HomeMy WebLinkAbout1417 E 3rd St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
c. ..3'ec1
Mckie....
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
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Installed By:
Owner/Business:
Owner/Business Address:
-g RESIDENTIAL
tJ COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
)gJ REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
PERMIT NO.
.$ 7'1'/
J' /s-h~
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DATE
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
CY/h1,J
hv;;V~ RCV#?
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W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
Site Address:
Installer:
New Meters
Permit/Receipt No.
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Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Electrical Inspector
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
D2.0~
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
16831
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Port Angeles, Washlngton..m..L::......~..,....oooooo...ooo.oooooo........oooooo, 19L.ooo.
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address ooo.I.Y'('2.ooo.~..~nn..__..____m.__nn__..m__.ooo. OcCUPanCYn"74".e,,~____..__...__oooooo____.u
Owner E Z.'7?8Lut{d.C.~.....um.n.__ TenanL.ooo..u__mu..._ooouooo__~.ooo.nm__...._.ooo..m.......ooo..
Wiring ~'~~~~~~~r :~:L~:~e2?L.&.~,'~,...~d2f.:.ooo. By...ooommm._____.ooo..ooo.ooo..ooo_____..__..ooom__m.ooo.....
Light OUtletB........{.'n;:.>.n.......~_.._.__.. Service, voltB ../~<:;lL?,&....__ Type of Wiring:
.i.-C) .. 3"
Receptacle Outlets___~~......_..._.___..__... No. wires __m_____...d.............~....-...__ Armored Cable ............._____d..........
C SI I YM,.cP Non-Metallic ............___d................
Drye,. KW uum....u'...n.___.________.___ ze w reB..,...__.'.,,__.:__.:________..._____
Range, KW __n..uL..;;;",nn. MaIn fuse ?,::?~.<P./Ln...n.__
Water Heater~ ,..".-.. Enclosure --S...............----....-------
KW----.......~:J3'.-d3~....
Heat: KW....../...o__..............................__...
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Type of wiring:
Entrance Cable ......__n
Motors: size. volts and phase:
.....Ik:..mm.m.____nm.__n.mm
7ld!&~'H2....m.mmm__.mnmmn.
,.
Rigid Conduit ___nm__n___n
Metallic Tubing .____mn_h.....
CUrrent. transformers:
No. & Size.............................
Ser. NO.........._.................................n.
Ser. No. .............................................
Ser. No...............................................
Nt.'
Knob & Tube................................_
Rigid Condnlt __...............m....____...
Metallic Tubing ...........................
Raceway ..............................._._..._
Circuits. Light...G...___..................._....
Utillty...Cm....__..............n.__........
.,.-;:-'
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::tge --::~~~;~:::::::::::::::::::::::~::::::
Water Heater C"~........m..........::
Motor ...-c;:;;.---.........................u....
Dryer ........~=~..._.......................__
Furnace .........................._...................
;;2C.
Remark:~ta:.__:~~____.__.~;.,~.;__~:UL=:nn~.~::.:~~..~______.::~nmnn.nn.nn..~.~~.~:..:.__:~.::~:::~::~:::~.:~__~______:
.'
.pnm.m:mm..m.mm.m.nm.nnnnmmnn.nRn.hm.:mh.ooo.noooooo.ooo__nmooon__m7j.~.--~.LJ717--.h:.7;--n..ooo..tooo..7
e=~ F~~ Treas. ecelpt C If T, .54"1/' ,l"
$:h__'~~':?:h2nhnm'hn.. No...oooooo..__.ooo....__ooo'.. By nijt.~....tm!....;.....~.!.~,.:~. .Y.d!-)''''-
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
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NOTIFY THE INl?PECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
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16831 /"'"
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Address................_n___..........n....................................................._............_..............._......_......._...Date..._..._.._.__.._.._.........._._...._......_.........
Owner ........n.............._.....n__._._d.._..._......_......_.._........._...........................n.................... Tenant.............................n._......................._n.........
WirlngContractor................__................._........................................................._................._.........By..............................................................
NOTICE-Current must not be turned on until Certificate at Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
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1M Olympic Printers, Inc.
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. ....
REQUEST:
Date -) -Ie; ," 0 <i
Time 1/' ,)0 IJJIYI Received by
7/1
(phone, ~
Location of Work to be inspected I L/ 17 F .s (' c:L
Name of person requesting inspection tV tfl.f t? /' r/t r/.
Address of person requesting inspection 170) 59- [? Sf Phone No. '1/7- (/71'19
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ ~ <'Cfe ~
INSPECTION NOTES:
Inspected: Date <;-/q -O'S
Remarks:
(erlf?04/ 3/<( -)P/y//'c-""
Time J J [3D VIM
" T
t11a:.1 Ii) ,d1f'.Jt?/
By 7/7
'-rtf)' Cut //1 ala/lair
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RESTORATION REQUIRED . . . . . . YES K NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
)21Asphalt 0 PCC 0 Other
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flJ INCOMPLETE
(Continue on reverse side if necessarvl
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