HomeMy WebLinkAbout1119 S Race St - Building
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ELECTRICAL WORK PERMIT APPUCATION .
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P",Chas;' :t3n03'(.,t~ / 01
City POJe.f-~iZ1PW)f- '7{-363
Telephone nUlllS7 -'7 ;;;.. 7 Of AX nu~ ~
Premi~e!j;
lu:.;LlIll;,i.liun dlo':;c;riplion
o Commerciol ~ResldenUaJ
Job wired by
lectrical Contractor 0 Owner
o New
CI A1teredlAdditioa
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rbuDe number tu scbcd,lc iD~pcctiuo:
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Ow".:,. ~~ d"jilll~.d h)! RCW 15).2~.2(JJ:(1) Own.:r wi.JJ DCCUpy the ~'lI'UClll"f! for two
Yf:urs ciftljr (J.t~. c:/ectricu[ fJ<!rmil 6' finalized. (2) Qwnel' is n::quiN.d tn "ir~ an electrical
c;OrItr"dOl' if abolJl! .~ajd property is for' sale. refit or lea:>€...
Af\cr rCilding the above statement. I h~reby ccrtit). that I ;1111 the owner of the above
nam.;d property or a licensed electrical contractor. I um making tbe eledrical instal-
lnrion or Clltention in- compliance with the d~drical laws, N.E.C., RCW. Ch.aplet
19.28, WAC. Ch01pt~r 296.468, The: _City of Porl AnSclcs Municipal Code, Ilnd
Utility Specific3.tio~.
SigplIture
Cily
o Cash 0 Cheek #
o Credit Card ~sa J Mastercard
Card!!
Discover
or dllclrit::d administr-utor
:II~~-Ob
Expiration Date
of card
$'SP37~fC:~
Service Information
o NO LOAD CHANGES
o Baseboard KW
Cl Furnace KW
o Heat Pump Ton
o Fan-Wall KW
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseO,D3
Service Size: _
Feeder Si%e:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGB-IN THERMOSTAT SERVICE
0;&(0 ApproveLl By Dill\: ApplovVll8y Dill\: Appruvul.! By
FINAL DITCH FEEDER
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U, Oak ^fllUDv&! By D.lu Appfll'ud ~y
,
Inspection Area. Building or Equipment lnSpel.:tc:d Action Taken Elc:ctiicill
Oute . Inspeclor
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
J21 EAST 5TH STREET. PORT ANGELES. WA 983(,2
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdiv~s~on Name
Property Use
Property Zoning .
Applicat~on valuation
06-00001279 Date 11/30/06
908696 ".
1119 S RACE ST..- . ,.. .
06-30-10-5-1-0145-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
HAGGERTY, MARK
1119 S RACE ST
PORT ANGELES
(360) 452-6611
WA 98362
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES '.' ..
(360) 457-9270
. WA 98363
Perm~t
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
SIMPSONI METER REPAIR
91603
36 30 Plan Check Fee
11/30/06 Valuation
5/29/07
.00
o
Qty Unit Charge Per
1 00 36.3000 ECH EL-R OR RM REPAIR METER/MAST
Extension
36.30
'-
...........
"-
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.30 36.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 36.30 36.30 .00 .00
CA
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PI <lln CheCk Fee
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Val\lat~on
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COMMENTS/ACTION NEEDED
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ELECfRlCAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT lOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
IJITCH
IHlllnH_lN7 CUVhK
SERVICE
tlNAL 1/..1 .7:- trh 1-1,1 )
GENERAL COMMENTS:
PW.111I2.I' (41961