HomeMy WebLinkAbout200 Fogarty Ave - Building
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
08-00001420 Date 11/13/08
599180
200 FOGARTY AVE
R6-30-00-0-0-0000-0000
ELECTRICAL ONLY
UNKNOWN
o
Application desc
1-5 circuits replace power supplies
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
PENINSULA POLE SERVICES INC.
P . O. BOX 13
BURLEY WA 98322
(360) 710-3978
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 137653
Permit Fee 58.00 Plan Check Fee .00
Issue Date 1l/13/08 Valuation 0
Expiration Date 5/12/09
Qty Unit Charge Per Extension
1. 00 58.0000 ECH EL-COMM ALT <5 CIRCUITS 58.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58.00 58.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 58.00 58.00 .00 .00
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SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
OMMENTS:
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ELECTRICAL WORK PERMIT APPLICATION
~ctrical Contractor 0 Owner
Installation description
~Commercial D Residential
D New D Altered/Addition
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. cal contractor name
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State ZIP
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FAX number
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premisu;~&- C-,&-;6 h
Address of inspection
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City /~ /J t?.~ . ~oe-I=\)'2.Tl(
Phon?COe~/03q )spection:
Owner as defined by RCW 19.28.261:(1) Owner will occupy the structure for 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, r 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 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
X Date:.#~
.3CO I-'~
o Cash ~~heck #
o Credit Card Visa
Card #
Mastercard
Discover
Expiration Date
of card
Inspection fee
$
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
D Baseboard KW
D Furnace KW
D Heat Pump Ton LAR
D Fan-Wall KW
Service Information
D Overhead Service
D Temp Service
D Underground Service
Voltage
Phase D 1 D 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
~UGH-IN TIlERMOSTAT
/2 ~~ tf3 ~BY Date Approved By
DITCH
SERVICE
--..
Date Approved By
rz( Zit t;AL
Date
FEEDER
Date Approved By
Date Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector