HomeMy WebLinkAbout626 1/2 E 9th St - Building
~
/,0-0
~?
~
~
DOwner ......
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
o Electrical Conlt:.clor
I
o Annu.:l1 Permit Q Ahrm 0 C3rnival 0 Commerdal
,
o Reddll!utbl 0 lleddeDtiall\.Wnt. 0 Signs 0 ThermOIt:3.t. 0 Tell!com.
lao C."" 'f
S. e II' Vl Li J
q(f~ reel
~\ .4'
r
"
r"
"5( Electrical Contractor 0 Owner
~en".Illl"!b"
~L- t::C--;- 0$']:"
Pu'ch~ol m8n;::~"';.. \) 61~ \I )?.J
City.(:) .': '~ Staf; Zlpr
---1..JJ .- r. . e I , , ~
. ~ _~ I--\-
., PAX number
4.f
Installation description
Joh wired hy
9'&~"?
c Of ~ tU ~ +~, rvt i V)
. b cu~lY
x
o Cash 0 Check #
:,:",c.ro _~. """tJ I ~'"""__
Expiration Date if'\:\[\-
f d V J L Iospectlon fee
o car $ h90
\:
l
I hereby certify that r 'am the owner of the above; named property or a licensed
electrical conlractor (or the firm's authorized agent) and am making The electrical
instaUation or alteration,in compliance with the I;:lcctricallaw. Chnpter 19.28 RCW.
/ WALLS
Insulation Only .
Oile ~roVC4B)'
Cover
D.u Appl'O~BY
\..
CEJLJNG
Insulation Only
D.~ Approved By
Cover
D~le AJlPlGyedit:f
THERMOSTAT
Date APpro"e4By
DITdI
D"le J.Ppnl"e4 By
VICE
1!f?
~
c
\
FEEDER
D.~
^Wro~cd By
Eleclricalload Additions and or subtmctlons
o NO LOAD CHANGES'
Q Baseboard. KW
o Fumace _ KW
o Heat Pump Ton LAR
a Fan-Wall KW
trv
SArvicp- Infnrmatlon
o Overhead Se",jc~
o Temp Service
l;I Underground ServIce
Voltage
pha.se,a 1 0 3
SOlVice SIze: _
Feeder Size:
Inspection
I OllIe,
7/U O<e:;: ?Jk
Electrical
Ins.poctor
~)
10 39\1d
l>Zl>9ZSl>09E
SS'E1 S00Z/611L0
<:f"ORT,,-,;;
,,-',~~<"
"na.
'- ~-
.'4ii.>:;W$fi'
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
0'0--70
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
property Use
property Zoning . . .
Application valuation
05-00000764 Date
639656
626 1/2 E 9TH ST
06-30-00-0-2-8610-0000-
PUBLIC WORKS UTILITES
8/24/05
(ol& /;A E Cji:A
KUPSTAS, ALBERT/E. M.
P. O. BOX 511
CUSTER SD 57730
(605) 440-0700
RS7 RESDNTL SINGLE FAMILY
o
Contractor Q
_______________________ I
OWNER
tGGpsk
Owner
permi t . . . . .
Additional desc .
Permit pin number
Permi t Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
W/M FOR APT IN REAR
58271
715.00 Plan Check Fee
8/24/05 Valuation
2/20/06
.00
o
Qty Unit Charge Per Extensiqn
--------=~~~------~=:~~~~~-~~----~~-~~~-=:_:~~~_:~~:_~~=~~--------~=:.~~-~
Fee summary Charged Paid Credi ted Due
----------------- ---.,.------ ---------- ---------- ----------
Permit Fee Total 715.00 715.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 715.00 715.00 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. .
Date
Date
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:\Policies\ll 02.15R [1105 ]
! Trenia Funston - water meter installation @ 6261/2 East 9th Street eermit 05-764
Page 11
From:
To:
Subject:
Trenia Funston
akupstas@gwtc.net
water meter installation @ 6261/2 East 9th Street permit 05-764
Mr. Kupstas, we received payment for the water meter and the electrical service for your property at the
above reference address. Notice the address has 1/2 attached to it. Unless you instruct me otherwise the
new water meter will be placed adjacent to the existing meter. The installion may be a couple of weeks
out. If you have questions feel free to contact me @ 417-4807. Trenia
cc:
Annette Owens
Page I of I
Dawn L. Shideler
From:
To:
Cc:
Sent:
Subject:
"albert kupstas" <akupstas@gwtc.net>
"dawn shidele~' <dawn@olypentitie.com>
"dawn shidele~' <dawn@olypentitle.com>
Thursday, January 01, 1998 12:30 AM
payment city of port angeles
8-17-05
would you make a check out of escrow to the city
of port angeles in the amount of $ 1125.00 alln: '
trenia funston pulic works for charges plumbing hook up
city $ 715.00 & charges electric hook up city $ 410.00
and deliver with a copy of this leller to the city offices.
thank you
al kupstas
605-440-0700
'Ro1-eJt- -- vJ\W\
J"55U-t:.
. -rf-l-61{
\j'e V' vV\;r\ 'i f3-EC-.
Pl'\"7S 0 "'" \ D. 0 t
f?; V -u.~i- t>o A \ 0 h
-.--
p~VIf\'\\ \
1~>
1~
8117/2005
\'
1/
1ft
"
C.> oJ
,,'
l 0 C-.(b\.e So '10\..\ If... 'Z- V 10.0. ~'Y3'ig -1/5
. APPLICATION' FOR WATER,
City Water Division
.~\
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:
Port Angeles. Washington
sr I z 4 ,20.t;t;2
Name of Applicant: AL Ku ~AS
Address: 1/)v!'t:q~"5T 'kOS-fjo-070D
, _ /2{ 0,..,0<<..0<:.> '061
Renewal 0 New Service~k. "l(?V Lot ~ Add '
Size of Service / "j'1( Meter Number!i..-FO"t6~"O .R~ooo.o'
Service left On 0 Service Left 0fj.J2l"'" Signed
Installed by
Remarks: Pet"K1I-r-H.. O-?-lf..,l{ ntf '7 I ~~
l Zit L ~~y ~T)
N- ,
1~tf ~
/' ,
rV
b~ '-,
W 135 t-: E
Z" . .'3' V)
'lJ
'V
~
s