HomeMy WebLinkAbout1339 E Lauridsen Blvd - Building
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
IX Remodel
tJ Service update/alter/repair
DetailslDescription:
gAdd/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
'Y1/d/~rf~ IN
,#,7d(4':.y ~//M.Jh/-
Q/0~
PERMIT NO.' 1/-,; {j
~. /.
DATE r/ Ii 1'1
. {
o READY FOR WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
~- I
.7l
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
01.0' 03.0'
Service size
o Temporary
Amps
,;t;-
.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
~o Ditch inspection O.K.
/VJ' Rough.in/cover O.K.
O.K. to connect service
.nh Final O.K.
j'\fJ"
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
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 Inspec or in riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
:S
Site Address:
/339
Installer: LA) t.RJ,
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
WHITE - file b
/b,60
. Amount paid
GREEN - Top: Inspector, Bottom: City Hall
PINK - Top: Eng, Bottom: Customer
OLY~C PRINTI;:RS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
N? 16341
C -/y ;>)
Port Angeles, Washlngtoll.__...__.______.__________.:.___._______.mm__m_mnm, 19_000____-
ELECTRICAL PERMIT
In aocordance 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~dO electrical work as listed below.
Address _/.::!__2__'l__f?.~~l":':~::!,:_~'!'.:~?:~__________________m__m Occupancy___./J.L~_,~___m_m__.__._____n______
':)(; . . -1V', '\ '0/- '
Owner _______'___mm__mm'____!____"_mm__mn______.n______m____ TenanL_m..__.__m_..____....m..______m__.._m.____...m__m_m__.
Wiring Contractor :__(l:!'/!."Y.:;__(!,-?!...____'__mmm.______.______.__.______ By__.._____m_______m__mm.________...__________.__mm______m
f!/ (j j;".cr/;;Y.c;
Light OutletB.....................__........_.._..._ Service, volts ..................._..................
Receptacle Outlets...__.l~.__?!......__....... No. wires .....~~................_':...........
Drye~. ~W .mm....~_~......m........l...... . c,,:;;,' Size wlres.._.l/..~q..'!!'g......_..
Range, KW ---.----/l!:---=1I!P.f.'~ Main fuse ..17.9...q:....4.................
Water Heater: ./ Enclosure ....~...__..____..................
v::--"'1/--::",",?(;r---"8jj~ ;rp~U wiring:
Heat: KW...t(;......!.:t."":'"..-!.~....t(!.:::................ 11 ~ ranee Cable .............____h....
Motors: size, volts and phase: Rigid Conduit .....--..------~.
,~..... Metallic Tubing ...........h.__...........
. . ,
Current transformers:
No. & Size...........................
Ser. No.....__........................____............
Ser. No........______..__......__...__.......__......
Type of Wiring:
Armored Cable ..............__............_.
Non-Metall1c .........__......................
Knob & Tube..............__....__............
RIgid Conduit ..__.__....__...........___....
Metalll. Tubing .______.___...:............
Raceway ..~...... ........:........___._
Circuits, Light.. ....__.......__...................
Utlllty......'..__.,..______.___..___.............
Heat /1/....
.---.....S;C.................................
Range ......!......................................
Water Heater .~.........................
Motor ..._..........................__...__.......
-
Dryer __....~).................................__
Fllrnace .........................'..........._.......
.:sF
Total Load......__...____.....____..... Ser. No. ......____....____....____.__................ Total __.......__.h____....__...............
Remarks: ____~m_~;__~~m-t:::::.~uC-,(-"'r..:'?.!::~!:..~~-:'~-:'~~..__~mn...u..---.nu....mn.____.m....___...._m.m...______..______________n
,..-
o
Ser. No...............................................
Permit Fee
$:u.___.__..J!:!..r..~_m_m...
Treas. Receipt
NO.__m__._____m_________.__
By ~l(J/__?70:!:.~~tt..~~<_:L~<~.-J
NOTICE-Current must not be turned on until Certfficate of Inspectfon has been Issued. It 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
,
. ELECTRICAL PERMIT
~_.- ~. --.
N?
16341
Address............__....................................................................__....................................................Date..._.........._...................;.:.~~d.....n.
Owner ..............................................._......_......_.._........................................................... Tenant...............n............-:................n.....n.............
Wiring Contractor.......................................... ................._.............................................................By......................................:.:.......c.............
NOTICE-Current must not be turned on until Cert1ncate 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. .
,
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_ 1M
~ Olvmpic Printers, Inc.
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