HomeMy WebLinkAbout329 W Park Ave - Building
Date
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
0/9 ~1. Time
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REQUEST:
t --. Received by f P
32 q tV Padu ~.
RJ ~ Phone NO~~~?O
03- 9'37
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Permit No.
Fin~sewer~ Other
INSPECTION NOTES: ~!t- ?::C:J
Inspected: Date ~ ~Time 2-
Remarks: .
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By __\.A ,0()f7 B.JJ.;
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RESTORATION REQUiRED...... YES X'
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NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel 0 Asphalt
OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
~n 28 04 09:07a
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Please'typeorreprint in ink. "you hiMlanyq..stions.,.p)IIa.se call (360) 411....735 03 - '13Q
o-~~.nt (~;l?0-'''- F''''''''''bW'(3C.)''::~,;2. 7/7V F..;l 7C7:
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Address Oc1:J..~9 (~~ u~, City. { ;70, &
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EJectrlcat ConlractDr: eI. ~.A.. . _. Ltl'ense #: bp;
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80bb~ O. Coleman
360-452-7594
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ELECTRICAl PERMIT APPLICATION
!'OR OF~!r-1."')"liSE ONLY
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lllUApprOotd .......
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The Electrita Permit Application must be "lied out comDletetv.
t1cf\
Phone.
Zop: LJ.f-5 c:; 7
Phone:
Zip:
INSTALLATION WIRED BY:
DOWNER
;~:hECTRICAL CONTRACTOR
Cred;t Card Holder Name:
Billing Address:
Cnldil Card Numb<N:
CIty:
Exp. Dale:
Zip:
V1SA:_ Me:
PROJECT ADDRESS: 3'2- '7
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TYPE OF WORK:
Check all thai apply. ~New
o Alteration/Addition
~Residenlial 0 Mum..family
o Commercial 0 Mobile Home
Sq. Fl
o Remote Meier 0 Detached garage 0 HolTub U Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign
Number of Cjrcuits added or ahered:
DESCRIPTION OF 11tE ELECTRICAL PROJECT: de v
.
~
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/ / / / . t:i:!!:f'--"-" oz., B ~l?;.,
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10 1l4t... J '-1 2. b fZ T ~
Electrical Heat Load Additions and Dr Subtr.Jctlons
Serviea Information
.J Baset>oanl
OFumace
o Heat Pump
o Fan-Wall
_KW
KW
TON LRA
~KW-
Q Overhead SeNiC8
o Temp SelVice
p<l1nderground Service
Voltage: .2!Loj!!{'
Phase:,sol u 3
Service Size: 2-uD
Feedor Size:
1 hereby certffy that , have read and examined this application and know that same to be true and correct and f am
authorized 10 apply for this permit I understand it is not the City's responsibility to determine what permits
are required; it remains the applicants responsibility to det . e 11- its ,!re '?JIO?d and to obtain su~h.
CredilCarrJ HoldersSignalure: ,~~ Dat.: t5 :.;2'/) -d~-
Owner or EJec:. CooL Signature:
Date:
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C\
,S)' C:JElECTRICALPERMITAPPLlCATION
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PERMIT FEE: $ '13.50
.
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lEltECTRICAllNSPEClrlONJ ~;
'WIRING IRlEl?ORl
417-4735
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INSPECTOR
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APPROVED NOT APPROVED
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o "",,"""" ROUGH IN/COVER" '" " " " '" 0
o ......,.,."..,... SERVICE """"""",.,. 0
o ".".......~,.'" FINAL, . , , , , . , . , , . , . , , , , , ,)If
CORRECTICNS NEEOW L./i?:::fLtL. P~-/!!,.L ",cd2!LJut.L.-
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PAINTERS, INC. (360) 0452-1381