HomeMy WebLinkAbout111 Dolan Ave - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
nl EAST 5TH STREET. PORT ANGELES. WA 98:\62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000210 Date
.585360
111 DOLAN ST
06-30-09-5-2-1680-0000-
ELECTRICAL ONLY
3/28/05
RS7 RESDNTL SINGLE FAMILY
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Owner
Contractor
Permit
Additional desc
Permit Fee . .
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
EXTEND MAST
36.30 Plan Check Fee
3/28/05 Valuation
9/24/05
.00
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HOPPER, ERNIE
277 BISHOP RD.
PORT ANGELES
(928) 3878
OWNER
WA 98362
Qty Unit Charge Per
1.00 36.3000 ECH EL-R OR RM REPAIR METER/MAST
Extension
36.30
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- - - - --- - - - -- ----------
Permit Fee Total 36.30 36.30 .00 .00
,Plan Check Total .00 .00 .00 .00
Grand Total 36:30 36.30 .00, .00
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COMMENTS/ACTION NEEDED,
ELECfRlCAL PERMIT INSPE~JON RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE
COMMENTS
NO
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GENERAL COMMENTS:
PW-II02.1S 14I96}
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o Electrical Contractor
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ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
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DOwner
.0 Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Job wired by
o Electrical Contractor J!!( Owner
Installation description
Electrical contractor name
License number
---Y/dEJ:ER rJ1 (>/ R~fl"~ --~
Purchaser's mailing address f~ II
,.). ')"/ B/S/bl ~
City LL State ZIP
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Tele hone n~ F nu~ ;;:(O'~
Prem~wner'!. Ram; I
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Add71t,,~tV '
City ~e\ ek5
o Cash Qa-Check #
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the finn's authorized agent) and am making the electrical
installation or alteration in compliance with the clectricallaw, Chapter 19.28 RCW.
o Credit Card
Card # ,
Visa
Mastercard
Discover
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~gnaturc_pf n:n~tdcal cnutractor or electrical adm;ui,trator
Expiration Date
of card
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Dale
ApflTOved By
/ CEIUNG
Insulation Only
Date Approved By
Cover
Dale Approved By
"-
/ TIIERMOSTAT
"- Date Approved By
/ DITCH
Dale Approved By
SERVI~
1- ~.:o5 AP~(Y
FEEDER
Date Approved By
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WALLS
Insulation Only
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Cover
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Dale
Approved By
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Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
D Heat Pump Ton LAR
o Fan-Wall KW
Service Information
,-
Voltage
PhaseD 103
Service Size:
Feeder Size:
D Overhead Service
CI Temp Service
o Underground Service
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
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IElIEC1rIR~CAl ~ INIS/P>IEClrU~1NI
W!IRl~INIG ~1E/P>OIRlT
417-4735
PERMIT"
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APPROVED NOT APPROVED
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o .............. ROUGH IN/COVER........ .. .... 0
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o .................... FINAL. . . . . . . . . . . . . . . . . . . . rO
CORRECTIONS NEEDED;J2-~ 1 ~ 'ft::.4,j) ~
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (380) 452-1381