HomeMy WebLinkAbout1101 1/2 E 3rd St - Building
DOwner e
~ Electrical COlltraetor
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
(J AnDual Pe.-mit C Alarm tJ Camival a Commercial ,k, ResldellrJaJ
D Thermostat 0 Iela:om~
K Residential Maiot. a Signs
Insl.allulioD description
Job ..ired by
1!1 ElectrleaJ COllle.eror 0 Owner
ElectriC'31 contractor name
Straits Electric
Purchaser', mailing e.ddrcss
P.O. Box 2914
City
Port Angeles
Telepbone number
360-452-9104
c
Lieense oumber
STRJUE*0110S
tj. /v-.)tTD 7
Slllle ZIP
WI'. 98362
FAX number
360-457-4698
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o Cash 0 Check #
121 Credit Card VIS3
I hereby certify that 1 am the QWD.U of the above named prOperty or a licensed
elccD'ical contJactor (or the nm's authomed agent) and am making the elearic3l
installari CIT" tion in compliance with the dcctricallaw, Chapter 19.28 RCW_
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Mastercard
Discover
C.rd# _..iln.....EA.l'L__.____.____
D a , II:dric:al cDotrac:tor or electrical .admi.istrator
~"1Otio {,;
Eleetrfcal Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard _ KW
a Fumaee KW
D Heat Pump _ Ton _LAA
o Fen-Wall I(W
/ WALLS
Insularion Only
Dill; Apo!1:l"'fo<l By
Cover
Date ApJllDved By
"
Expirntioa Date
of card
TIlERMOSTAT
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SERVICE
D~ "M"Vved By
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IDDER
D= Appf'lllled lIy
CEILING
J"sulation Only
Om
APP""~ed91'
Cover
Dale
"~"edBy
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Serv'ea Information
o Overhead Service
o Temp Service
Q Underground S9Nle9
Voltage
~h.se01 03
Service Slz9:
F:eeder Size:
Inspection Ar~ Building or Equipmetlt Inspected Action Taken Electrical
Date Inspector
,.( 7 _ /.___ hl-/~_ # AcIJ
77
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l21 EAST 5TH STREET. PORT ANGELES. WA 98.162
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Appllcatlon Number
Appllcatlon pln number
Property Address
ASSESSOR PARCEL NUMBER
Appllcation type description
Subdlvislon Name
Property Use
Property Zonlng .
Applicatlon valuatlon
05-00001243 Date 12/19/05
687465
1101 1/2 E 3RD ST
06-30-00-5-4-0425-0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
OLSON, STEVEN
1419 S C ST #1
PORT ANGELES
(360) 452-1213
STRAITS ELECTRIC
PO BOX 2914
PORT ANGELES
(360) 452-9104
WA 98362
WA 98363
Permit
Addltional desc
Permlt pin number
Sub Contractor
Sub Contractor
Permit Fee
Issue Date
Expiratlon Date
ELECTRICAL ALTER RESIDENTIAL
STRAITS/ 200A SVC UPGRADE
67363
STRAITS ELECTRIC
STRAITS ELECTRIC
66 90 Plan Check Fee .
12/19/05 Valuation
6/17/06
00
o
Qty
1 00
Unlt Charge Per
66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
66 90
Fee summary Charged Pald Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 66 90 66 90 00 00
Plan Check Total 00 00 00 .00
Grand Total 66 90 66.90 .00 00
COMMENTSI ACTION NEEDED
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ELECTRICAL PERMIT INSPECTION RECORD
. ,
CALL 417-47~) 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
UTI 'H
-UOT 1(;H_lN / CUV,hK
SERVICE
1<fl\J AT II t7- - /:J - 051 .~j7
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GENERAL COMMENTS:
PW-II021S (4196)