HomeMy WebLinkAbout1129 Caroline St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. / U>V \
DATE 7j//s:k r
ELECTRICAL PERMIT
Site Address:
Installed By:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
OwnerfBusiness;
Phone:
Sq. Ft.
~ Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercialllndustrial load
Totai Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
o(Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
DetalislDescription:
,/Y ilf/".ru
,~A--k g/- 4# ~
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V
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W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
o O.K. to connect service
~alo.K.
Size
Comments
Date
HOld for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
Installer:
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Permit/Receipt No.
New Meters
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Notily the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building 'Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
/)J' ~n1t?or
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
WHITE=- file by address YELLOW _ filA hv nllml"u>r P/1\lj( _ Tn",. e...... D.....u....-.. ,...._~___
Amount paid
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FDROmCIAL U51l ONLY:
Dolo ill<:.:
l'amit N:
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The Electrkal Per'1/Jit Appiicafion . must lie filled QIII completely, i Dak_
Please type or prlntln Ink. If you have any questlo.... please call (360) 417-4735 . ~ 1-
F... number: (360)417-4711 i I. .i ') ~ :, G,
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Phlllle: ~-4Iq3
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ELECTRICAL PERMIT APPLICATION
Applicant and/or Agent: Ef.:E: 1<6 r2.k~'"" t= l- 8: -
Property Owuer:-1Yl R... --;-.0 N t-I t::) U osf::K
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Address: City:
Contractor 5~R..~ 6-f(. License #;r; l/fJ?Q;;IIO#~xp:
Address;J 5" W --::::;p. rne->--rt;r.JJrtJ Rd City: 9Ft'-.J L) 1 ~
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Zip:
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15IlL}cjlr' ;;;~f2.e (?&-(. -" 6.~C--rf?lC
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Expo Dllte: ~. J-7S.4_ MC..k
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Credit CllrdHolder Nllme: m lC..\ic,~ I
BiJJjng Address:
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Credit Card Number ?
P~OJECT ADDRESS: \11., 9.
LEGAL DESCRIPTION: Lot;
c,., rO ( I v>-<.
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Block:
Subdivision:
CLALLAM COUNlY PARCEL NUMBER:
Phone:
Zip: q~L
ZONING
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P /.::--r-
Electrical Permit fees are based on WAC 296-4&.\110 .' J
BRIEF DESCRll'TION OFTBE PROJECT: ZcOfll'1TP Sl::-€/;IIl:-/~V.l1)r:Jr;-1
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Service Information !
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Vohagei 2-2L>~:pO
Phase: ~.ih lJ 3
SOlVice~i2.c: ;p,~
Femll' Size:
~ OF WORK:
idential 0 Multi-family
o Commo:rcial
lJ Mobile Home
~Iccrrical Hear Load Additions
lJ Baseboard
o Furnace
o Heal Pump
o Fan-Wall
KW
TCW
KW
KW
P Riser
)s':'Ovc:rheod SOIVice
OTcnp Senlice
o. Uuda-ground Service
Comments:
5~~~~
I hereby cemb thot I have read and examined this application and mow Ihe same to be tnJe and correCl, and I am aUlhorized 10 apply
fortllis p.,mit. 1 under:rtCU'ld it is nal/he City'" legal responsibility 10 determine "';'at permi/$ are required; U relJlDins the applicant...
responsibility ta.delermine what permits are requIred and to obtai" sU&h. J <!> Il ~ 17!(j 2-4 _
rW.llO'_23 ["""1.00] Ccedit Card Holder's SiglUllurc: ~Ue ~, Dale: DZ-..
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