HomeMy WebLinkAbout916 E Park Ave - Building
10/23/2003 14:21 FAX 3604523498
OLYMPIC ELECTRIC
I4J O~
'--.
& ~"~'
ELECTRICAL PERMIT APPLICATION
~a. orncl.AL U~(OJooLY
~k ~...____
-...'
n..,~""";""~- __n___
o.nb.~.i____. __
Tl'le E lectr1cal Permit A~plir.;.ation m 1.l$1 bt fluad' Qui ~om ~lv.
PI....Cl type Of ,.print In Inll.. If ygu ha....e ~ny QU..'toN. pl.we all (360) .c17-47J:5
F.-.r numtlg-r; (300) 417......,11
0wn0' '" E'.c. CAn..ctc<AQO<>" 0 1 ym~ E 1 ec t r ice 0 . ;
Prcp.rty Own..., II )n )).p __,rrn ~ rv--
Add,,,,, 7'--5 ~ I +- City'
ELoc1rI=lC""'= Olympic Electric Co., Inc.
AcW..." 4230 Tumwater Cily:
Inc.
Poc",,: 457-5303
FiiJ(:
1<52-3098
Phone:
Zip q~30=<'
Phcw"le: ~57 -5303
11>~+ ~
UC""BB II: Q ;DIE"", 3/31/03
Port Angeles
ZIp 98363
INSTA.L.LA \IO~ WIRED BY:
CJ OWNER
I!i ELECTRICAL CONTRACTOR
Cn><Ih C.1Tl Holder Name: Charles T. Burkhardt, 01 ymp!c Electric Co., Inc,
allllng Addreu:
Same
City:
Zip:
Cr&dll Card Number.
Exp, Dare:
VISA: X Me:
~~~
"_. .
::: ResIllentllll
~YJ#JFS l2J- ~ Mfk ~L-
Check ill! madpply: fJ New U AltBra\iOl\lAdd~lon
o MultI-family ~ommerci<ll U Mobile Horne Sq. Ft.
PROJECT ADDRESS,
TYPE OF WORK,
:-:J Remote Meter 0 De\9Ch9d garEIQB 0 Hot Tub 0 Swim Pool 0 Sep~c Pump , [] Low Voltage 0 Telecom~ 0 Slg
Nl.lrnD0( of Circuits added or altered:
DESCRIPTION DF THE ELECTRICAl.. PROJECT:_~k
_ 5 LL~ l1--------
mOLL Y'\+ D rt
PUIO I'
fl.ctrlc:all..oad Addltlon8 and or subtractlon.
(j;;:JA- (i\l\ ~t..-
Service information
CAR
CI OvertutBd Se('l,o'lI::.e
c:.: Temp SetVtce
Ci uncjerground Service
Voltage:
PtuI.e, Q 1 C 3
ScNice SIze:
F ee<le' S12e:
C Baseooarcl
,,>,\lm8CE!
:.: Heal Pump
.= Fan~Wall
KW
KW
_TON
KW
PAtv1C 14.05_060(B): For industrial, commQrci81. & rB610entisl pro:iect5 larger than ZI dtJPleX. a one - line drav.rlng of th8 Elactrical S8rvk:8 &
F..oo""'. building sIZe (SEI.II.). load calculatl...,.,. end the ty C>B & of condUClOnI andI~ rnc.eway Is I'ElQUInod .no oMII ao:GOmpe"Y !he
ElecltlCall'lIlTIlit application.
I hereby cerljfy that I have read and examined this application and know that same 10 be tru(1 and correct, and I 81
authorized to apply for this perroH. I understand it is not the City's legal I'9sponsib#ity 10 rmine what permits
arB r8Juired,- it remains the applicants responsibility to determine what permHs are required and to obtain such.
'/>;03 ~6 Cl):'::~:Our~:~l~C. W-I7\f.- ~~. ~ I So 14 Jl
.,..---., /....-'9
~ Q Own., Of EIBc. Conl. Sian.'"'.' -- 0.'"
'(90'-;';:;;- fr;/z.7JO'5 . PERMITFEE: $ -&7. .rB 7b30
1-PLt~ C~~+ ~-L HDn~C&D&. 'Z~l, ~( 4~'l~4101o) ~6
u.P-V-Z bro~~ It- Q.LUy) '~-t-o l.s ~.