HomeMy WebLinkAbout119 S Penn St - Building
O~ner/Busjness Address:
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o jiRESIDENTIAL
o ,.COMMERCIAL
o I,BASEBOARD KW _
o FURNACE KW _
OFAN/WALL KW _
o I,HEAT PUMP KW_
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o ISIGN
D 11'110 "
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w.~ No.
CAf1ACITY:
liD OK NOT OK
ACTION REQUIRED: 0 CHANGE TRANSFORMER
J 0 INSTALL SERVICE POLE
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o [Ditch Inspection O.K.
o ~OUgh-in/cover O.K.
k.i3 ~.K. to connect service
./ VV"O\'f!! Il"al O.K.
Sittl Address:
Installer:
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Noti& Port Angeles City ight by Street Address and Permit Number when ready for inspection. Work must not be covered
befote inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or ~Uildi P rmit. PHONE 457-0411, EXT. 224.
II NO OCCUPANCY OA USEESTABLlSHED UNDEA THIS PEAMIT '\.r\ ~
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WHITE - File by address
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. :3 79).--
9-/o,7>Y
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Site Address:
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InStalled By:
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Owner/Business:
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ELECTRICAL PERMIT
DATE
READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
;i[ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE
AMPS
o SPECIAL EQUIPMENT
(LIST BEX)
/2.iLt~ ~:~~h" ,hnF-Je-
SERVICE SIZE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
Permit/Receipt No.
New Meters
YELLOW - file by number
Permit Fee ::
/-
GREEN - Top: Meter Dept.. Bottom: CitY,J:i"- /
PINK - Top: Eng, Bottom, Customer
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DATE OF VISIT
MADE BY
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REPORT OF INSPECTOR
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REMARKS
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O.K. FOR COVERING
O,K. TO CONNECT SERVICE
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FINAL O.K.
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'CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
16588
. C-ja >F
Port Angeles. Washlngtonm...._...__..__......_..........._......__.......mmm. 19..000000
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-
1i:lission is hereby granted to do electrical work as, listed below.
~y- ~vl/7a . . o/e.a:..
Address .Tir-m.-m..c...-------..-m----.----...--......hL~hh....h..I.n--'_000. Occupancym..m'- __._._000000.._000___._________..000
~ e. """ .:.>>~.
o. wner ____m_mmmm....._...._.m_~~.. .. ----.:r'w.~nant.-.-..n.......-.....-.m--m--.......m-m..-----..m.-.'000"__
. . tU.:./t.Jte.<C1 e-rCh- ·
Wmng Contractor -.~mm.n---.m..r:/.-m.. h____nn__._...nn'.____ Byh__=.._n....m_.___.__._....nn__.mn_.____mm__n___...
1",0/.;) 0 r
ServIce, volts h mnm...t'.__._..._............
~ . wIres ._...Y~~.~..........
Light Outlets...m..._..mm.m..m............_..
Rfjceptacle Outlets___..__........................
~ ~ X Drye,_ KW m..,..'i..h..._4!.Y/)..m
:;J-? X R,"ge. KW'1!:..n....h..hm'mm..m
Wilter Heater:
~ ~~KWmm~;mmn..,.....m_m
He:lt: KWmL~,f:.l'f#..m8.!l
Ize wires..n..un.mmn_m.........n_..
fLoeJ /I y.- 3 (JCJ /9
Main fuse .h....................................
Enclosure .............................__..__.__.
Type of wiring:
Entrance Cable .__._.__m.______._...__....
M~tors: sIze, volts and pha~e:
Rigid Conduit .....mm..m
Meta111c Tubing hmmm..
Current transformers:
No. & Size..........._h....h_.7_-~'......n.....
,
Ser. NO..._.........................._...........n...
Ser. NO.nn__n..n_n..._____.n___........_.......
Type of WIring:
Armored Cable ..m_.__.___.n............_
",
Non-Metallic ....n...........n.__.......____
Knob & Tubem"_,,__,,.__,..__....____.m..
Rigid Conduit .mm'..,_"__m__..__....~.
Metallic Tubing _.n.._.__.____....__._....
Raceway .....__................_....__._
Circuits, LighL..............__n....____..._._....
Utility "",no,,,,,,"""_"'m..,m.__....,.."
Heat .__..__................................_..__
Range ._.___..____._.__.._____....___..............
Water Heater ...._nn_d.............\....
Motor .n.........................n........'__...
Dryer _._____.___.__h__..._...____.___;_..;._:..__.__
m..m"mm.mm__.___.nm_mmmm__m..n_____m__mm.mnmm___.___n._____....__.mm__m__m(l7'y..m--.------m--m--mm.'---m--.
::~.~~;;':~___.m.' ::~.~.~:..~.~.~.~~.~.~..._____ By 5lJ(Ji~LL~,<u.'_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected betore concealment.
,NOTIFY THE IllfSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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_<7....,_ ELECTRICAL PERMIT N? '16588,___
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Wiring Contractor.................__.__._............_._..................................__._;..~..........__._.._. ..............._.._._ By .........._.._____._.....................__.._................
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NOnC~urrent must not be turned on until CertifIcate of. nspectfon has been issued. If work Is to be COD-
cealed d\le notice must be given the Inspector so that work may be inspected betore concealment.
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Olympic Printera, Inc.