______"",t?<a.-_______________no__n_____.
v ~ . /
~::: ~.~;~:~~~~:~?=::(1g::~:::::::::::::::::==tillEt.~:~~~;:::::::::::::-----:.-::::::::::::=::::::::::::::::::=:::::::::::::::::::
/i..)
Light Outlets...._..............._...........__.___...
Receptacle Outlets__L_td............_m..
Service, volts .....___..........._..................
No. wires __..__..................._.............
Dryer, KW uu..n____n____u..........__._________
Size wires_______....._...._................._..
Range, KW ____.m________________.___...___
Main fuse ....._..._....._.......________________
Water Heater:
Enclosure __......._..........._.....m___
KW..__.._______.,,_____._____________
Heat: Kw........_i~~......m.___.m..__._..____
Type of wiring;
Entrance Cable __..._m'....m__...
Motors: size, volts and phase:
Rigid Conduit ..........................___..
Metallic Tubing Um__
Current transformers:
No. & Size..............................
Ser. No.__..._____..__...___.__....._______.....__...
Ser. No._.....___________.___._______..____._________
Scr. No....._......________.____________________.____.
Type of Wiring;
Armored Cable ._mmm...................
Non.Metall1c ..................___._....._____
Knob & Tube________......................._..
Rigid COOldult ................__..__.........
Metallic Tubing mmm__mm..__...___
Raceway _._.._................................._
Circuits, Lightm_..........................._____...
Utility ..............__.........................__._
I-Ieat ...._......._______............................
Range _____...____...................._____________
Water Heater ____mm__.................__
Motor ...___......__..__......_..........__.____._
Dryer........_.....____..._._..____..__.._..._......._
Furnace _.._......................_.............._....
Total I..oad..___________..____._______.. Ser. No..______.__.____.____________._______..____.. Total ..........__.....____._.______...._....
Remarks: -----------6.____.Cd?.cn}~;:___:::__l...._,:?.:___~t'..<d.A_______________..____.___nonom_____.___________________m__nomm___
_;~;:;~.;~~mmmumum-mmm;~:~~-.u~:~:;;~hhu--------mu--mh.h.mu.;;hp~;-----m~-----.----------h---.---------
$_______.mu____m_mmuu__m_. NO____.mm__.m_m._._m_ By ~*.m--'~-~~--'ft!.h.€d...--:~-.-=--
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15794
Address.______.___..__...._..._.................._....._._......_...............__.._.....__..____._...________._______________...________.__.Date..._......_......_.._..........___...._...._______.....
Owner....................____.___.............._...._.....__._...._............_........._....__....................__............Tenant.....__..___________..___._.._..._.________._.__._._.__...__....._..
WiringContractor..........................._.........._.........__..._....._.._..__.___.___._.._..___.._________.__..._._.__...._.....___.By......_..._.._._....__._............____....._._..._.._.._..._
NOTICE-Current must not be turned on until Cert1f1cate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olvrn,",l... P,.;...I",,.~ T"...
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14996
J' - ,;- . ?y
Port Angeles. Washingtonm.._____..____..____:______________h_______________________. 19_____.._
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment in. on. or about any building or other structure In the City of Port Angeles. per-
mission is hereby granted to do electrical work as listed below.
Address _h.:2._9___q?__7.____~~'=__.f.__?2I..'___hm______________.._____..____ Occupancy_h_c:,.,-~~'_&.:_,,______________mm..h___
Owner h-:f.j<L-::,:;,:..-~/L~7ir_:---------------.. Tenant____h....___m..m___....___h_...____h_h_________________________h_
Wiring Contractor =d!,-:_0'!d.___~___~_:.._((e:&!~~'m_...... By....hm___h_.._h..__h__h____h....________________m_..______..
Light OUtlets_m_m________~_____m_______~__ v Service, volts __/2_0/_~__'!.._~_____ Type of WIring:
7'
N~. wl~es --my;;;--;Ji------------.
SIze wIres..................................._..
MaIn fuse 000.::1:-'3:5.__1.._000____000000__
S
Enclosure .......................................
Receptacle Outlets...............................
Dryer, KWJ ..........................................
Range, KW..........................................
Water Heater:
KW.h___..______________________________________
Type of wiring:
Entrance Cable ...............__............
Heat: RW...................................................
Rigid Conduit ..____.........................
Metall1c Tubing ....m....................
Current transformers:
No. & Size.......................................
Motors: size, volts and phase:
Ser. No...............................................
Ser. No......._..................................._.
