HomeMy WebLinkAbout306 E 11th St - Building
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. ~ C/ ~7
DATE /'d-/ /3 //(1'
j/-crr
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Owner/Business:
mO Z2~
Phone:
Installed By:
Owner/Business Address:
Sq. Ft.
o Residential
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)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Detai Is/Description:
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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.
o O.K. to connect service
~inal O.K.
Site Address:
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:
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New Meters
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.
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 in 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 7ft?/ tJ 0
)f1spector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC P~INTE~S. INC.
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/28'0
PERMIT NUMBER
FEE RECEIPT NUMBER
TOTAL FEE
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p'~e /~~?
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qo f,- ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
8-t: c r / / n.
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ~ESS7> ARE CA~CELLED __
Owner S7AA..-'.Ci~T~-R'/-.e Installation By ///,-.L~~"^"""""J Lh,L"
Owner'sAddress;:-:?O (", k-.//A InstallersAddress'..7"=<S ~--<./ ;;-74
Day Phone Installers Phone 7"";~? ~ 6 g- '7
Application is hereby made for Permit to in.stall Electrical Equipm~nt as folio. ws: ;::;;:? ~e:. ' -4/?1 bJ ~ ~ -*@'-"J_C 4.r'/'-&- ~
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CO NT. Lie, NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
Wiring Method
.
NUMBER AMP 12QV 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA 10 10"OA FEE USE OFCIRCUIT CIRCUITS PEA 10 100R FEE
C'A 30 C'A 30
LIGHT SIGN
L"IGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE . MOTOR'
APPLIANCE MOTOR
DISHWASHE:~ FI AE ALAAMS
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 AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
/It/~ cP'-/
,
,19 .9-'?
I certify that the work to be performed under this permit will be done by the installer and i
By
Date Permit Issued
CONTRACTOR 0 OWNER (OR AUTHORIZED AGENT)
Permis.siqn is hereby given to do th~ above qescribed 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
itl cI!r! By c:vPDIRE OR ~.~:.~IGHT ~\ .;'.\:~;~ ~'::
( PLANS PPR VED ,_' . , \
Notl y Department of City Light by Street Address and Permit 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: 457.0411 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
nl VUPIf' tlPI"IT!:I'I<;: I....r_
"
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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# O.K. FOR COVERING.
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O.K. TO CONNECT SERVICE ,
f "tI If FINAL O.K. ~
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