HomeMy WebLinkAbout2521 S Laurel St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15261
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Port Angeles, WaSWngton__h__n________________h_'____n_______________n.______..._, 19__m:'.
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 __Zf!:L~l__!fl_m,;;t;~,.t'!d'?.~~~oooooomoooooo_.oooo.mmh____ Occupancy.______<!.!<__.:..._____mm____m.___.______
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Owner ------h-,,__'~__.__f'.'-<!2."~.&<:'.m.---m----mmm.m--
Wiring Contractor m..S~.1!2~_..__oo____..___m__m___oo____.oo_ By________.._____.___oooo__________________oo____oo__.oooo____________..
TenanLm.__oom_________oo...._oo___oooo__.oo___m.oo__________m__m____
Light Outlets__________________________n_________.___
Service, volts ..m__m__m.m............____....
Receptacle Outletsm.m........................
No. wires .............__.__________.__..........
Drye" KWI_h.....___n_______h___n______nn___n
Size wires...............m_____..m...........
Range, KW
Main fuse ......_.....___m...............m...
Water Heater:
Enclosure .......................................
Type of Wiring:
Entrance Cable ........................m__
KW._______nn_.__________n______nnn______n_
J ./ F
Heal: RW .....:.~.t;2..!1.k_l........{L/:)/.?t-..?e
Rigid Conduit ....__mmn..__.............
Metallic Tubing m__m__...........__....
Current transformers:
No. & Size....____.............mm......__....
Motors: size, volts and phase:
SeT. No......__.....__.__............__.........__...
SeT. No...__........__..................____.__.__....
Ser. No...____....______.._.____..__...........__....
Type of Wiring:
Armored Cable ..........__..........__......
Non.Metallic .....m.........................
Knob & Tube__..
Rigid Conduit ..__mm..m................
Metallic Tubing .__.....................m
Racew'ay .........................................
Circuits. Light.__.............m..........._.m....
Utility .........u..................................
Heat
Range .............................................
\Vater Heater .....m.m................m
Motor ........................................__...
Dryer. ...............................................__
Furnace .......................................__...
Total I.oad____....____................. Ser. No.__.____...______......____.....__....__.__... Total ....__.................................
Remarks: ._m______m~"'t..---oo-c.1--b--f.-~-Cf2.~Loo-":.."-=.--.oo-_.oo___mm.______._.________m.________________________m.m___mm
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... .uuuu...nuuuuuU.UUUnn.Unnnn.n_.u....n..uU.nnnd.nhnnhnu..nuUdUUn.n.nnnuuud..nnn.uun..u_.U_..n_.n..n...u.UUn
Permit Fee
$____________.____moo_.m__mm___
Treas. Receipt
No.._._______________.______.
By _.~lLt!/.~~4:!dL5:_,,_"__'=U_____h_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
roaled 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
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ELECTRICAL PERMIT
N?
15261
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IDBpectioDcompleted..._.._.._..........__...__........._...............................~........................_.._................__......................_...........__................._.........
Total Load .....nnn__nn.__nn.nnnnnn.........__..............u__............__........... ......._
1M 3-72 Olympic Printers, Inc.
....__.nn.............n....................__................................._...__....._......_
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . .. . INSPECTION REPORT. . . . . .
REQUEST:
Date 7 - '3 I -0 7
Time
11l~
Received by tk",Vl'- <; E_ (phone, person)
Location of Work to be inspected Z 52./ .:>0 r l..o...u r e..J
Name of person requesting inspection De0vl'5 E-
Address of person requesting inspection Cc>~ }/o...r.J f7<l--8 Phone No. *7 -<1-8'1<7
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other @<'c+:..r-.)
INSPECTION NOTES:
Inspected: Date '7 - 'S I - D 7 Time' / Z- P f'1.
Remarks: Ke.VLe.-...Je.. d S.erV(Le.. I/vt-L- 9....-o~
By fJ..e..-c VI , ;, c=.
,
~l ""- .+0 V\-<..L."T "'- ".- .
RESTORATION REQUIRED . . . . .. YES X
NO
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0
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UtAC;;~LDlA \X "I;, ,
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
o Repaired by Permittee
D No Damage Found
~:x ~
~sphalt D PCC D Other
Work Order # !;()"5'1: fo ~ 'Z..O 'f
~ COMPLETE
D INCOMPLETE
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(Continue on reverse side if necessary)
STREET SUPERINTENDENT
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