HomeMy WebLinkAbout113 E Park Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date '5 - {,o (,
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.
Time
/0 :em ~ 1M Received by
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e person)
Location of Work to be inspected ! 13 E p# /.[
Name of person requesting inspection L"/&'[ f t" r O. i/
Address of person requesting inspection /7u3 ,<,c/ is 51 Phone No. [{/7- L('15L!y
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~t.-J.,- f <":-
INSPECTION NOTES:
Inspected: Date '".- 6 - 0 b
Remarks:
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RESTORATION REQUiRED...... YES X NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel ,.9(AsPhalt 0 pcc 0 Other
o Repaired by City ~ Order # ,'?<3)3'16 -oft
o Repaired by Permittee COMPLETE l3.!Jb~
o No Damage Found INCOMPLETE
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{Continue on reverse side if necessary I 1~ STREET.SUI'ERINTEND!;NT
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o ,o,, CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
'421 EAST 5TH STREET, PORT ANGELES. WA 98362
ELECTRICAL PERMIT iSSUED: 6/06/2001 PERMIT NO 7292
OWNER/APPLICANT PROPERTY LOCATION
113 PARK AVE E
PATRICIA ANDREWS
113 E. PARK Lot: 14 & Wl/2 15
Block: 5 [] Long Legal
Port Angeles, WA 98360
360/000-0000 Subdivision: PSCC
T: S: Parcel No: 06301050055200
CONTRACTOR ARCHITECT
SHAMP ELECTRICAL CONTRACTING IN(: N/A
P.O. BOX 383
Port Angeles, WA 98362-0000 , 98360-0000
360/452-1689 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: SERVICE CHANGE
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240 ~
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 200 ~
Feeder Size: 0 1~
PROJECT NOTES
FEES ASSESSMENT Service: $61.50
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $61.50
AMOUNT PAID: $61.50
BALANCE DUE $0.00
( ()M~II:NTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 41%4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA ~FUL TO CO
1NSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DITCH
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SERVICE