HomeMy WebLinkAbout1617 E 3rd St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
13r8
ELECTRICAL PERMIT OATE
Site Address:
Installed By:
o READY FOR
INSPECTION
LiCrR'~U"Pffl.
. WILL CALL FOR
INSPECTION
Pl}cJle'
'j';i-g- 3'?G
Phone:
'152 -12"
Sq. Ft;o f) ()
Owner/Business:
~dential7
Heat KW
riaseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Totai Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~w Construction
o Remodel
o Service update/alter/repair
~rhead
~Ol~nder~~ct,
~ 030
Service size <;{ ~O
o Temporary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai I slDescri ption:
.
\,
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~ Rough-in/cover O.K;
~ O.K. to connect service
JFinal 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/pending
Permit/Receipt No.
-
J
.
Notil epartment of City Light by Street Address an rmit Number when ready for inspection. Work
must n e covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.l51l or EXT. 224.
-<1 ( NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PEAMIT ,..., [) ij
~';)" ",2C/
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
L~~EltUMBER
CITY.OF PORT. ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
127/
PERMIT NUMBER
.
-- 157/( tI ~v.5
;/ c> tf
TOTAL FEE foi5C>
CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
-
ELECTRICAL PERMIT ONLY ~ NOollq~UPANCY OR USE ESTABlIS~O~R THIS PERMIT
. . ,./- '" 1\1/ - ,~- J"
Site Address r/_'~ -..J' 'i;'" .
CORRECT ADDRESS I RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner i. A. Ii. (J t.1I/. Installation By '1j'Yf',IP f) t::.-) 1If.; 77?/ '-
owner'sAddress:{.:,h 1'- P.tA .p A, Installers Address ,h, ;<'(1 II i: t.;. :;f:YI.,r- '//4511.
Day Phone 4/<::'} - ,.f '2.1) 'l" .lnstallersPhone C/;,.-{-3').&?
Application is hereby made for Permit to install Electrical Equipment as follows: ~ r--. . ,
. . .. , , . '-/b; r
Wiring M~thod
.
NUMBER, AMP 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT 'PER 120V 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR "0 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE . . . MOTOR
CONVENIENCE MOTOR
APPLIANCE .. -. .. MOTOA_
DISHWASHER F.IRE ALARM.S .
.
DISPOSAL BURGLAR ALARM
..
RANGE MISC.
..
OVEN
WATER HEATER
LAUNDRY
DRYER ... I 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 A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by 'the installer and in co formance wi h the N.E.C. Electrical Code.
. ~)6 ,?/) l . /7 L
DateApplication made . r p ,19~ By --r _.... LA-. ,/ .......
. - - . .. -;:; ~'TAACTOA OR' OWNER (OA AUTHORIZED AGENT)
Permission is hereby given to do the above described work, acco~ding to the conditions ~reon and according to the approved plans and
. . .
specifications pertaining thereto, subject to compliance with the Ordinances f e yity of Port Ang Ie
. DIR 0 CITY LIGHT
g/t{)/17
I
,
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Date Permit Issued
WARNING
. . .
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.
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
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DATEOFV1S1T MADE BY REMARKS
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I I . O.K. FOR COVERING
~ /hI n ,.l~ ,
O.K. TO CONNECT S~RVICE , ..
V I FINAL O.K. .
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