HomeMy WebLinkAbout2028 W 5th St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
PERMIT NO. 9'3/0
~~Z//?3
DATE
ELECTRICAL PERMIT
Site Address:
o READY FOR
INSPECTION
License Number:
o WI LL CALL FOR
INSPECTION
Phone:
Installed By:
OwnerlBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
o RESIDENTIAL
o 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
o REMODEL
o ADD/ALTER CIRCUITS
~. SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
j) S'c,(..
of erJERHEAD SERVICE
~~~g~:RGRJ~(j/~J~E
~ SINGLE P'HAS
ro THREE PHASE
SERVICE SIZE aaD AMPS
Details/Description:
~ ~t- &<-~9....
1-0 Ct.~Mt-t4,j)~
.
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.
MItiO.K. to connect service
,- [] Final O.K.
New Meters
Site Address:
.;2098
-
.
Notify Port Angel s 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. /if cJ-O
~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT rr ~c9--
, $ ---
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom. Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
/ S--O 7
FEE RECEIPT NUMBER
.
TOTAL FEE -
CITY OF PORT ANGELES
: " DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
9'3 1f'
A
PERMIT NUMBER
""
30 <<B -.
';J;fY./!,fL .
-'/. -BA-
GONT. Lie. NO. TIME TO COMPLETE
LEGAL OCCUPANCY
,
t:g.;
NO. STORIES
ELECTRICAL PERMIT ONLY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
6- 5'71'
Site Add'ress
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner Installation By 17tY.B//?J) /S"tLL-/Xl/C-. ,
Owner's Address .!~~" f';/'cd.4 ift:1A Installers Address PI), f.!,,1tr (, ~ . 'i}tJYct:., WAsJ!,
,. ... -a / '
Day Phone ..yS~ - J~'S" 2...... -.lnstallersPhone -rJt(;-../)d> ,_ _ _ _
Application is hereby made for Permit to install Electrical Equipment as fOllo,",s: N I'!. if,,! A,;:: s_
USE OF CIRCUIT
LIGHT r:.
LIGHT
CONVEN'ENIS'rl'
CONVENIENCE
APPliANCE
DISHWASHER
DISPOSAL
.
RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS - OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
NUMBER
CIRCUITS
Wiring Method
NM-!J
/
AMP
PER-
CIR
;t(
SIGN
50 VOLTS
OR lESS
MOTOR
240V
o
30
AMP
PER'
CIR
240V
100R
30
NUMBER
CIRCUITS
120V
dID
(/
~
FEE
USEOF CIRCUIT
FEE
~
;;?~i 1/
MOTOR
MOTOR
.
1- 7() ............
I .-
/
J
.oJ -
/
-.1
I
FIRE ALARMS
.
BURGLAR ALARM
'/2J
;/
MISC.
/.4/(//'7ER-
,.--
15
r
P
~t:>
.~t:'
/'
~
t/
REINSTAllATION'L1GHT FIXTURE #
SUB TOTAL FEE ;
. -
.
ENERGY FEE
BAStC FEE
. TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT,BREAKER
~t:'f'j AMP P
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
';2Z1
7,-.)
;/
._~
o
- I SUB.foTAL
yj'; l//,., ~ AWG
SliEOFG~UNO 4tq ~IZ-EOFENT-RANCE.SWITCH 2dOAM.lJ
'/g
,
ical Code.
Date Application made
I certify that the work to be performed under this permit will be do~e by the installer and in c
.P6~
,19 cZ'~ By
C RACTOR OR OWNER (OR AUTHORIZED AGENT)
, ''0, .
Permission is hereby given to do the above described work, according tei the conditio'ns hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of, the City of Port Angeles. .
',.
.. . - D:Z;IRECTO OF CITY LIGHT ,
By -7//~~~ .~
PLANS APPROVED .
. ;ate ;;;;;d
~ ,.
,-
Notify' Department of City Light by Street Address. and.~ermjt.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: 457-04-11 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
DATE OF VISIT MADE BY REMARKS
.
, ,
,
,
./
, V S~Vlllc g..'tllv~rrl
It. 'l.~ \~ t \.( O.K. FOR COVERING I
tl. ,. 'I H l~ O.K. TO CONNECT SERVICE
7/ /9/ 71 A 'rtr FINAL O.K.
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