Ser. No....___............_...._.................._..
Armored Cable ................m..........
Non-Metall1c ................................_
Knob & Tubem....._......m...............
Rigid Conduit __000_000_000__...000______.000
Metall1c Tubing ...........................
Race,vay ........................................_
Circuits, LighL.....................................
Utility __._000__000_.__000_______..___.__.000000____
Heat
Range .............................................
Water Heater h.............................
Motor .........................................._..
Dryer.................._.._.........._...............
Furnace ...............n.........__.......
Total Load................_..__...._.. Ser. No.........................._....__............. Total ............_..._....._........_......_
Remarks: _______.:o__J?,g;L-:!:'cr.&,....__Q:l:J._______g~,:-,;~_~~!?c,.._y_~.L."'_.__C___h..''''~h___..__....______..
Permit Fee
$m________________________________.
Treas. Receipt
NOh________________________
, !I J/;; / -'
By __/t._:______d.~_~~L.~"""_______
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR~BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~
14996
Date called for InspectIon_______.____.._..........................................._..._.........._.........._._...___........_.__._____........___.........__..________.___..___........_...._.._....
,
PrelIminary inspectIon dates................................. ........................._.....__..............____.__.........._.._._.._...........__.._._........._____.._....._................_
InspecUoncompleted...____..._...._....._.........._..__.._.____...____..._.___.__.......__._._.__................____.._.___..........__..__................_._..._.................................._
Total Load .........................___.__...__.._____..___.__.___.._.____._______._.__.............. ........_..
'\ 1M 3-72 Olympic Printers. Jne.
~
IC '?~
ELECTRICAL PERMIT APPLICATION
fOR omC1A1, USE ~L Y
"'''/M<<, ~ ., --.. --n.3
PenniU: - .
Date AppnlW'ed:
OateWuN:
The Electrical Permit Application must be IIlIed out comoletelv.
Please type or reprint In Ink. II you have any questions, please call (360. 417-4735
Fax number: (360) 417-4711
.pg6~
Owner or Elec. Contractor Agent: \)A:v IDe R: l? ([ C/l-k-
j)A-Y IDe rZ: if 12 erN'
Address: 2.07- I W cP .p.!:>
Electrical Contractor: \' ~ ~.
Phone: I.( )/- ~ax:
Property Owner.
Phone:
V.57- SO 8'1
Zip: () n r;, ?
City:
tyf /-k,5,P ~ .s
Ucense #: Exp:
Phone:
Address:
CIty:
Zip:
INSTALLATION WIRED BY:
I!'f6WNER
o ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Exp. Date.
Zip:
VISA:
Billing Address:
Credit Card Number:
City:
MC:_
PROJECT ADDRESS:
")...02'(
l.. 1 c,-0-
TYPE OF WORK: Check all that apply: 0 New
~Sidental 0 MuRi-family . 0 Commercial
Ol'AiterationlAddition
o Mobile Home
Sq.Ft.
o Remote Meter ODetachedgarage OHotTub o Swim Pool OS,epticP.u!,!p. o Low Voltage o Telecom. OS
Number of Circuits added oraltenid: l,,'. I
L ":<,', J.; \".
. :.
DESCRIPTION OF THE ELECTRICAL PROJEC'I':
(o@A/>t.?-]O ~f
,
/(,[/1 T tlur;r,t? U/2 eLf I r
(LA j" ~ rf J-vii;"d Iv-.. 0
/
(' /u,... a.f"
/
Electrical Heat Load Additions
116 ,70
/- 7'. c!4/U ~/
: , Service Information
o Baseboard
o Fumace
o Heat Pump
o Fan-Wall
_tW-I
_tW-I
~ tw-I
_ tw-I
o Overhead Service
o T empService::--:---.-..
c-:::--ElUndergroundSe_rvi~ ..J
Voltage: /
Phase: 1!11 0 3
Service Size:
Feeder Size:
PAMC 14.05,06O(B): For industrial, commercial, & residential projects larger than a duplex. a one -line drawing of the ElectriCal Service
Feeders, building size (sq, It.), load calculations. and the type & of conductor.s and/or raceway is required and shall accompany the
Electrical Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I
authorized to apply for this permit. I understand it Is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
U/&t yfJ)1L, OPAe--II'1 ~f-- c.. !
-c7~ q 7/~
~~~~_b
Credit Card Holder's Signature:
Date:
Owner or Elec. Cont.. Signature:
Date: :J-;J (-6]
PW-9019
r::dL c a___
1'-5-.0,3
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rl/trlAL
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