HomeMy WebLinkAbout300 E Park Ave - Building
RECEIVED
ELECTRICAL WORK PERMIT APPLICATION
() -I Lj DE;
" D/Electrical Contractor D oMQHT DEPT.
NOV
7 2008
PUCChaS~lin~L3
Cit~73w~{C:f;f
Telephone number
'0
Date Expires
6
"~~lation description
~mrnercial 0 Residential
o New ~ltered/Addition
cKP--
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Job wired by
(p,//IP 9B 32--e-
FAX number
3(;cJ 5?
!L/~~ ~lf
;\.I,lr..~~ "f in~nection /l ,- l./l
30D ~ 'YAlZ-K 3CO(
City ;C 6L-
Premises owner's name
~
c:y
0\
""2
Owner as defined hy RCW /9.2R.26I.-(l) Owner will occupy the structure for two
years qfrcr this electrical permit is finalized (2) Owner is required to hire an electrical
contractor {f ahove said properly is fill" sale, rent or lease.
A ftCI' reading the above statement, ] hereby certify that I am the owner of the above
naml.:d 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. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
D Cash ~heck #
D Credit Card Visa
Card #
Mastercard
Discover
contractor or electrical administrator
x
Date:!1
Expiration Date
of card
Inspection fee
$
EleClricatLoad.Additions.and.QLS1!b1ractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan.Wall KW
Service Infor:mation
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SAME DAY INSI'.E.c.nON, CALL BEEORE 7:00 AM 360-417-4735
ROUGH-IN / TIlERMOSTAT " SERVICE
ill tgL()"(, ThIl
Approved By "- Date ApprovedI3y..-/ Dale Approved By
FINAL / DITrn FEEDER
11/"-0 10~/ ~BY/ "- Dale Approved By Oule ApproH,d By
".c
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector