HomeMy WebLinkAbout1217 E 1st St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
ELECTRICAL PERMIT
DATE
Site Address:
READY FOR
INSPECTION
License Number:
Installed By:
Owner/Business:
OwnerlBusiness Address:
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercialllndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
;<,;201,
7 //7$7
, ,
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetaiislDescription:
Amps
ReAA~M
Hold for: 0 Easement 0 Letter
Date
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
k'J'i Rough-in/cover O.K.
o O.K. to connect service
~O~p,,~
o Signed up for service/meter
o Meter Department notified for instailation
o Fire Department notified of inspection
o Pian Review approved/pending
Site Address:
Permit/Receipt No.
d~
Installer:
New Meterso
Notify the D artment of City Light by Street Address and Permit Number when ready for i spection. Work
must not be covered or electricaily energized before inspection and O.K. for covering or service has been given
by the Ins~Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224_
/ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /h ct!f2-
( Inspector ' Amount paid
WHITE - file yaddress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
J
-tbt
FEE RECEIPT NUMBER
.. CITY OF PORT. ANGELES, .
DEPARTMENT OF LIGHT .'
APPLlCATION,AND ELECTRICAL PERMIT
A
.3~.5
PERMIT NUMBER
.
'TOTAL'FEE
~
'2-:c"
C;; I CmJ
CONT. LIe. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
~ U () 6-Vr A-t)'T'C) (LbJ ~
. PEAMIT~_W'TH WR,?NG ADDRE~SES A~~ CAN~ElL~D . ,J . 6J ~
Installation By e..flr1 ~ g,\ ~ J ~a ::;; I
"Installers Address Z,Z.S-I f'~ eo. ~t\-;-'
Installers Phone 4~ - s2 '2--4
1$:=
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner QTlIh.:l W €-I ~ '
Owner's Address ./ Z j 'l~, ( '~
Day Phone ~5"'L.... 4- 77S-
Site Address
, 2..: \ 7 €~.
. . -
pplicatjon is hereby made for Permltto install Electrical ~ment as follows: '/oj, S -, -^ - , OS I JC..L \ J fP -I!J A
. fA 0/"" rr- c:: I G-tJ ~ I?- ,~J.. I -7 L7J A <;,,) /n:"fiJ J" ./".
i~Ll-\.hn -rl? .c..., .;,.1Jr.;....~ ''b:J7p UIlI/=-S:: ('I. 0d.IL;.oC WiringMethod-/ C6itJD J I
" ... ,,- ".. ' ( , ...." , ..
NUMBER AMP 120V 240V - FEE NUMBER AMP 120V 240V ..
- USE OF CIRCUlr PER "f00A USE OF CIRCUIT PER- 100R FEE
CIRCUITS 10 CIRCUITS 10
CIR 30 CIR . 30
LIGHT SIGN , I b -,/ Z6!!.
LIGHT, ... .. 50 VOLTS .. '
OR LESS
CONVENIENCE - ~-, .- MOTOR. ..
CONVENIENCE - .. MOTOR
APP.L1ANCE, MOTOR .... .. ,
DISHWASHER .. FIR!: ALARMS ,
DISPOSAL BURGLAR ALARM
.. , - .
RANGE MISC, ,
OVEN
WATER HEATER
LAUNDRY . .. ..
DRYER - REINSTALLATION LIGHT FIXTURE #
FURNACE , . " SUB TOT~L FEe
GAS'-'OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
,
ELECTRIC HEAT . , TOTAL'FEE"-c- ~'t: ,~' , .
, ''':''' "
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.,
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
-. .. I SUB.. TOTAL ..
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
r
A
.
.
I certify that the work to be, perform.,ed_ under thIS permit will be d, one by the installer and in corf.or nee with t. he N'WElectrical Code.
Date Application made 1 / ,I <b b,19 By Ij"I. }, C-r (~Zk,
. - - I ~ CONTRACTOR OR OWNER (OR A~THORIZED NT)
Permi!>s;o~ is: hereby given tq d_o the above described. wQrk,.aqcording to the condition_s he~eon and according to the approved,plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.' ~.
B~' ,~~~IG~~ ""
Date Permit Issued PLANS APPROVED ' .
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Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be cover~d 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.
711/o-r
WARNING I
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. OrigInal CANARY. DupUcate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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1"/ A-.r~ D O.K. FOR COVERING
<{r-fl.-f; r> /7fXg O.K. TO CONNECT SERVICE
1-(7-'{) U . .
FIN.A.LO.K.
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