HomeMy WebLinkAbout3413 Mill Creek Ct - Building
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ELECTRICAL WORK PERMIT APPLICATION', ".
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Job wired by
~Electrical Contractor 0 Owner
Installation description
o Commercial /~Residential
Electrical contractor name
/lIo1C#~ k?
Purchaser's mailing address
Po 0, 99(
C;ty j7 fr
License number
Dale Expires
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o New
~AlteredJAddition
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7l/cr{qVIt.tfi')(Jj1 UI-
Telephone number
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State ZIP Q
WAr /?3t;'2--
FAX numbcj /. ( /
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Premises owner's name
I / ~ ft/Id 11 m K. M-fl., uK-
Address of~ectlOn
i1 '//3 t'Z1d<...C;KtflflL C-r
City //
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Phone number to schedule inspection: Ol<JCJ _ 7 VV/
Owner as defined by RC'J~J9.28.261:(I) OWI/er will occupy the structure for two
years after this elecrrical permit is finali=ed. (2) Owner is required to flire an electrical
contractor if above said property is for sale, renl or lease.
After reading the above statemenl, 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 clcctrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapler 296~468, The City of Port Angeles Municipal Code, and
Utility Spccificat0ns,
Signature (J'{ow ~r. electrical contractor or electrical administrator
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Date: .:;;-: ;1-00
Expiration Date
of ca,d
Elec rical ad Additions and 0' subt,actions
o NO LOAD CHANGES
o Baseboard KW
D Furnace KW
D Heat Pump Ton LAR
D Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
THERMOSTAT
SERVICE
Dale
Appn.w"oj By
Dale
Appnl\'ed By
Dille
Appro'-ed By
FINAL
DrrClI
FEEDER
Dale
Appro\'ed By
Dale
Approv'ed By
Dale
Approved By
Inspection
D:Jte
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:\21 EAST 5TH STREET. PORT ANGELES. WA 98]62
,
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning
Application valuation
06-00000477 Date
786262
3413 MILL CREEK CT
06-30-15-7-7-0060-0000-
ELECTRICAL ONLY
5/12/06
'.
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o
Owner
Contractor
MOLLENKRAMER, TILLY
3413 MILL CREEK CT
SEQUIM WA 983824000
(360) 290-7548
THORNES REFRIGERATION
PO BOX 991
PORT ANGELES WA 98362
(360) 461-0158
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
THORNESj T-STAT WTR HT
77164
THORNES REFRIGERATION
48.10 plan Check Fee
5/11/06 valuation
11/07/06
.00
o
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
- - - - - - -\ - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - --
Fee summary Charged
Paid
Credited
Due
Permit Fee Total'
plan Check Total
Grand Total
48.10
.00
48.10
48.10
.00
48.10
.00
.00
.00
.00
.00
.00
COMMENTS/ACTION NEEDED
Oct 29 03 07:47a
R.W. and F.L. Becker
350-583-5104
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ELECTRICAL PERMIT APPLICATION
FQ!l.G..."ft{]..'U.USEOta.Y
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The Bectrical Pel'1Trit Applicaoon must be filled out completely.
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
Owne.- or Bee. Contractor Agent (2 t c.. l..{ ~ ts,--=C,i~~
"roperty Owner. " ,T/1-C-I.L CO ':'A_X::!'~
\ddress: 1 t../ I 3> IVlI ~ C If /~ Cr.::ily:
0Jectrir:al Conlractor: R, 0.J. ~ L=7e../c'G'71.....
\doRss: / <;'"3 L t/:}-'/'C/-'JC. CurliN'"' i'~ City:
Phone: ISO ~ '- f(,{.<j Fax: h 5{s Go, /0 <j
Phone:
P<\.{.
1~i..J 6;,,'(.';:'1" Ob3 c."
Ucense#: Exp: ""Z oc.~~..;
~":"p I) t; I I-rl/l'
Zip:
PllOlIe: &(:; S j~ <j'
Zip: C) fre; f" z.....
NSTALLATION WIRED BY: 0 OWNER ..,..€LECTRICAL CONTRACTOR
";redit Card Holder Name: R I '- 1..1 "tnVn is C-c~ii..--if:;?L.-
-..,
l/IUng Address: I!:> ,;:, L T/f--';'id-,!.... C-....rof~'; ,W) City: <'"~i':;>ql.i ( vV'
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;redit Card Number:' -> Exp. Date:
c.' l/~ V..-,
Zip: /' <1....., iL L--
VISA: j../ MC:
ROJECT ADDRESS:",? <//3 I1-1tL i c;; rt.C-oZ-" r C~,,? x.~
YPE OF WORK: Check all that apply: ;S.New 0 Alteration/Addition
Residential pltMulti-family
o Commercial ~ Mobile Home
Sq. Fl
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
Jmber of Circuits added or altered:
"SCRIPTION OF THE ELECTRICAL PROJECT: II..) 571+LL /J;'/'6i L- ,<k7-rd"~
~"A"
rt;.L!:clJLJ:.-.
<,DL...,//u.r v:
.ctricnl Heat Load Additions and or Subtractions
0s<,cr 0/ ~
SefV~ce Infornlation
3aseboard
'UnlaCe
fealPump
'an-WaIl
_KW
KW
_TON
_KW
l.RA
o OVerhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 03
Service Size:
Feeder Size:
~reby certify that I have read and examined this application and know that same to be tnre and correct, and I am
norized 19, apfJIy fur this permit I understand it is not the City's legal responsibility to determine what permits
, requirodi;:it"remains the applicants responsJ.b;(ity to dete. ine what permits are required and tool1tain such.
. f Credit Card Holder's Signature: '1.-::'!.,;," ',/ .,;:7 ,,~ Date: /0,' Z, '7- 0 J
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Ef:IRICA!f"I"RWFAPPLlCATION 00'J rV\.~~+ CCh~.J,nJ tAil If ~c ~.f
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PORT ANGELES CITY LT
:
PAGE 01
3504174729
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CITY OF PORTANGELES
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LIGHT DIVISION
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FAX TRANSMISSION COVER SHEET
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10/30/03
L&I
417-2755
Inspections
Kathy Trainor
Date:
To:
Fax:
Re:
Sender:
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724.
Please inspect the following:
3413 Mill Creek Cl.
ditch, mobile service & feeder
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per Richard Becker
Becker Electric
808-2864
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