HomeMy WebLinkAbout2031 W 15th 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.
S'C~/"
9,4rh?
DATE
ELECTRICAL PERMIT
Site Address:
/~
;t/ 10,9 J\../
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
DetailslDescription:
o TEMPORARY SERVICE
-/lth 6; It
AMPS
AMPS
/AJ
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W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address: c;>.e '3/
Installer:
/yfl?
I1J *r1,v
New Meters
----
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Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 ~it. PHONE 457-0411, EXT. 224. rII
rf ~ NO OCCUPA~CY OR USE ESTABLISHED UNDEA THIS PERMIT $ ~ dO
Elect~callnspector t Permit Fee
WHITE - File by address
PINK - Top; Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
/07/
FEE AECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
..57/
PERMIT NUMBER
.
TOTAL FEE
&V
/0-
I:lcC-T5T
::', 0
CONT. Lie. NO.
l'rIob,: _
-'--
LEGAL OCCUPANCY
T1METO COMPLETE
NO.5 AlES
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address ~O-:\ 1 Vv ," S"'"'
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PEAMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner tl<..rb R~ O)~) Installatio~BY EI<'rArl<- "..1"11' 1(",,-, Tn v
Owner's Address 2 O~ 1 'v.J. IS'''"'' Installers Address 1\ i" 8 rnt PI't'G;(Ci~1 RJ
Day Phone '-1')"2.- 2&11 Installers Phone L+')1-_ (,.,ljl'-f
Application is he!eby made for Permit to install Electrical Equipment as follows: Y'tObl'lL.. I, OY"'\-c... h 0I'l \( - V f
Wiring M~thod
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USEOF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 10QA FEE
CIR 30 CIR 30
LIGHT SIGN
50 VOL T5 -
LIGHT 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 C71T BREAKER
A.C. UNIT
2.1ll... AMp. J PHASE
FEEDER SIZE OF SERVICE ENTRANce1::oNDucTORS
-- 410
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certffy that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Elec rical Code.
Af',r,
\4
,19
K't.J
By
Date Application made
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby gil{en to do !he above describe.d.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.
~"~'m'!~"" ,$I/tft~! . < . ,m -"::::""' ".
Notify Departme"!t of City Light by Street Address and ermit Number when ready for inspection. Work must not
be cover!3d or current turned on before inspection and .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
OLYMPIC PRINTERS, INC.
REPORT OFIN'SPECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERINQ
f I O.K. TO CONNECT SERVICE ,
, '/IA/(/~ A r FINAL OK" f Ie ~-h'-1 C;'iWLC,t: 711lit,.1J fI1,A I(,~
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