HomeMy WebLinkAbout1015 W 12th St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt!
17217
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Port Angeles, Washlngtonm......_.._L_.._........m....__n_m_m______m_m. 19_._..___
In accordance with the City Ordinance to regulate the Installation, extension. or repair of elec-
trical equipment in. on. or about any bullding or other structure in the City of Port Angeles. per-
::::s: i~:(;~_~_t~t:~_L~~~{Z~_~:__~~_::~~_~~__~~_IO:~cupancy________.~~_______________________
Owner _________.__oo_.c~tf.:_;?._mrJ!.~~_~oonn__m TenanLmnm__m__..._.nn_oo_____mm_noom__noo.m__.....__m
Wiring Con~~or _.______mm_nmm_mnmn..mmoomn_nnn_nm_m By._noommoonoom_moomoommn._______oooo._mmoo..__oo__
Light Outlets...............___.._..........__._..... Service, volts ....t...;!9!...:??.::.Ci... Type of Wiring:
Receptacle Outletsm__.__..._................... No. wires ...-.....-i:...m...~/7...--... Armored Cable ..._._mm..................
SI . m d3f" Non-Metallic ................_...m....._..n
Dryer, KW _....__..........__.n__....____._..______ ze wlres....-.-;,;-..-.......-...-.--";J1...---
~t?" /1' Knoh & Tube............._....................
Range, KW.__d...____._..._.....______ Main fuse ....m__.m__._....................__
S;
Enclosure ......._____.._......._____............
Rigid Conduit ......._......___.......______
Water Heater:
Metallic Tubing __nm.m_...............
KW....._u.._...._____n._____u__...___u__._.__..
Heat: KW...../7..I...y....&.-<,,,,_.'*'L
r
Motors: size, volts and phase:
Type of Wiring:
Entrance Cable .........__0000___.....
Rigid Conduit .....______.
Raceway ......................._....._.__._
Circuits, LlghL.._.......__...............________
Dtillty..........._....,__...._......___...........
Heat ......................................._.._
Metallic Tubing ____....
Current transformers:
No. & Sizem__mm_m........_...
Ser. No............................____.__.....____...
Range .........................___..______.____n__
Water Heater ...............................
Motor _.._........__........................._....
Sec. No. ........_..__......._._____________.____.....
Dryer ..............__._.............___._...___..____
F urnaee . .......................___....._..__......
Sec. No.....................................____.____.
Total wad............_.__.......____.. Sec. No. ................._...........~.......___. Total ...___n____......._.__......_._.__....
Remarks: oo_mn_mm_m____m__.-'"<_t.~.'(.-!'._J:::_:m~:h"".y_~~Q::.'t..nm___m_._m_mmmmm_m____mmm___mm
-..---.-..--.-----.--.---.-......--..._....._.._._________________..._....._..___._..___._________.__.___.__...._........__.__....._______n_._.__________.__._.._____._.....__
...._nn...___.....n.__nn_____nn_nnn_nuu.__u...._nnnn.n.n_nnn_..nnn.n.u_____._._...-;;;;n7._nnn.n..u-::---nn.nn.nnn~.-u..unu.n.nn
p~rmit Fee Treas. Receipt yjrf" ,...e tJli. J2.... .1<.'/ _
$_________.._._.._________________00__. NO.._..._______....m_.mm. By _.___~_____m'.._r:._._;.__'mt:._!!?.""oo<:::.!{:-::.<!::_<!.:_____!'!::___. .~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
17217
i"
Address
Date..._......_.._......_..........___...._......_.______..
Owner_................__________..:.....__....._.._......_......_.._.............................._______...._.....__........._TenanL.._......____.._________.......______........................_.._..
\
WiringContractor._........_._._.___._...............___.........................................__.__...__......._._................__.___By........._____..........._......._............................
I i
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 80 that work may be inspected before conc..t~ment.
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1M Olympic Printers, Inc.