HomeMy WebLinkAbout1011 S D St - Building
Ct!Y or PORT ANGELES
LIGHT DEPARTMENT
N? 15563
II - ) ):5
Port Angeles, Washlngton___.____._u_________._____________u.....u.___________....., 1900______
ELECTRICAL PERMIT
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
~~:"=:;;;'~~~w;;~;;:~,~::.:':~:=::::
Wiring ~::t/W'Z~oo~.-.:~...oo.... By...___.___...........______.._______...__________....oo_______....oo..
Lle-ht OUtletB..._.!..~............._.._..... ServIce, volts __/..d!__.O/,.i?'t.q Type of WIring:
Receptacle OUt~tB.__.2.t?................. No. wIres ......3~;,__;, ....;...7].----- Armored Cable ................--......--...
\.-"" SI I ~w ~{../ Non-Metallic ..................n.._..........
Dryer, KW _...nnh..___.......hh................ ze w res....#.~.....n_..;n........._..
Range, KW....../..;I....__...______..._______. MaIn ruBe ....~~...a.."-4::........
Water Heater: ./
KW__........y.t..~..______..________
Heal: KW..--....Jta....,tll3..........----.
.s..
Enclosure .......................................
Type of wiring:
Entrance Cable ...._........................
Motors: size. volts and phase:
RIgid Coudult .__...._______.._______........
Metallle TubIng ___________.______..___.___
I--.~...--............--.....---...
/~?-..--...--......---..-----.......
CUrrent transformers:
No. & Size.......................................
Ser. NO.........__..........h........._n............
Ser. No. ....n_nn..................................
Knob & Tube..........................__...._
RIgId ConduIt ...................__.__.......
Metallic Tubing ....m.m................
~aceway ......-;g-........_......_._...._
CirCUIts, Ugh?............................._..
Utillty.....::!___.......................__......__.
Heal .___L..Y..................__...........
Range .d..................................._..
n
Water Heater .~...................n..
Motor _._........................................
Dryer n...~.n.n...nn....................__
Furnace ............n............_....n_..m......
Ser. NO....n......................................... J]
Total Load..........n................. Ser. No. ..n............._.......................... Total .....n...n__..__...........n.___....
Remarks: oo.______oo______.._~~=....__.~.L.oo,__________oo____________oo___oo.oo_________.____oo__________..........
._______.______.____.oooo_____...oooo__.oo..oo....___....____.oo______oo___oooo___oo___....___m.oo------..---.------.---.....---.:--W--.-----.;.---..---------"lJ---
:'~.:ilY~....______________ ::~.~.~:..~~_~.~~.~.~......_ By .9{-t..d!::..~~~~,-
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 so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
1?~~lJ {j
ELECTRICAL PERMIT Nt? 15563
Addres, .....Lr!..l.L....dfz::t:€;;;:.....................--..--.--...................'--..... Date...../{=..?....:?..:L........
:::::~::~fil~~~~~~~:~::::::::::::::::...::::.:.::::::::::.:::::::::::::::.:::::::
NOTICE-Current must not; be turned on until Certificate of Inspection has been issued. If work ~ to be con.
cealed dUe notice must be given the Inspector so that work may be inspected betore concealment.
\
\
1M
Olympic Printers, Inc.
&7
~lectrical Contractor rns~11atio" descripr-ion .
Job wired by DOwner o Commercial \d... Residential
Electrical co~~r namS-1 q-- 1 License nl.lmbe~ 4 ~pin::s Cl Nt."w ~AJtcred/Addidon
J\. -' e.. . (\, <:41 c...o I'a 0 r'
Purchaser's ~a~nbaddrc.sB. iU) ~ ~~
.. ~601\
City \>. A. Stale ZIP ~b'3 L~1 -jj, ~
Telephone number lfSC2 6AX llllmber ~A 'W\ ~
01::0 r - 1,;1 c:3 I
Premises owner's Danle Grfl : e, (;, [',' ~;t ^'-
.
- .
Address or Inspection 1011 'SO. "\.tJ'1 '51'ree;t" ~ aJk, )03'15 LJ. )~
City -PoM -A1'I.~e..I~s "l,dJ- /d:J~/g
'phone number to schedule inspection: ~
Owner as de.flned by RCw'/9,2S,261:(I) Owner will occupy the structure for two ~~
years aflt'r Ihis electrical pennit is fmaHzed. (2) Owner i.~ r(UJlJ.ired '0 hif'(~ an ~lecl"ical
CQ11tractOl" if above soJd property i.s for $(jll!. relit or lease. D Cash o Check #
After reading the above SLatcment, I hereby certifY th.at J 30\ the owner of the above
namc:d property or a liceosed elec:lrical CODtractC'lt. I am making thc electrical instal- o Credit Card Visa Mastercard Discover
Iulion or altc:ration ill COmpli31lCe with the electrical law~, N.E.C., RCW, Chaptcr
19,28. WAC. Chl.lpter 296-468, 11,c City of Port An~eles Municipal Code, and Card # . -
Utility Specificatiuns. _.-----------~----
slgnnl~of::{' "'''X:R'~1 .dmini,t..tor Expiration Date a~cS.~
\..X D v~ Date: '7 -olt;-C7/..::..feard
Electrical Load.Addition !lind or subtractions Service Information
~
~~ ~~
....~.
.<:! _ n _ . ~lfCTRJCALW.O RKPERMITAPPLICATlON
~ilL (-30 ~07 .
~NO LOAD CHANGES
o Baseboard _ KW
CJ Furnace _ KW
a Heat Pump _ Ton _ LAR
o Fan.Warr _ KW
U Overhead Service
[j Temp Service
o Undarground Service
VOlta~t./()
Phas 1Q3
Service Size: ~
~eedGr Size: ~
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGHcjN THERMOSTAT
SERVICE
D:lle
Approved Fly
D.:lle Al'lltvvcd By
D;ato:: APflMYed~y
FIN~~f2
. Approved ~y
DITCH
FEIIDER
D'lu Amov~d By
Dllte: Appn>v~d By
Inspection
Dale
Area, Building Or Equipment Inspected
Action Taken
Electrical
Inspector
-3/)-a'}
JUL 26 20 7
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