HomeMy WebLinkAbout415 S Race St - Building
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by ~ectricaJ Contractor 0 Owner
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Installation description
~ommercial 0 Residential
o New
D Altered/Addition
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State ZIP
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FAX number
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Owner as defined hy RCW /9.28.261:(1) Owner will occupy the structure jill' two
years afier this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor {f ahove said property is for sale. rent or lease.
After reading the above statement, ! hereby certify that r 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 lilws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipill Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
o Cash ~ck #
o Credit Card Visa
Mastercard
Discover
Card #
x
Date:
.~
Expiration Date
of card
$nspeff~
S!!1Jlic.eJnformation
E1ectrical.Load.Add itions.and.or
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
D Fan.Wall KW
.tr
s
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD1D3
Service Size:
Feeder Size:
SAME DAY INSPECTlO~,-.CALL BEFORE..1;.OO AM 360-417-4735.
ROUGH-IN THERMOSTAT SERVICE
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Dale~ Approved By Dale Approved f!y " Date Approved By
FINAL DITCH FEEDER
/1 !JoM ~ Dale Approved B:
Date Approved By Dale Approl-ed By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector