HomeMy WebLinkAbout1230 W 5th 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
PERMIT NO. /ftJ9'3
~4~'/l'S-
DATE
Installed By:
D READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
D BASEBOARD KW _
D FURNACE KW _
D HEAT PUMP KW_
D FAN/WALL KW _
D RESIDENTIAL
D COMMERCIAL
D NEW CONSTRUCfION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
D RISER
D OVERHEAD SERVICE
K UNDERGROUND SERVICE
VOLTAGE:
D1!11 D3!11
SERVICE SIZE ?J. tH)
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
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.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
AO\v~O.K. to connect service
D Final O.K.
Site Address:
:s-
Installer:
.
Notify Port Angel s 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 Pernpt. PHONE 457-0411, EXT. 224.
'-;1S / J NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ t/fJ,OD
Electrica~spe or Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYMPIC PAINTERS INC
/2/0
FEE RECEIPT NUMBER
CITY OF.PORT ANGELES
DEPARTMENT OF LIGHT
..APPLICATION AND ELECTRICAL PERMIT
A
7~'O
PERMIT NUMBER
.
., .' . RES
TOTAL FEE 30 O'D " , -
-
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
jljU . . , , '
ELECTRICAL PERMIT.ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,
Site Address
'"
" ;
Owner
Owner's Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By 0 t'l M P iL- t:.L ~ c. fit... IL
. I .~
Installers "Address
Installers Phone
S't.( \J I
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R- FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT , .. SOVOl T5
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 ~l!B TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC -
-BASIC FEE
ELECTR.lq I;iEAT .. 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
By .It!(
~ CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is here~y given to do the above described work, accor~Hng to th~ condition~ hereon and ~ccording to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles
.". "'''DIRECTOR
r<,
t certify that the wor-k to be performed under this permit will be done by the Instailer and in conformance with the N.E.C. Electrical Code.
, '$jZ$/t'(.
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,19
Date Application made
titer 1ft
Notify Department of City Light by Street Address and Permit Number when ready fa; inspe~tion. Work must not
be covered or current turned on before inspection and O.K. for covering or se.rvice has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
-.
Date Permit Issued
By
PLANS A
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
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REPO~T OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
-
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q h./i/{, ht,-;:(~ O.K. TO CONNECT SERVICE
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