HomeMy WebLinkAbout116 S Race St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. .<;'&.;:L?
J /~0J
DATE
,
Site Address:
I
InStalled By:
o READY FOR
INSPECTION
License Number:
o WI LL CALL FOR
INSPECTION
Phone:
O~ner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o IBASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o ,FAN/WALL KW _
I
o RESIDENTIAL
Illf COMMERCIAL
b NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
t[] SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D1~ D3~
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
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DetailslDescription:
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W.$. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
I
o Rough-in/cover O.K.
o O.K. to connect service
I
o Final O.K.
I
,
Site Address:
,
New Meters
Installer:
I
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. .r//
l~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ T" ~ U
Eleclricallnspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYM;>IC PRINTEAS INC.
CITY OF ,PORT ANGELES,
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
<ReS 7
PEAM'fr NUMBER
.
i
I
TOTAL FEE
I
I ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
SiteAddress I I G:, ,N. e ~ <Z~
. . .i.rJ , . CORRECT ADDRESS. IS RES~ONSIBILlTY OF APP~ICANT !ERMITS ~ITH W.RONG ADDRE1SES AR,~ CANfE~ED \ _ _ \
Owner ~t:_ S rfZ.<Y~ ~ ~ Installation By eJh b1 C<t1 iJ ~.el!-J (") 16i'J
Owner's Address ~ ~ Installers Address . "ZZ--,<,-, P ~/ f.f)
Day Ph';ne ~ - <6'1 J . _ . Installers Phone 4-~7; 3zq
APPlicall~n is h,ereby made~or Permit to install Electrica~ Equipme':!t as.f91Iows.: \ ....\'"S~../ ~ A ~ ~.x-(J-A ~ --'
s Ji.~..J f.k. \ ~ ~ ~? .P' ~.,.n f'" ...00~""T7 ,j G t"/l e..r- .1l1 r
i . WiringMethod~O),,-\OI)I~
% (tf'
. S2G-J
CO NT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
.
, AMP 240V AMP 24QV
I NUMBEA 120V NUMBER 120V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE' . USE OF CIRCUIT CIRCUITS PER 10 f00R FEE
I CIR 30 , CIR 30
LIGHT SIGN I "7 ./' r?/ ~ ::-
LIGHT .. 50 VOLTS ..
I OR LESS
CONVENIENCE . MOTOR
I
CONVfNIENCE MOTOR .
APPll~NCE .. MOTOR
,
DISHY. 'SHER FIRE AL~RMS .....
DISPOSAL BURGLAR ALARM
RANG.':: MISC.
OVEN:
WATER HEATER
I
LAUNpRY
DRYE~ REINSTALLATION LIGHT FIXTURE #
FURN~CE . SUB TOTAL F~E
GAS .,OIL
FURNACE ENERGY FEE
ELECTRIC .-.
ELECTRIC HEAT BASIC FEE
I .. -TOTAL FEE <7L~
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER ,
I . . ._.
,
A.C. UNIT AMp PHASE
I
FEED$R SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I .
I . . I SUB. TOTAL --... .. .. . ..
I SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
I d. ....
I certify that the work to be performed u der this permit will be done by the installer and in conf
Date Abplication made I (J ,19~ By
I . - _. .-' CONTRACTOR OR OWNER {OR AUTHORIZ AGENT) ,
Permission is hereby given to do the above ~esc~i_t?ed wor~, according to, the con~itiofl.S hereon and according to the approved plans and
specifibat-ions pertaining thereto, subject to compliance with the Ordinances of, the City of Port Angeles,
. : -..",' ~,_.' '. DIRECTOR OF CITY LIGHT
Date p~rmit Issued B:' 97Jad- _~ r>/ (?
I .. _. PLANS. ~PPROVED " " '. '0' . .
/0 6.1/? P 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
I Writing on'Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.' .
. W~RNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
i
OLYMPIC PRINTERS, INC.
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD -Inspector's Report
,
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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,Iv ~r , ~O.K.
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