HomeMy WebLinkAbout100 E Lauridsen Blvd - Building
Application Nunilier
Application pin nunilier
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00001421 Date 11/13/08
734109
100 E LAURIDSEN BLVD
R6-30-00-0-0-0000-0000-
ELECTRICAL ONLY
UNKNOWN
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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
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Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin nunilier 137661
Permit Fee 58.00 Plan Check Fee
Issue Date 11/13/08 Valuation
Expiration Date 5/12/09
.00
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~
Qty
1. 00
Unit Charge Per
58.0000 ECa EL-COMM ALT <5 CIRCUITS
Extension
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 ELEC'TRlCAL
TYPE ' DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
, OMMENTS:
0<(5 -14 Z
R E C'E I V i.J2CTRlCAL WORK PERMIT APPL~CAT~6N
NOV 7 2008
y;(Electrical Contractor 0 OWffGHT DE
License number Date Expires
PB7t--l J'--/lScx>>Lr (; a
DNew
D Altered/Addition
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GO
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Job wired by
Installation description
~f)mmercial D Residential
State ZIP C .
0#- 7 &'5 ~"<=-
FAX number
3&0 [Sci s~q/CJ
I~r
premisef?:er~~ C~~ ~
Address of inspection . / .::>
J/'I tv L~R/rL5~OLVcl
City ~~~LJ--t'e--3 100 15 J,.,q()iZIUGEN
Phone number to schedule inspection:
'C).=se?
Owner as defined by RCW19.28.261:(l) 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, 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 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Sign ture of owner, electrical contractor or electrical administrator
--
>001 - y
o Cash ~eck #
o Credit Card Visa
Card #
Mastercard
Discover
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
Expiration Date
of card
Inspection fee
$
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 360-417-473..5
'l"2~lc;GH-IN THERMOSTAT
Date A~ Date Approved By
DITCH
SERVICE
Date Approved By
II ?"?;;;AL ~'"
FEEDER
Date Approved By
Date Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector