HomeMy WebLinkAbout527 Whidby Ave - Building uec i� ui iu:lla nobny u. Loleman 360-452-7594 p.l
a ELECTRICAL PERMITAPPLICATION �u_�SE����
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The Elechical Perma Application mus� be 11Yed out comalelelv.
Please type or reptint in Ink. lf you have eny quesl(ons, please call (36p. �1T-0735
Fatt numixr. (36D) �1T�1T17
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Owner or Elec. Coniractw Agent C���" P1rone: T S %�Fa�c
Prapert�r Ovmer. �1 C�� Phone: :3 Ca�i 7 G: ��U/
Address: �i: C'
�Y� ��5/ i1�' .�i i9 �V-�J Zip: !i�
Electrical Confracior: LJ�7 �i?'"�9.9i�: E� f-lrc: l� license R: Exp: Phone:
Address: �r�'� Ciry: _/_�/c ���r, "s' Zi
p: �S
INSTAL[ATION W IRED BY: C] OWNER O ELECTRICAI COMiiACTOR
Credlt CarQ Hclder Name: l> r L-c'� �/N.
BNling Address: ..S c:.c� C/ty: H' Zip: J�
Credit Card Exp_ D6ate: VlSA:�MC:_
PROJECTA�DRESS: �T f�/� +p G.lc�/ �/I/r"c�'-�lf�S
TYPE OF WORK: Check all that appiy: O New D Alteration/AddiGon
�Hesidenlal O Multi-family Comme�cial O Mobile Home Sq. Ft.
Remote Meter Detached garage �_.1 Hot Tub O Swim Pool U Sep6c Pump Low Voliage Telecom_ S�qn
Number of Glrcuits added or altered�
DESCRiP N OF THE ELECTfi1CAL PROJECT: /L4'��Lt 1 �c�`�CC-�/ �",E. r;
�'/���Y c S� �-e�
Electrical lieat Losd Additions Service tnformativn
0 Baseboard —KW Vollage:
D Fumece KW Overhead Service Phase: 1 C 3
lieat Pump KW Temp Senrice Service Size:
U Fan-Wall KW O Underground Service Feeder Size:
PAMC 14.05.060(8): For industrial, commercial, residenlial projects larger than a d�lex, a one fine drawing of the ElecVi�al Service 8�
Feeders, buitdmg size (sq_ f1_), load calculetions, and Ihe type 8 of conduaors and/or raceway is ►equired and shaN accompany the
Elecfrical Permit applicalian_
I hereby ce�tily that I have read and examined this application and know that same to be true and cor�ect. and am
authorized to apply tvr lhis peimiL 1 understand it is not ihe City's legal responsibility to detennine what pennits
aie required; it remains the applicants responsibi/ity io determine whaf pem�its ar+e required and to obtain such.
C�edit Card Mvlde�'s Signature: 1 Date:
Owner or Elec. Cont. Signature: Date•
P W -9019
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET, PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 12/19/2001 PERMIT NO 7492
OWNER/APPLICANT PROPERTY LOCATION
Lilliana Schuler 527 WHIDBY
P.O. box 11849 Lot:
olympia, WA 98508 Block: [] Long Legal
360/786-6001 Subdivision:
T: S: Parcel No:
CONTRACTOR ARCHITECT
COLEMAN ELECTRIC N/A
PO BOX 1326
PORT ANGELES, WA 98362 , 98360-0000
360/452-7594 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: SERVICE CHANGE
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] I []
[] Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES
200 a. service upgrade
FEES ASSESSMENT Service: $63.20
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $63.20
AMOUNT PAID: $63.20
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417..4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA ff/FUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE ~ IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DITCH
ROUGH-IN / COVER
SERVICE / Z //'ff e~t
FIN~ I / ~,/"I'/,',' I I
GENERAL COMMENTS: