HomeMy WebLinkAbout928 W 11th St - Building
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
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.
ELECTRICAL PERMIT
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
I LL CALL FOR
INSPECTION
Phone:
Owner/Business: Phone:
Owner/Business Address: Sq. Ft.
o Residential 0 New Construction 0 Overhead
Heat KW 0 Remodel 0 Underground
o Baseboard 0 Furnace/Boiler :iCfService update/alter/repair Voltage
o Heatpump 0 Other /---- 0 113 0 30
o Commercialllndustrial load 0 Add/alter circuits Service size Amps
Total Connected load 0 Auxiliary power 0 Temporary
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (list below)
Details/Description: ~ft...~'o ~- f f--'~"'" F
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
A9V" f{J Final O.K.
Size
Comments
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:
Permit/Receipt No.
Site Address:
.
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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 riting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
d NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ 0 100
In ector .f) Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
c.
ELECTRICAL PERMIT
PERMIT NO, '-~ &7 /
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DATE
Installed By:
o READY FOR
INSPECTION
License Number:
'WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
tlVI d
Owner/Business Address:
Phone:
orJ
Sq, Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load ISif Add/alter circuL,
Total Connected load ti Auxiliary power
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (I ist below)
DetaiislDescriPtion:..hwar!;; ~ jJlvm-p
o New Constrl'~tion
o Remodel
o Service update! terlrepair
o Overhead
o Underground
Volta~,'
010 03.0
Service size
o Temporary
Amps
.
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Date : " Hold for: 'J Easement 0 Letter
/.
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o Signed up for servjceim~er
o Meter DepartmenC~9tified for installation
o Fire Department r\"otified of inspection'
o Plan Review app~Ov~d{pending
;
-~
..,-~...
. .'(
J'"<..
l.;,
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
A.)t-i!ft Final O.K.
Size
Comments
Site Address:
InSlaller:~ i//d
Permit/Receipt No.
,.;)&6 I
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 Inspect r 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
,:j{}/ 00
Insp ctor Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYN~tC PRINTERS. INC.
r'l
5/5
FEE RECEIPT NUMBER
CI'T'V OF PORT ANGELES
. DEPARTMENT OF LIGHT
APPLlCATION.AND ELECTRICAL PERMIT
A
3cel
PERMIT NUMBER
.
-
I&EE ..
-TOTAL FEE- - -
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
O;;'ner DAVID /-hJ,uTI "-lC, TO ~ Installation By DW f\JE~
Owner's Address S4M 6 Installers Address SAcM.E:
Day Phone 4s 7-0170 - Installers Phone <;;t4-~
Application.is hereby made for Permit to install Electrical Equipment as follows: , A,~G. ...J. C3H-AfI...-(G. f 1. 'C.,.
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S L6V 5 "-1Tf-1
S'T:
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VI0DF(JC.,Rt')Ut-.lD b~"l('E.
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Wiring Method
.
NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 10QA FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR .
APPLIANCE MOTOR
DISHWASHER FIRE "LARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL-
FURNACE ENERGY FEE
ELECTR IC . -
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
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
AIX-r!JC". I
,19!l=lS-
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do .the al?ove described work, according to the conditions hereon anp accqrding to the approved plans and
specifications pertaining thereto, sUbject to compliance with the Ordinances o~ the City of Port Ang~les.:;' . ~
- DIRECTOR 0
.
Date Permit Issued
By
PLANS APPROVED
~
I WARNING
Notify Department of City Light by Street Address and Permit Number when ready for in pection. Work must not
be covered or c.urrent 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 _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
DATE OF VISIT
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MADE BY
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REPORT OF-INSPECTOR
REMARKS
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O.K.'FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
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