HomeMy WebLinkAbout113 E 6th St - Building
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Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. / S- 0 (,
"3-2-97
ELECTRICAL PERMIT
DATE
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q,. ow~ (OfW1d
(/e-vtVV'L-
o READY FOR WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Installed By:
Owner/Business:
Owner/Business Address:
'!t-Besidential
( Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
DetailslDescription:
Phone:
Sq. Ft,
o New Construction
o Remodel
o Service update/alter/repair
M:Add/alter circuits
10 Auxiliary power
(list below)
o Special equipment
(list below)
o
o derground
Volta e
010 03.0
Service .ze ..
o Temporary-
---Amps
)
/D
6M-Ir'bL.
L(7fj~1 flu;.
W.S. No. Service
Capacity: 0 O.K. 0 Not OK
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect~~ice
o Final O.K. -
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Site Address:
:3
r
Installe'bWAftf!- l>tu,
Size
Comments
Date
Hold for: 0 Easement 0 Letter
JY!J
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o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Date:
3 -2..-- '71
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or s~r . been given
by the Inspec or In Writing on the Wiring Report or the Building Permit. PHONE 457]411 EXT.158 EXT.224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT #/ & ~ ~
ector I Amount paid
WHITE- file by address YELLOW - tile by number PINK - Top: Eng, Boltom: Customer GREEN - Top: Inspector, Boltom: City Hall
OLYMPIC PRINTERS. INC.
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to 3 s-~
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. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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A
000168
FEE RECEIPT NUMBER
PERMIT NUMBER
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i/.'pcf d;l)~ ~ ( I j. /. . ,
30. Of) . 11,.r , I .
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TOTAL FEE /'
. CONT. L1C. NO. TIME-TO COMPLETE NO. STORIES ,tEGAL OCCUPANCY
.~. _ EL~CT~~E/;~O~~Y
Site Address / j 1 -I.t'- t. .J,.{~
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PEAMIT~ WITH WRONG ADDRESSES ARE CANC!.,L;Ej .
Owner B,~~. , Installation By .,~ __,..u~ t::.:eJt1'r~.
Owner's Address u. I tv - .f j-; Installers Address 'Z~ 71 ~ I (J I i.U
Day Phone I Instalters Phone 6 __- " ~_
Application is hereby made for Permit ~nstall El~ctrical Equipment as follows:
a,.I;1-~ .xg~~-:L~*P~ .:iDI'1
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Wiring Method
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NUMBER AMP 12QV. 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PEA '0 leOR FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE - - MOTOR
APPLIANCE . . MOTOR
DISHWASHER - FI RE ALARMS
DISPOSAL BURGLAR ALARM
- -
RANGE MISC.
.
OVEN
WATER HEATER
LAUNDRY -
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE - SUB TOTAL FEE i
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT - 7P 00
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
--
A.C. UNIT 1.00 . AMP .d1~d PHASE
FEEDER SIZE OF SERVICE ENTRANCE C DUCTORS
SERVICE r iMio V IJ.o. Of] -r/-. ~ ~ AW.G.
1 SUB-TotAL k, ('0 / ,4 .-
SIZE OF ROUND SIZE OF ENTRANCE SWITCH ..:LC 0
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Date Application made
7--1.
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1 certify that the work to be performed under this permit will be done by the installer and in co
,19:YS- By
p60NTRACTOR OR OWNER (OR AUTHORIZED, AGENT)
Permission Is hereby given to do t~e abo~e described 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.
Date Permit Issued V) I 3 r By dJ." ~CT~.7~
. t1" - - <) PLANSA'#er, ~?--. ,~
. Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
I 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.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY - Duplicate PINK Triplicate WHITE CARD - Inspector's Report
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DATE OF VISIT
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REPORT OF I'NSP.ECT~R
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MADE BY
REMARKS
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LIGHT 0
TURN ON WATER 0
i?P'~YRL'/ I'C(v~-V
NAME
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IIJ-w /7/ 5T
ADDRESS
Date
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- LIGHT 0
SHUT OFF WATER 0
ACCT. NUMBER
~ P DEPOSIT
Mailing Address If M AMOUNT
The unde"igned he,eby make, application to the City of POrt Angeles fo. U,tility Se.vlce subject to the terms and conditions
of applicable City Ordinances which are he,eby agreed to and ale made a part of thi, application...
NEW APPLICANTS:
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EMPLOYER
If' C' or #1-.,- r
ADDRESS A
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PHONE NO.
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RENT
PREVIOUS RESIDENCE
PROPERTY OWNERS NAME
SIGNATURE'
ADDRESS CtTY TA E
APPLICANT ACKNOWLEDGES RECEIPT OF A COpy OF "CITY OF PORT ANGELES. G"NERAL
INFORMATION RESIDENTIAL UTILITY SERVICE",
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OLYMPIC PRINTERS, INC.
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Date
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
- FINAL O.K.
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