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HomeMy WebLinkAbout3413 Mill Creek Ct - Building I ELECTRICAL WORK PERMIT APPLICATION', ". . Job wired by ~Electrical Contractor 0 Owner Installation description o Commercial /~Residential Electrical contractor name /lIo1C#~ k? Purchaser's mailing address Po 0, 99( C;ty j7 fr License number Dale Expires O?, o New ~AlteredJAddition ." 7l/cr{qVIt.tfi')(Jj1 UI- Telephone number Sro-s--/Z/'Z- State ZIP Q WAr /?3t;'2-- FAX numbcj /. ( / '-r~7-7r-7'Y ~:-i/- Wc..--c..//~ ", ,'''/' j Premises owner's name I / ~ ft/Id 11 m K. M-fl., uK- Address of~ectlOn i1 '//3 t'Z1d<...C;KtflflL C-r City // r ..9- Phone number to schedule inspection: Ol<JCJ _ 7 VV/ Owner as defined by RC'J~J9.28.261:(I) OWI/er will occupy the structure for two years after this elecrrical permit is finali=ed. (2) Owner is required to flire an electrical contractor if above said property is for sale, renl or lease. After reading the above statemenl, 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 clcctrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapler 296~468, The City of Port Angeles Municipal Code, and Utility Spccificat0ns, Signature (J'{ow ~r. electrical contractor or electrical administrator o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x Date: .:;;-: ;1-00 Expiration Date of ca,d Elec rical ad Additions and 0' subt,actions o NO LOAD CHANGES o Baseboard KW D Furnace KW D Heat Pump Ton LAR D Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Dale Appn.w"oj By Dale Appnl\'ed By Dille Appro'-ed By FINAL DrrClI FEEDER Dale Appro\'ed By Dale Approv'ed By Dale Approved By Inspection D:Jte Area, Building or Equipment Inspected Action Taken Electrical Inspector " ".,;0. ~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 98]62 , Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning Application valuation 06-00000477 Date 786262 3413 MILL CREEK CT 06-30-15-7-7-0060-0000- ELECTRICAL ONLY 5/12/06 '. . o Owner Contractor MOLLENKRAMER, TILLY 3413 MILL CREEK CT SEQUIM WA 983824000 (360) 290-7548 THORNES REFRIGERATION PO BOX 991 PORT ANGELES WA 98362 (360) 461-0158 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL THORNESj T-STAT WTR HT 77164 THORNES REFRIGERATION 48.10 plan Check Fee 5/11/06 valuation 11/07/06 .00 o Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 - - - - - - -\ - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - -- Fee summary Charged Paid Credited Due Permit Fee Total' plan Check Total Grand Total 48.10 .00 48.10 48.10 .00 48.10 .00 .00 .00 .00 .00 .00 COMMENTS/ACTION NEEDED Oct 29 03 07:47a R.W. and F.L. Becker 350-583-5104 p.l . I , 6i)::.~"" . '" -'''. .~ ~ - '" " '<< ~:J::'':lv j)j .l9 \d ELECTRICAL PERMIT APPLICATION FQ!l.G..."ft{]..'U.USEOta.Y - i"t:naiI:l: """-" """"""" The Bectrical Pel'1Trit Applicaoon must be filled out completely. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Owne.- or Bee. Contractor Agent (2 t c.. l..{ ~ ts,--=C,i~~ "roperty Owner. " ,T/1-C-I.L CO ':'A_X::!'~ \ddress: 1 t../ I 3> IVlI ~ C If /~ Cr.::ily: 0Jectrir:al Conlractor: R, 0.J. ~ L=7e../c'G'71..... \doRss: / <;'"3 L t/:}-'/'C/-'JC. CurliN'"' i'~ City: Phone: ISO ~ '- f(,{.<j Fax: h 5{s Go, /0 <j Phone: P<\.{. 1~i..J 6;,,'(.';:'1" Ob3 c." Ucense#: Exp: ""Z oc.~~..; ~":"p I) t; I I-rl/l' Zip: PllOlIe: &(:; S j~ <j' Zip: C) fre; f" z..... NSTALLATION WIRED BY: 0 OWNER ..,..€LECTRICAL CONTRACTOR ";redit Card Holder Name: R I '- 1..1 "tnVn is C-c~ii..--if:;?L.- -.., l/IUng Address: I!:> ,;:, L T/f--';'id-,!.... C-....rof~'; ,W) City: <'"~i':;>ql.i ( vV' -( ;redit Card Number:' -> Exp. Date: c.' l/~ V..-, Zip: /' <1....., iL L-- VISA: j../ MC: ROJECT ADDRESS:",? <//3 I1-1tL i c;; rt.C-oZ-" r C~,,? x.~ YPE OF WORK: Check all that apply: ;S.New 0 Alteration/Addition Residential pltMulti-family o Commercial ~ Mobile Home Sq. Fl Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Jmber of Circuits added or altered: "SCRIPTION OF THE ELECTRICAL PROJECT: II..) 571+LL /J;'/'6i L- ,<k7-rd"~ ~"A" rt;.L!:clJLJ:.-. <,DL...,//u.r v: .ctricnl Heat Load Additions and or Subtractions 0s<,cr 0/ ~ SefV~ce Infornlation 3aseboard 'UnlaCe fealPump 'an-WaIl _KW KW _TON _KW l.RA o OVerhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 03 Service Size: Feeder Size: ~reby certify that I have read and examined this application and know that same to be tnre and correct, and I am norized 19, apfJIy fur this permit I understand it is not the City's legal responsibility to determine what permits , requirodi;:it"remains the applicants responsJ.b;(ity to dete. ine what permits are required and tool1tain such. . f Credit Card Holder's Signature: '1.-::'!.,;," ',/ .,;:7 ,,~ Date: /0,' Z, '7- 0 J /~~~d :4::0:/;k:~~'~~ ::::::~ 0,:,"'::"-'" Ef:IRICA!f"I"RWFAPPLlCATION 00'J rV\.~~+ CCh~.J,nJ tAil If ~c ~.f '!1'L ~ TI1E. clfer~ 6, ~ " /)/J Q ~ -J!L 'ft.-- C .-.......... le/z1/o3 ;~~"" "" S'O~T'''' ",0 '" ~ ~ ~~."o~ PORT ANGELES CITY LT : PAGE 01 3504174729 ,',," '( CITY OF PORTANGELES , LIGHT DIVISION ;,1.' :1, . FAX TRANSMISSION COVER SHEET -' 10/30/03 L&I 417-2755 Inspections Kathy Trainor Date: To: Fax: Re: Sender: YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724. Please inspect the following: 3413 Mill Creek Cl. ditch, mobile service & feeder \- c:c "-- ,~ '\j k "< 'Zj -.i.! ~i --.l ~ ~-----\ ~ \'U \1,\\ <Zl \l ::si ,~ I L per Richard Becker Becker Electric 808-2864 r- '- / .,/' ,/ ~///