HomeMy WebLinkAbout525 E 6th St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
/l'27D
11 //6" /p.3
,
DATE
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
OwnerlBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
~SIDENTIAL
o COMMERCIAL
o BASEBOARD fWJ _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
;81'.. REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Details/Description:
Rav-r~
i
g~~ r R~. "G;d4'<1..
I
.
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.
Ill'-' .~ Rough-in/cover O.K.
o O.K. to connect service ,
+- ~ Final O.K.~.h ,&v-."
Installer:
Site Address:
.
Notify Port Angeles ity 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 Permit. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ # ;:s 0 ~
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.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
NI!
17045
Port Angeles, washlngton______._/~___=_.~.._______...._.........___..., 19.21'
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment ln, on, or about any building or other structure in the City of Port Angeles. per-
mission is h~bJ ?nt:;t4;d~triCal work as listed below.
~:=~s~:~~~~~~~~::~~>~~~:~~~.~~~:::::::=:::::.::::::::::=.:::::::::::::.::::::
.g'
Light Outlets.__.__...__.______......_.=____.....
Receptacle outlets.....Z___..__..m......
Service, volts ........
No. wIres .....__.____...__..____..__.........__.
Dryer, KW.........................__........_......
Size wires....__________.._......____n......___
Range, KW.....n............._
Main fuse ....__.________.......______.._......__
Water Heater:
Enclosure h...____.............__.___...........
K~ -----;!;J;';'s'-----?J8"
Heal: KW ..h__......................_ .... ........
Type of wiring:
Entrance Cable ...__.__m_____m....___...
Motors: size, volts and phase:
Rigid Conduit .h_m_mmmmm.m....
MetalUc Tubing __.__...__......
Current transtormers:
No. & Size_n...........mm....m__
J'
.......-...-...............-...............................
Ser. No.__.........______..........._.......__........
SeT. No............__............._..................
Ser. No. ......__..__.___.............................
Type 01 Wiring:
Armored Cable ..............................
Non-Metallic ........____.....mmm.......
Knob & Tube................................_
RIgid COOldult ......__......__...__.......__.
Metallic TUbing .mm....m.............
Raceway .......2. .....................-.-...-
CIrcuits. Ught.m __.__m.........................
Utility .....________...__....................____.__
Hea, .6.'...........................__________
Range .............................................
Water Heater ....__.........................
Motor ..._........__..............................
Dryer ....______......................................_
Furnace .........................'_...................
Remark:~ta:_=~~__.~:.~~:.~:.~..__.....___.....__..~:~::_~::.~~::~::~:::.~:::.~::.~::~.:~~:
..........__.._._._.__._.__..._..__._...._.u_.__._.___________________...__.______........._..___._._____.__._____O.._._.__....O.__.....____u..._________________...__________
U.hhdn....n........nun...nnu.........nnnnnn.n.....nhd...n...nunn.U.n_____.n_.____..n__n.nnnu.nn.nnnnn..__nnn___nuo_u..n_nnn
Permit Fee
$:______.__...________________________
Treas. Receipt
No...__.__________________.__
By__Krt~~~~.~L.~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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. Address .....1.........._..............................__..........................................................____................__... Date..._......_......................_............___.........
, \ '
\ Owner ............;...._........................._.._......_......_.._.............._........................................... Tenant......................_............_..................._..........
,~~iringContractor.........___..............................................................................................................By..........................................................._..
\. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con.
cealed due'-.notice must be given the Inspector so that work may be Inspected before concealment.
1M \." Olympk !"int.", [nc. ( '\
1
ELECTRICAL PERMIT
N?
17045