HomeMy WebLinkAbout3900 Tumwater Truck Rt - Building
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.ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY:
DateRec.:
Permit#: ""'7/33
Dale Approved: ') ~
Dale (,,"ed: I Z/- Y/' "
The Electrical Permit Application must befilled out completely.
Please type or print in ink. If you bave any questions, please call (360) 417-4735
Fax number: (360) 417-4711
ApplicantandJor Agent:--.STRJ9 ; TS tJeC/,eir~Phone: 'Is-z -9/o</Fax# '1S7-</ID9tP
Property Owner:
Address:
Phone:
City: .
License #:
Contractor
Address:
City:
Credit CardHolder Name: .s1R~IT.s ~/Gc:lt<it.. /
Billing Address: P. O. ~ Ox .;J. '111 I
Credit Card Number
Permit Fee: 7;2~
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
.2'700 IUMttU~fr<<: Lfi U
Block:
C~R~f.i~ ~_c.k( te
City R,12 f IhvfF/E{ Zip: 1d' j4~
Exp. Date: . VISA$-MC_
,
~-;oh)vJ) ZONING
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
o Residential 0 Multi-family 0 Commercial 0 Mobile Home
Electrical Permit fees are based on WAC 296-46-910
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BRIEF DESCRIPTION OF THE PROJECT:
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Electrical Heat Load Additions
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan:Wall
KW
KW
KW
KW
o Riser
o Overhead Service
o Temp Service
o Underground Service
Comments:
Voltage:
Phase: 0 I 0 3
Service Size:_
Feeder Size:
PW.IIOI_I) ',"",',001
Credit Card tlolda-'. SigJ1al\lr
J hen:b)l ,'''iII' Ih"t I haw ",ad and examlnfd thl.r appl/elltlall I1II4ltm
jar this ~,.ml', r undemand ills "ot IhI Clty'l/ega/ ruPOIIIJb1l//y' tUre
rerponsl/J11l1jI ta ,determine whlll permlllll~ ~gul~d IInd /0 obtai IUeh.
, IfU' and earnol, a"d lam Ilulham,d ro apply
perm/II a~ regUlre1f: II rc/IIQIllIlh, applicllnt't
D8IO; 9[ If ( (j:)
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.121 EAST 5TH STREET. PORT ANGELES. WA 9R162
ELECTRICAL PERMIT
Issued: 6/18/99
Permit No:
6670
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
DICK HOPKINS 3900 TUMWATER TRUCK RTE
926 W.4TH ST Lot: 1-4 Of Coopers
Port Angeles, WA 98363 Block: Long Legal:
360/457-0737 Sub: E/S OF TUMWATER@LAURIDSEN
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
STRAITS ELECTRIC
P.O. BOX 2914
PORT ANGELES, WA 98362
360/452-9104
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: TEMPORARY SVC. prj Value: $0.00
Occ Type: Cnstr Type:
Occ Grp: Occ Load: Land Use: LI
Electrical Heat Service Type
Baseboard KW: 0 Riser Voltage: 0
Furnace KW: 0 X Overhead Service Diameter: -1 -3
Heat Pump KW: 0 Underground Service Service Size: 0 AMPS
Fan/Wall KW: 0 X Temp Service Feeder Size: 0 AMPS
PROJECT NOTES-------------------------------------------------------------------
PROJECT FEES ASSESSMENT--------------------------------------------------------_
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $42.50
$0.00
Misc
TOTAL FEE:
Amount Paid:
$42.50
$42.50
-------------~-------------------
---------------------------------
TOTAL FEE:
$42.50
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
UlTCH
KUUUH=IJlfI CUVER /
SER\i1l :1<: (;; / /. ~
T I I
GENERAL COMMENTS:
P'W-J 102.1S (4196]