HomeMy WebLinkAbout818 1/2 S C St - Building
FROM Electric~S
.~
FRX NO. : 4526424 Jun. 16 2003 08:07RM Pi
ELECTRICAL PERMIT AP~IG~D ~ I ~;~.:;'~_.._
Toe EI~tric.ai rormrt ""plication muolo, ftIlCIi}'~Q,,~~t~IV:'6'/ Z B~ ~:~i:;:;:t:".== ---
Pi.... type Onep"nlln Inl. If you naw any qu..tQjJ.l~ II "~,4735 -P:: &:; 5" I
Fu number: (360) .17~711
REQUEST INSPECTION []
awner or Elec:. Contractor Agent: 17..J..~'TT'lI..c.... S::.o..a.l"I l u. r..l. L '"-
P"'perty Owner;b1Jt:t, S:!rl\,.? r S"
SO'~ \.d '?>. r-tV City Por--f j:L,..~~ .z~
Elect/loel Conb.cto" ~i,.e <.",,-,,- . ~ J.._ ,ioon..#:' " I' 1'r.;; '1/~;.-;
Addr... <b'L.~ V:~ rZ..s. I City '~n., ~ ,uJ....... I
o OWNER ~L CONTRACTOR
{yv' ~~:
?""".: ~n...o~71,/ Fox; I..\rl.-i,.~-..."
Phone:
J-y'f'} . '2 ? C-:k
~~)c.a.-
Phone: 4f 1..-6~"2
Zip; 41':l~.,
AddttlS5:
INSTALLATION WIRED BY:
Credit Card Holder Name:
Billing Addf9$s:
Zip:
Credit Card Number:
EJtp. 0.14:
VISA:
Me
PROJECTADDRES3: X \ ~ 't, I ~ J t;l 'i r SS:) ,:,~/"') / S. C '$7.
.r
TYPE OF WORK: Check ID1 that apply: 0 New 0 Altera~on/Addltion
~ Resldental 0 Multi-family 0 Commercial 0 Mobile Home Sq. Ft
Remote Meter 0 Oetached garage 0 Hot Tub 0 Swim Pool CJ Septic Pump 0 Low Voltage 0 Telecom. 0:
Number of Circuit. added or altered: ()
Electrical Heat lQad Additions
DESCRIPTION OF THE ELECTRICAL. PROJECT:
p~V ..1~-
$71:,,30 T '2.2..-10 + z.~"O &
PERMIT FEE: / ~ 1,70
iLf../C. o-'}..oo """'"-p-t 2-
/'toP/rhNA-c. . r6.U>tte.s.
rh 01, "':JO /
'.:S
t Qt) CL~
Service Infarmatlon
o Baseboard
CJ Furnace
:; Heal Pump
o Fan-Wall
;t:W
KW
-TON
-IW<J --
LRA
o Ovemsad Service .
:J Temp Service
.::1 Underground Service
Voltage: I ~ r.l:J Y'd
Phese: ~ 1 3
Service Size: ~(\ 04If{
Feeder Size:
PAMC 14.05.060(8): For Industrial, comnle;plal, & residential projects larger than e duplex. a one-line drawing of the Electrical Service
Feedsrs. builQing size (sq. ft.), load calCIJlatiors. and the type & of conductors andlor raCl!way Is required and shall accompany the Electr
Permit application.
I hereby certify that I have read and examined th;s application snd knQw that same to be trus3nd correct, and I .
authorizfJd to apply for this permit. lunderstsnd It is ,,'ot the City's legal responsibility to determine what permils
required; it remains the applir;ants responsibility to determine what permits a(a required and to obtain such.
Credit Card Holder'$ Signature:
Owner or Elee. ConI. Signature:
C:/ELECTRICALPERMIT APPUCA TION
Date: ( ,J/0?/ Q:
Date: { tJ j/{,'; 0
a e 62--.
~~~/O.3;
$~ l1D .
$/;/../, ?o