HomeMy WebLinkAbout133 Columbus Ave - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000935 Date 9/23/03
Property Address ...... 133 COLUMBUS ST
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-3558-0000-
To-nant nbr, name ...... TEAR OFF COMP
Application description . . . RE-ROOF
Subdivision Name ......
Property Zoning .......
Application valuation .... 3750
owner Contractor
TIEGEN COLLEEN M WESSEL CONSTRUCTION
133 COLUMBUS AVE PO BOX 1514
Expiration Date . . 3/22/04
Qty Unit Charge Per Extension
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nul! and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of ! 80 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certi~ that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date ib~ngnature ~f owner (if owner is build'r) Date
T:\PLANNI[NG\FORM$\1102.1 $ [4~2002}
Sitk Address:
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Insialled By:
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01ner/BUSiness:
Owner/Business Address:
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~ESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
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o SIGN
Dettls/DescriPtion:
i 7?~~
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W.S. No.
::1
CAPACITY:
\0 O.K. NOT O.K.
ACT liON REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
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o Ditch Inspection O.K.
11."''''' ~ough-inICover O.K.
/()Jl ~ II
At is 9i.K. to connect service
IIi 0 Rnal O.K.
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Sitl AddjS33
Inst~lIer:
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Noti\>, 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 Report
or on the Buildingj?ermit. PHONE 457-0411, EXT. 224.
I 0#U1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ;;;10 6!:!2
1 Elect~callnspector Permit Fee
WHIU:: - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: MeIer Dept., Bottom: City Hall
OLYMPl PRINTERS INC
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. 9"0;;2 7'
~// ?ffs
DATE
ELECTRICAL PERMIT
/3~
/tl
Phone:
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
'j:<:l SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~ OVERHEAD SERVICE
o UNDERG'QU~~WGE
VOLTAGE: C&. (,;..7
.R SINGLE PHAS(:
o THREE PHAS/i.-....,,.-,
SERVICE SIZE ~ AMPS
;:;:26tJ
~ p-fJ
SERVICE SIZE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
New Meters