HomeMy WebLinkAbout2422 S Lincoln St - Building
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
/1-f 0
/2 i?f'-j' 7
ELECTRICAL PERMIT
DATE
Installed By:
c71z?-
L~ (Vlf ( (
bfri I
o READY FOR
INSPECTION
License Number:
ILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Bus!
Phone:
Owner/Business Address:
Sq. Ft.
)( Residential
r 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
~Remodel
o Service update/alter/repair
r:z(Add/alter circuits
j:J Auxiliary power
(list below)
o Special equipment
(list below)
Overhead
nderground
Volt e
01
Service ze
o Tempo ry
Amps
DetailslDescription:
RCUf~ ~(,J
7l~-ji,
7)-tr{( !L/J();t-.
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
jv1.rJi-Final O.K.
Size
Comments
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
Site Address:
?-127-
Installer: r!J
s , [(/v'V, /11/
I [..t:- -/-;L / c--
New Meter~
--P--
Date:
Iz-zJ-~7
.
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 Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457 411, EXT.158 or EXT. 224.
4 r NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT '6 a
# Inspector ' Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Halt
OLY,,",PIC PRINTERS. INC.
;roO (
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/ Is <(
PERMIT NUMBER
.
TOTAL FEE
D~
~j C.
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
Owner
Owner's Address
Installation By
Installers Address
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
110 .At>f>UIJ VA-O. ,(!~ [ .J'UV/{l 70 2tJi) AMfI AnD N'ikJ Gilt'. [b 7)~ f.4-
. .1__ I.,; ,,' "_.L.
WA,:s-I7f'<JL I ftZti. ZJ-fL; 'v. tTVVl'Y'-.. Wiring Method
.
NUMBEA AMP 120V - 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIACUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN .
LIGHT 50 VOLTS
OR lESS
CONvENIENCE MOTOR
CONVENIENCE - MOTOR
APPLIANCE MOTOR
DISHWASHER FlRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER . REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
.19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according 0 the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of e' ity of Port Angeles.
01 TOR CI
~/ Il!11
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
.,
.
Date Parmit Issued
By
PLANS A
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD - Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
--:-
. O.K. FOR COVERING
,
~da.tlj? ?/l O.K. TO CONNECT SERVICE
If -:;l II ------0
JI <' FINAL O.K. .
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