HomeMy WebLinkAbout717 E 3rd St - Building
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417-4735
PERMIT It
R E.- Q..... ,
INgPr:::CTon
5-+ ::r
ADDRESS
717
APPROVED NOT APPROVED
o ..... . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0
o. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
o. . . .. . . . . . . . . . . . . . . . SERVICE.. . . . . . . . . . . . . . . . . . 0
o. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED: ILP D~
~LAA/I~ ~ rzE..'<>I~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE _
OLYMPIC PAINTERS. INC, (360) 452-1381
LA.~J
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by
I:l!l Electrical Contractor 0 Owner
Installation description
o Commercial S" Residential
Electrical contractor name
::J ~L'C
purc~s.er's mailing address
,{3rt n3\
City.
arr i!ttd
Telepho e Dum er
C _ ' Ii
License number
Date Expires
DNew
o Altered/Addition
I"",
~
1-;',,--><
2eD -+
S-cd),'"
Premises owner's name
10,,-,"' ~-5'ir
Address of inspection.... ,1
7/7 c .?rt<..
City fl ,.;- !h<t..;
Phone number to schedule Inspection:
f!< '--' ( "-
Owner as defined by RCW.19.28.26/:(I) Owner will occupy the structure fur two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor If above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. "I am making the electrical instal-
lation or alteration in. compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Date:O-: 'i --(J ft,
Expiration Date
of card
Inspection fee
$ 76 ,70
Service Information
Electrical Load Additions and or subtractions
CJ NO LOAD CHANGES
o Baseboard KW
o Furnace KW
CJ Heat Pump Ton _ LAR
if Fan-Wall ]I:KW
SAME DAY INSPECTION, CAI"L BEFORE 7:00 AM 360-417-4735
~rhead Service
o Temp Service
o Underground Service
Voltage 2-'!b
Phase ,fH CJ 3
Service Size: '2.<16 J4.
Feeder Size:
Dale Approved By
Date
Approved By
SERVICE
,~
Appron:d By
ROUGH-IN
THERMOSTAT
FlNAL
DITCH
FEEDER
Dale
Approved By
Date
Approved By
Date
Approved By
Inspection
Date
Area, Building or Equipment Inspect~d
Action Taken
Electrical
Inspector