HomeMy WebLinkAbout1225 E Lauridsen Blvd - Building
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ELECTRICAL WORKPERMlT APPLICATION
Electrical contractor name
~(LC'nUr St'YU~~
P\lrCI18'i.:.\aili~a~rllss
City~ Ll... Stn ZIP
-roY'~ ~&-" LV A-
Telephone numller ~ FAX number
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Address 01 Insp.ct';;;J 815'
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Phone number to schedule In.pectlon:
License number
Date Expires
f :J'Z-D..-a-
IJ New
IJ Altered! AddUion
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Ol
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Job wired by
DOwner
Inslnllalion description
o Commercial ID.. ~..id",,,,UIII
qnc.1.-
tg Ir~./4--
MAY 0 2 20D8
Owner as u(,'fillcd by RCw'/9.18.26/:(l) OWller wilf occupy (he slrllcturefor '",0
years after this electrical permit i:> finalizetl. (2) Owner is required (0 hIre an elecrrical
colllractor if above ~'aicl property is for snip, rent aT lease.
After reading the above slntemcnt, I hereby certify that I am the owner of the abovc
named property or a licensed electrical contractor. 1 am making the electrical instal-
lation or allcrution in compliance with the electrical laws. N.E.C., RCW. Chapter
19.28, WAC. Chapter 296.460, The City of Port Angeles Municipal Code. and
Utility Spec' c ions,
Signatu 0 owner, ,fjctricannntractor or electric:al administrator
X 7t--1V Date: .
o Cash 0 Chc~HT DEPT.
o CrcdilCard VISa ~ard Discover
Card# __~____.________
Expiration Date
of card
Electrical Load Additions and or subtractions
IJ NO LOAD CHANGES
IJ Baseboard _ KW ----
Q Furnace _ KW ~rhead Service
Cl H~mp _ Ton_LAR 0 Temp Service
~an-Wall L."l....tfw 0 Underground Service
SAMI< DAY INSPI<CTlON, CALL BEFORE 7:00 AM 360-417-4735
Service Information
Voltage I '-;.1-va>
Phns.~CJ 3
Service Size: )...DO
Feeder Size: ..~D
D~le
^pPl'Ovct! By
~:I::RVI~
FEEDER
ROUGH-IN L n
DDI ~
THERMOSTAT
) '. FINAL ~5:)
l;t-J!xA ~
'D'le Approved By
DITCH
Ollie Approved 8y
Dlle Approved Ity
lnspecriorl
Date
Area, Building or Equipment Jnspected
Action Taken
Electrical
lnspcc(or
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3Jlnd3S JldlJ3l3:WOdj ~0T:0T v002-02-Nnr
DATE
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
7-2--
CI6-cn l~
PERMIT #
OWNER/CONTRACTOR
l'C..L ~
ADDRESS
/2.2.. c:;;
J'Z.IL.-
:VI~
~tJrzr)>S lZ.N 13uJP
APPROVED NOT APPROVED
o .................... DITCH . . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . ',' . . . .. . . . . . . SERVICE. . . . . . . .. . . . .. . . .. . 0
D. . . .. ..' ... ... '.' . . . .. . FINAL. . . . . . . . . .. . . . .. . . .!J$-.
CORRECTIONS NEEDED:
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rip.,.
BE.J> /::OO!hS
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Ne: c::... 110
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
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ELECTRICAL WORK PERMIT APPLICATION
E\<"'t' 'lca~\OC name _ Licon" ,mmbee Date Expi,e,
Ji:/ 0 n (....- S.4VI ;-1 1\0\ t.- cu=c,s fl3.J6
Pm,hasc<', majJjng add~ I ) tf(J
~'2- .ureL.pu- Vcr~ -L.t
City A r-7 :;te z.:.
~New
o Altered/Addition
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Job >>,ired by
Electrical Contractor 0 Owner
Installation description
o Commercial XResidcntial
FAX number
~ Sot..
l'remiS(~~'S nr+o rM.~ - (jSL 99t~l
Address 11.S:05 W lctl1r t'~ t31y.
P4
t-"'f"r'.:.1 SlcIClc',
City
OWI/er us defined by.RCW/9.28.261:(I) Owner will occupy the slruclure for two
years after this electrical permit is jinali::;cd. (2) Owner is required (0 hire an electrical
cOli/rae/or if above said property i,~ fur sale, rent or leu.w.
Aner reading the above statement. I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapler
19.28. WAC. Chapler 296.468. The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature
o Cash 0 Check# D 'J
~ar~r:ditCard 1f^- Maste~~~L_~ve~_
x
Date:
Expiration Date
of card
Electrica Load Additions and or sub ractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o HeatPump Ton LAR
D Fan-Wall KW
Service Information
~ Overhead Service
9(,.T emp Service
o 'Underground Service
Voltage -:l- '-t ()
Phase''ja 1 D 3
Service Size: (n 0 a
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
,.- ROUGH-IN ,.- THERMOSTAT ,.- SERVICE
3/7i/ <6 ~
'- Datc Approved By ./ Dalc Approvcd By '- I Je Approvcd By
( FINAL / DITCH ( FEEDER
:3/131 rf3 ~IY/ Approved By-.J Dale ApprovcdBy /
Dalc Dale
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
I
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