HomeMy WebLinkAbout3013 S Laurel St - Building
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10/23/2003 14:21 FAX 3604523498
OLY~PIC ELECTRIC
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ELECTRICAL PERMIT APPLICATION
Tr... E lecrn'cel Permir Appllesfion fIlus;1 D. fllltd aUf como<<.tat'l..
Pi.... type or ,.print In Ink..- tfycu t\ave. OJl')' qu..~tonI, p~". e.ll (360) 417--47JS
F~ nurn Dv': 13150) "" ,.....711
ic Electric
~none; 457-5303
f..: 652-3498
\7':2: <; u) rst-,
Zlo: 9! 3h2
~hoo.; a5 7 - 5303
Zlo; 98363
Prcoerty o..nsr:
Phone:
AOdr8'l4:
City'
;Dl5:'O' 3/31/03
licetl$El It. D-
c~c",,".=r. Olympic Electric Co., Inc.
A""...o: 4230 TUm\1ater
Cll')';
Port Angeles
G OWNeR
~ ELECTRICAL CONTRACTOR
INST'ALLA710~WIREO BY:
Cntdit C.,dHoJderN"mo: Charles T. Burkhardt, OlympIc Electric Co., Inc.
BiIIlnlil Addross;
City:
Zip;
Same
Exp. o.!lI:
~~~~~~{ ~
VISA:
Me:
x
Credit Card NlImber;
PROJECT ADDRESS:
TYPE OF WORK:
::J Residential
Check g\[ \Ilal apply; 0 New
o MultI-family ~ommercial
o AlterallO<\/Add~lOn
Sq.FL
U Mobi~ Home
~J Ramola Metar 0 Oel8Ched garage 0 Hot Tub 0 Swim Pool 0 Septic Pump . n LOw Voll~Q" c:; Tele-=m. 0 Sig
Number of C/(Cllt't5 added or altered: . (
DESCRIPTION OF THE ELECTRiCAl PROJECT;__~Le- (V1 () LU:\ + 0 r1...-- f{lfl I i) () y
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Service Information
flK1r1clll Load Addition. and or lIubtnl~t1on.
':: Baseboard
[P, 'FlJrT1IIca
~1-j_IPl,P"l1P
= Fan-Wall
KW
KW
TON
KW
Voltage:
F'II8.e: C 1 C 3
SONia:l Slztl:
Feeoer Size:
o Ova rtu;t,ad SBrvk.e
~ i emp Sl!WVice
[! Urdergrounll Service
LA~ ~
pANtC, '4.05,060(e)~ For indu:slJiaJ, c:omm8rcil!ll, & r~nlYil pt'ojeC't3larger than a duplex. a one ~ line C1rawlr.g 01 thli ElecOica Sarvic:8 &
F8Elll""', building sIZe (&fl. ft.), !oed celculaUona. ond the type & Dr condudonl and/or f>lCEIWoy Is I9QUitecI and oh.all "ccom pony th..
ElectrICal PQl'I1\lt eppllcaflon.
I hereby certify that I have read and examined this application and know that same 10 be live and corract, and I al
authorized to apply for this permit I understand it is not the City's legal responsibility to delfJrmine what permits
a~e ruired remains the applicants responsibility to detelTQine what fJ8.rmlts ara required and 10 obtain such.
Iy> - NO C~ c~~~~rd ~~~s~~-r 177~' - 0 ~ ~ IS 1i..~ Jil
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/7 / () . Own..... Else. ConI. Sign.'v.., ( ! / .. .) .,~ 0....'
{...tq,w',r;;rr~ ID/Z.~' 'v. l ( PERMIT F'EE; $ .Sq .3 [) -'17 b -30
. !/'-?~ Co~4a-d ~~ tb~&C%'L~~ efJ..l~L-~4l.L\ J
WCUI..a.. 'ErcudlbrcL I+: QLLt55 Ul60 I..S ~. -:; 1)