HomeMy WebLinkAbout408 Orcas Ave - Building
11/10/2005 08:25
3504523498
OLYMPIC ELECTRIC
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ELECTRICAL wORK PERMIT APPLICATION ,.
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Cl Owner
Install31ioTl dc::;c:riptinn
Q Commercial er'ite:!lidential
Darc'Expirc$
DNew
1:1 Alteredl Addition
Pure SCT' ailing address
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Telephone numb FAX number
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Addre~!1 of In.~pl!:c:tioll
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Phone nllmbcr to sc~d11le h'~peetlon: ~
Owner (IS dcflPlr.d ')y RCW. 19.2/1.261 :(1) Owner will occupy 1M s,ruclure ff)'!' two
)Iear.' a/Jer (his electrical perm'" isfin(Jli~M. (2) Ownl!r is ,'eqllil'eci ro hire an e/r:ctrir..:al
contrac/Of if above .flJiJ pl'O"~"')' is fnr .,ole. rent Of lea.(c.
After reading the above statement, T hereby certify that I am the owner or tl'le above
named property c,r "- Iiccn!{cd electrical contractor. I am milking the electrical in~tal-
]:.t;01'l or alteration in' compliance with the clcctrical13Ws. 'N.E.(:., RCW. Cha'Pter
19.2&. WAC. Ch;;1ptCT 296.46:13. -rhe City of Port Angelcs Municipal Coelc. :l.nd
Utility Sl'eciliciltions.
Sif;:natur'c 01 owner. clectrlcRI contrActnr or ded.-ical adminilitrAlor
Cl Ca.~h 0 Check #
c-Credit Card y,,,,,
Card #
Mastercard
Discover
Date: I.
E eclrl al Load AddltlollS_Qntlor subtractions
D NO LOAD CHANGES
o aa.eboard t0N
!P""Fumace .k2 t0N
lll1ieat Pump !.L Ton _ LAA
D Fen-Wall _ t0N
Expiration Dale
of card
~e!xll<.eJnfl)rmallon
lJ Ovemead Ssrviee
o Temp ServIce
o Underground SeT\tice
Voltage
PhaseO,I:I3
Service Size; _
Feeder Size:
<;0
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'0
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/' ROUGH-TN lHERMOSTAT /' SERVICE
'Dale Appnrvccl ~y Uue hpproved By "- Dnle Mllll'Ove"~Y
/' FINAL DITCH FEEDER
/~J/b.Y' ~ Approved By bnte ^pprovc~By ./
" , ApprDvdBy,./ "- Dnle
Inspection Area. Building or Equipment Inspected Actio" 1"3kcn Electrical
D..le , In~pector
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AttfJ If. /~ -05" .
11/15/05 TUE 10:20 FAX 360 683 3971
AIR FLO HEATING
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ELECTRICAL PERMIT APPLlCATI~N
fOrt. OFfICIAL ISE ONl.. Y
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th.I~ ...ppnt....,:
The Electrical PermU Appflcalion must b. filled out comolelelv.
Please type 01' reprint in Ink. If you ~v. any quesiion~. ple:r.s:e call (360) 417-
. 4715
Fin: numbet: (J6D) 417.....711
REQUEST INSPECTION 0
.,
Owner or Elee. Contractor Agent
Phone"
FaX:
Property Owner:
Oliver & Marian Garrard
408 Oreas Street
Phone:
452-9894
7'p: 98382
Phon.' 683-3901
Zip: 98382
;
Address;
City:
Port Angeles
license': AIRFlJIC009~:
Sequim
Address:
Air Flo H"3t:ing
221 W. Cedar
CIty:
Electrical Conlraclor:
Credit Card Holder Name-
DOWNER
Air Flo
o ELECTRICAL CONTRACTOR
Heating
INSTALLATION WlREO BY:
Billing Address'
221 W. Cedar
City:
SeQuim
Zip: 98382
CredIt Card Number"
on File
Exp. Date:
VISA.:...- MC~
TYPE OF WORK:
~ Residential
Remote Meter
Check alllhal apply:
. tfv'L- ,
408 Oreas 01:.0. t Port Angeles. WA 98362
~lleralionlAdditiOn
o Mobile Home Sq. Fl
\iNew
PROJECT ADDRESS'
o Multi-family
o Commercial
o Detached garage
o Hol Tub 0 Swim PoOl
o Septic Pump
?fJLOW Vollage 0 Telecom.
OS
Number or Circuits added or aUered:
DESCRI,PTION OF THE ELECTRICAl. PROJECT~f) f?l-t::L-f LV j ri Yl5
Electrical Heat Load Additions
PERMIT FEE:~' Lfit)
Service Informatic;>>n
o Overhea~ ServiCe
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
o Baseboard
o Fumace
IQ Heal Pump
b Fan-Wall
_KW
KW
Z TON 0'D LRA
_KW
I hereby certify that I have read and examined this application and know that same to be true and correct. and I ,
authorized fa apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signalur .
Date:~
Owner or Elec. Cant. Signature:
C :/ELECTRICALPERMIT APPLlCA nON
Dale:
/JC6? J05" Io~
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FAXED