HomeMy WebLinkAbout1020 S D St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMEN'l'
ELECTRICAL PERMIT
PC
1/0....
Port Angeles, washlngton......l:~..=.l.~___..__________.......____.___, 19.E_: -::>
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-
miasion is hereby granted to do electrical work as listed below. .
Address ./t!:.c_i!..9....~m_./2mnm.nh....__.m__.m____.mm___.. Occupancy.,.d,,-.!?----'it....O'<-n.----...m--.-m-..
Owner .___..~_~;!:...<,__(''_!:..I.~k'':L~~:...__m Ten~m...--m.--m--.....--------.--..---.--m-.--......---.---.---.m.--
Wiring Contractor .E:!.Jd~f.~~..m.~~.1.'..::O-Byn.--..---mm-.--m.----...--mm.m.--nmn.m.n.h......-
Li~ht outletBn_...~i..q....._......._.._..~ Service, volts .../il..."l.:...'??.'?...... Type ot Wiring:
</0 3/
Receptacle Outlets..L....___........___....... No. wIres .............__......mm_.-:-...m..
, .:; #~r:;<I.
Dr\'er. KW __nnn...dn...__"'.'."'."'__.' SIze wires...................................-..
..r. /" /J
Ran"e, KW ___.___n(.~___..........______. Main tnse .....;.J.!!!..c:>..(T..............
o ..s
Wa.ter Heater: / Enclosure m.....m........__m.....mm....
1/)
KW.n.m....______.......___...........___
Heat' KW......./,Y......P..!f...........
Type of wiring:
Entrance Cable ......mm.........
Motors: sIze, volt~ and phase:
:::::::.:ft:~:::::::::::::::::::::::::
Rigid Condnit .................
Metall1c Tubing m.m.......
Current transformers:
No. & Size.....................................--
Ser. No..............................................
Ser. No. .............................................
.........................................................-
Ser. No...............................................
Armored Cable .............................,
Non.Metallic ............m...m............
Knob & Tnbe....................._...........
Rigid Condnit ...............................
Metallic Tubing m......m...............
Raceway ........................-..............-
Circuits, Light......___......m.....................
Utility ...................d........................
Heat ........................................--..-.-
Range .............................................
Water Heater .......m.....m.............
Motor ..............................................
Dryer ..................................................
Furnace .........................._..................
Total Load............................. Ser. No..................-.......................... Total.......................................
R<;lmarks: ..m____.'.C1,..l?-d."__'::m._m~-'.,.~.4~..::_..mm_h__..m.hmm._mm...m..___m.m..___m___mm...__m.__m..__.
..-.._---~._----_...._._--------------_.-------_.~.._--~-_.~----_._..._---_.~.-------_._-_..._.__....._----...__.....----_...----_..~.._._---_.._-------~._------_.-----~..-----
.n.....___._.n.n..n_unn~hnn...~.__n___n..u__~...nunnnnn_....n....n~hunnn.nn.__.n.._____n..nnn_..~_uu__._..~.h.__nn.__u____._____...__un
Permit Fel),. 0
J) /'" -
$_~__.[:...__~..________.~_.____n_._.
Treas. Receipt
NO...m.......m.............
By .m..Jif!..2i..~&~d~i_.,,~~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cc:aled due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 8 4 4
Address........................................................................................................................................Date..._......_.._......_..........-..............-.........
Owner ..................................._.........._.............._.._........................................................... Tenant....................................................................
WirIng Contractor........................................ ..................................................................................By..............................................................
NOTICE-Current must not. be turned on until CertIficate of Inspection has been issued. If work is to be COD-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
-,
1M Olympic Printers, Inc.
06/06/2006 09:00 ~~, 3604574696
STR~ITS ELECTRIC
I4J 01 .
8
ELECTRICAL WORKPERMlT APPLICATION
Electrical conttactol" name
Straits Electric
License number Dat~ ExpifC!l
ST~AIE*0110S 9/7
~w
Job wired by
Oil Electrical Contractor IJ Owner
Installation descriptioD
o Commercial
Purcha.,~er'_~ mailing address
P.O. Box 2914
City
Port Angeles
T.I~!t!': ~Uf'&.4
~ N Zr;(JA .:;;;:ve e:ht.I
State ZIP
WA 98362
fAX be!:.
457-4696
~ ~"7~-.:=-r,-, 77?
.E~/S;- ~.hE - /A/./7,F
~~
~A- A7 ~ .$-z/e-
PrCDl~~Dier'lI ..m~ I _
I I I"V'\ .:::d:I.1 r'I-e
Addre8s of Inspection C _ i _
, n;:;).C) S. [} ..0'L:
Ci~r\- -Pr~\f'~
rboDe number to schedule i'M\)(~ctioo: ;;.... 15-
Owner as d~(i.lled by RCw..J9_28.26J:(J) Owne'r ""ill occupy the srr..cll.l.re Jor two
)Ift(Jr~ after Ihls elecuiaJl permit i.. finalized. (2) OM.7rU is required lc) hire an eleccrlcat
ccn.crfJccor if above said property is for :!iulc:. rent Or lease.
After reading tile aoove litatatJ'=Dt, I bereby c:crrlify that I am the owner of the above
named property or a licensed electrical C01\lt3Ctor. I 3m msking the electrical instal-
lauon or ahenuioD in compliance with the cJect:ricnllaw$_ N_E.C., RCW, Chapter
19.28, WAC. ChapleT 296-46B. The: City of Pon Angeles Municipal Code:, ilnd
UlililY, pecific:llions.
o Cash IJ Check #
IJ Credit Card Visa Mastercard Discover
Card# O~File____________
e I contractAr or elef::trif::sl administnHor
Date:
Expirntion Date
ofc.rd
Insp< - fee
$
rlcoll;
LO CHANGES
Q Baseboard KW
o Furnace _ KW
o Heat Pump Ton
o Fan~Wall t(Ylf
ubtractions
LAR
~mead Service
IJ Temp Service
o Underground Service
Service Informa.tlon
vOII'ge ./ $7S .70
PhaseB1D3 d
Service Size: z.ro ~I-.-.,o
Foode, Size: ~/O ~l (>
J 0"
~
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
;
ROUGH-IN TIlERMOSIAT " / SERVICE
OtiC Appruved By "- 0,11:; AllptaVed l:Iy '- Dl.lc All(lm\l~ll.y
/ /
Ih/flo"F1NAL u/dJ DITCH FEEDER
Ie AJlfI....vc4 ~y "- DillC AIlPftlvt\l8y / "- D&IC APONvt\lBy
Inspection Area, Building OT Equipment Inspected Action Take:n Electrical
Date: lnspec;lor
"-
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