HomeMy WebLinkAbout634 E 1st St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. ,-=3 3/5
DATE //.J-ij-Ci /
~3
Installed By: l2J2
Owner/Business:
Owner/Business Address:
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
)(Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai Is/Description:
READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
010030
Service size
o Temporary
Amps
f!;~ A-Lff7dv
..
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~ Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pendi ng
Permit/Receipt No.
New Meters
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspectorn W iting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
~$ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT o<tJ; 6':>0
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
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OLVMPIC Pfll....TERS. INC.
/322--
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
73S-
PERMIT NUMBER
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TOTAL FEE ! 0 oj? f!".,,, ~ "
CO NT. Lie. NO. TIMETOCQMPlETE NO. STORIES LEGAlQCCUPANCY
Owner
Owner's Address
EL CTRIGAL PERMIT ONLY NO OCCUPANCY OR YSE ESTABLlS,HED UNDER THIS PERMIT
[UN) ct.'
NSIB1L1TY OF PPUCANT '... PERMITS WITH WRONG Ag.c.~ESSES ARE CANCJ?J-5P .
Installation By ,:::>fLV)Cf. {:'J~fC+Vv
'Installers Address p'" tIA" ,I/r~
, ;
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Site Address
Day Phone Installers Phone
Application is hereby made fa Permit to install Electrical Equipment as fOllOW!: _ _
, 'i f- dfiS'i
M~.
tv,./I
(,V
Wiring ~ethod
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER . 100A FEE USEOF CIRCUIT PER , 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIA 10 30
LIGHT SIGN ,
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISH~ASHER FIRE ALARMS ,
DISPOSAL BURGLAR ALARM
RANGE MISC,
OVEN
WATER HEATER
LAUNDRY ,
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC ,
BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER '
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB-TOTAL ,
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
r this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
By r'
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRE 0 ITY LIGHT
Date Application made
. 19
{/tit { ~CA
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered Or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
.
Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
OATEOFVISIT MADE BY REMARKS
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1ft I r. ff /.. \. ( j) fvt 1M /i jJj,,,.rL IJJ ;../(! 1(, af .Jl fr"" ( (
I \ { . [pr' e Z)~rJ~1/.. L'i1 v--I ~';IA... J &fA.1e .1. ,
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
'i/a H ~M FMiHl'lO.K.
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