HomeMy WebLinkAbout1109 Hazel St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
(Q:' Residential
Heat KW
C Baseboard 0 Furnace/Boiler
C Heatpump 0 Other
o Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
'liCAdd/alter circuits
6' Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription:
.
PERMIT NO. .;;;$/'7Y
7-/r:" ~ /
DATE
o READY FOR
INSPECTION
License Number:
YWILLCALLFOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
W.S. No. Service. Size
Capacity: 0 O.K. 0 Not O.K. Comments
~ Ditch inspection O.K.
/1,.. Rough-in/cover O.K.
Iff v' " O.K. to connect service
..J.}iJ' 1J Final O.K.
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
ikz-&L-
Permit/Receipt No.
3(7
New Meters
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspe~ctor in Writing on the W~:i:;c:~~c~r~Ro:s:~~T~~'~~E~n~N::::~~E~~TONE 457.0411, EXT. 158 ::XT. 224.
3'0-
J pectar Amount paid
WHITE - file by ad ress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
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OLYM~IC PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16158
Port Angeles, washlngtonnmm__-!!!:.:_:__~__~m_m___m____.....m__., 19?T
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-
mission Is hereby granted to dO electrical work as listed below.
Address __/If?.e..__~~~M~~~nm_...._.m..................... Occupancy...~~.gd.....__.n........m_n
Owner n.:__g~.:<._~"-,,,"_",,,,:::"!!._JL"._...........mmm TenanLm__...............m.....m_.....n.mmm...n.....__...m.m
Wiring Contractor ..-tZ./}.P!'!!~__.f!.~~'::r..G::~n_m By..m..mmn___mnn...._.mm...nm.....__nm.m..m_.n
Ll~bt dUtletB....m/.~io..........._..... servl~e, volt, .:/j-Y-.;::?.Hff........ Type 01 Wiring:
Receptacle Outlets__.__.......................... No. wires ..............................:':";.m.. Armored Cable ................--.........-
. ). ~ . Y/)/ (fJ (/
Dryer; KW nn_........n........................... Size wlres..n....._______....__n____.~...._..
':;J. Y c:7<:J5 /1
Range, KW.n......I..__.................... Main fuse .m..................n...............
....5
Enclosure .....__.....m.......____.....
Water Heater:. /'
<I,
KW......m__mLLfi"I-......__m..__
Heal' KW...m__...'t__~t.tf.fJ__....
Type of wiring:
Entrance Cable ..__...m__n.........
Motors: size, volts and phase:
Rigid Conduit ......................__nm..
MetalUc TubIng ..__..............
Current transformers:
No. & Size.......................:......
Ser. No..............--....--........__...;..____....
Ser. No......__.................:....................
Ser. No......__.......................................
Non.Metallic .................................
Knob & Tube..............__....______........
Rigid Conduit .............................__
MetalUc Tubing ....................m....
Clrc~:~~~::~t~::.:.~........:.:..~:.::~
Ileat .......fi?..........................._....._
Range .......~.."':...................................
Water Heater .::?.......................
Motor ..._.........................................
Dryer __.......~nn..........____..............._
Furnace ..........................__n........._... .....
.;;J () .
Total Load.__n....__.................. Ser. No......__..........._........__................. Total.......................................
Remarks: m.....nnmn__T~.e.<f..."-_~.........C~....1~'n~m_..mmn.m_.__mmn.n........___m__........__.m.n.nm__
.;:~~~_~~_____~.__.n_~~.__..........::~_~_~:_~~~_~.~~_~~...__....mn.h.n.m.--:~-:2Zf!t~l~~Z=
NOTICE-Cufrent must nl)j; be turned on until Certificate of Inspection has been Issued. It 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?
16158
'j
Address...........................................................................................................................................Date..._......_.._.._.._.........._......._.................
Owner..................................._......_.._......._......_...............................................................Tenant....................................................................
Wiring Contractor .....................................n...................._...........n..........n.h................................. By.........n.nnn....nn......nn.......................nn
NOTICEr-Current must n()f'. be turned on untl1 CertIficate at Inspection has been issued. It work Is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
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1M ()lvmnic Printers, Inc.