HomeMy WebLinkAbout1226 W 10th St - Building
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
ELECTRICAL PERMIT
DATE
Installed By:
READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load 0 Add/aiter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (list below)
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/
o New Construction
o Remodel
o Service update/alterlrepair
o Overhead
o Underground
Voltage
01003.0
Service size :;loo Amps
o Temporary
Details/Description:
.
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough.in/cover O.K.
.I""~ O.K. to connect service
/L>>~ <r-Final O.K.
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
PermitfReceipt No.
Site Address:
New Meters
.
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 service has been given
by the Inspector i Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;lD, 00 _
l sp tor Amount paid
WHITE - file by ddress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GRE~N - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
~
A
PERMIT NUMBER
.
A
.. ;ffs
TOTAL-FEE -:sO~ -
CO NT. Lie. NO. TIME TO COMPLETE NO. STORI ES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
Site Address --'=I"2..""'~ Lu. 1-oTt\
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
:S-t~tU1 13 p....tVJ H-A...L!!
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner's Address
Installation By
"Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
(Q C'-( M f K
F U: U7)l.,l.(.
Owner
Day Phone Installers Phone
APplicBtio.n is hereby made for Permit to install Electri.cal Equ!PlTJent as follows:
~~ j)~=~; USN ~AAI/
SfAvIC€"
1& ~/rlA-cE:.
Wiril"!Q Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE" USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN .
LIGHT 50 VOLTS
OR lESS
CONVENIENCE - MOTOR
CONVENIENCE - - MOTOR
APPLIANCE _ MOTOR
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
TOTAl FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.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 conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
.
CONTRACTOR OR OWNER {OR AUTHORIZED AGENT}
_ Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and'
specifications pertaining thereto, subject to compliance with the Ordinances tthe City of Port Angeles.
O .. IRE 'CITY LIGHT
Date Permit Issued 5 11 7 y
~ ~LANS PPR VED
Notify Department of City light by Street Address and Permit Number when rea 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 -
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
J
REPORT OF INSPECTOR
~
OATEOFVISIT MADE BY REMARKS
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"l./ ~ /'%1 jJ/r O.K. TO CONNECT SERVICE
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