HomeMy WebLinkAbout217 W 4th St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO ~7 0 C)
DATE 7-/f:..--'7-;;'-
Site Address:
~ Jl.fr
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
OwnerfBusiness Address:
Sq. Ft.
V RESIDENTIAL
".g COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
"0' SERVICE UPGRADE/REPAIR
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
~ SINGLE PHASE
t'"Li THREE PHAS~
SERVICE SIZE P DAMPS
o SIGN
o SPECIAL EQUIPMENT
(LIST BELOW)
~ /J~~<7,1# / /,--'A~/6"nj-
DetailslDescription:
p~:/ ~Af
.
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
o Ditch Inspection O.K.
o Rough-in/cover O.K.
,"$4 O. K. to connect service
o Final O.K.
Site Address:
K
(
Permit/Receipt No.
.3
J-
Installer:
New Meters
-
.
Notify Port Angeles City Light by Street Address and Permit Number when 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 P rmit. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
Yo. () CJ
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PAINTERS JNC
~
on,f
FEE RECEIPT NUMBER
CITY,OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
47
' PE/MITNUMBEA
.
....-.- HOMe
-TOTAL FEE '20~O I1>Lf(IIlP<<-'l.SSll p . .
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAlQCCUPANCY
.
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
"Z-l7 W' 4TH -ST. VA.
Owner PeT€" C;;p~SDRESS IS RESPONSIBILITY OF APPL1CANT
Owner's Address U1 W --1111
'-l '51.-(0 rtw
Site Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation B; 01..'('1>>/)1 L ~~
Installers Addre.. 501 .s.. L III/UrW
4S 7- 530.3
Wiring Method. '
.
NUMBER AMP 120V 240V NUMBER . AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
UGHT SIGN ,
LIGHT SOVOl TS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE - - MOTOR
APPLIANCE MOTOR I
.
DISHWASHER 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 u u -
TOTAL FEE
ELECTRIC HEAT iiJn SERVICE SWITCH OA 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
I certify that the work to be performed under this permit will be done by the installer and in conf
Da;eAPPllcatlonmade - 1//;2.... .19~ By
,
ONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the abovedescribed.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. '. ,
DIRECTOR OF CITY LIGHT . \
WARNING
~CAr€~EO u,. . ,
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 _
.
Date Permit Issued
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
01 YMPIC PRINTFRS. INC
REPORT OF INSPECTOR
./
...
DATE OF VISIT MADE BY REMARKS
, ., '
<, .. , . ~'. " "
,
,
-
'.
II-f]- 7)- 41/'/ O.K. FOR COVERING
II- /i'-7F ;1' t:5i O.K. TO CONNECT SERVICE
II . N- -t J /ffy FINAL O.K.
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