HomeMy WebLinkAbout1211 W 18th 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. fI' ?Drf/
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DATE
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW
'&l: RESIDENTIAL
b' COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
(4 SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
~ OVERHEAD SERVICE
o UNDERGROUN SERVICE
VOLTAGE: 2& b2{/D
~1(6 03
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
DetailslDescription: .:rAJS4! JcXJ ~ /l-J-J
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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.K. to connect service
o Final O.K.
Site Address:
New Meters
Installer:
.
Notify Port Angele City Light by Street Address and Permit Number when 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 Permit. PHONE 457-0411, EXT. 224. /l
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ (f' ~o
Electrical Inspector
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411 PERMIT NO. _~.8 If 3
DATE ~,t)~~/~fi'r
.
Installed By:
J(READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Sq. Ft.
1ft RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
M REMODEL
;fi:( ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
o SIGN
o SPECIAL EQUIPMENT
(LIST BELOW)
o~t:b~1 3 4./kPu.11
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Details/Description:
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
. /7[}K ~ Rough-in/cover O.K.
't' 0 O.K. to connect service
~ l Final O.K.
Site Address:
/
Installer:
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Number when 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 Buildin Permit. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
:20.00
Permit Fee
YElLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: MeIer Dept., Bottom: City Hall
OL'fMPIC PRINTERS INC.
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~ ECEIPT NUMBER
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CIT.Y OF ~ORT.ANGELES
"DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A 1/ &~RMIT NUMBER
.
.. A
/G DO AZ I'
TOTAL FEE ----
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
. .
Site Address / Z l (
M~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner's Address
Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
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Owner
Day Phone Installers Phone
ApplicatIon IS hereby made for Permit to install Electrical Equipment as follows:
;J [~. _. G.~~.~ "'Svb I~ [ Wirin!Me;~V1 r( C,1it
.
AMP 24QV , AMP 240V
USE OF-CIRCUIT NUMBER PER 120V 100R" FEE USE OF CIRCUIT NUMBER PER 120V 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
.. .. -50 VOLTS .
LIGHT OR LESS
CONVENIENCE .. .. .. MOTOR ,.
CONVENIENCE . -- . . .. MOTOA - .
APPLIANCE . . . - MOTOR _~ , ,
DISHWASHER - . _~I~E ALAR~S . , .
DISPOSAL BURGLAR ALARM
.
RANGE MISC.
OVEN
WATER HEATER
.. . . ..
LAUNDRY
DRYER . .. REINSTALLATION LIGHT FIXTURE"#
FURNACE . _. _. - . ~UB TOTAL FE~ .. ..
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT - . ,
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
- - n .
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
,19
By
Ie
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is h~reby given to do the above described work, acc~!ding to the conditions hereon and according to the approyed plans and
specifications pertaining thereto, subject to compliance with the Ordinances f the City of Port Angeles. . .
.(, )" ~ By DI' CTOR ~y
o / (j l PLAN APPROV . . "~ .' ~.
Notify Department of City Light by Street Address and Permit Number when ready for Inspection Work must not
be covered or <?urrent turned on before inspection and O.K. for covering or service has been given by Inspector.in
Writing 6n 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.
';', '
DATE OF VISIT
.
ELECTRICAL INSPECTION
WIRING REPORT
457-0411 Ext. 158
INS~R
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APPROVED NOT APPROVED
0................... DIT~ ...................0
o .............. ROUGH IN/COVER. . . .. ... . . .. .. 0
o .................. SERVICE .................. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
!
.
- DO NOT REMOVE -
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OLYMPIC PRINTERS, INC. (206) 452.1381
O.K. FOR C~VERING
.
. O.K. TO CONNECT SERVICE
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FINAL O.K.
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WIRING REPORT
457.0411 Ext. 158
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APPROVED )-,--, ." NOT APPROVED)
Q .........,.., "," .. DITCH n.. .. , .. . ...... .. ... 0
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o ",.,..........."., FINAL. . . . . . . . . . . . , , , , . . .. 0
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INSPECTOR
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TIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PAINTERS. INC. (206) 452-1381
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