HomeMy WebLinkAbout1214 E 3rd St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
C)d:SE'
7hky
/ .
, . WILL CALL FOR
INSPECTION
Phone:
.
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
Owner/Business:
(}.fl)
Owner/Business Address:
Phone:
Sq. Ft.
~ Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commerciai/lndustrial load
Total Connected ioad
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repai r
~ Overhead
o Underground/,,n
Voltage 1~/,;2.r!::::...
W 10 03.0
!,;ervice size.;;;2t52D Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai I slDescri pt ion:
.
~
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough.in/cover O.K.
~ O.K. to connect service
~ Final O.K.
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
Installer:
Permit/Receipt No.
;;1.;("3 ?
Site Address:
New MeV
.
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 457.0411, EXT. 15,8,Q! EXT. 224.
/ cf/./1/Vl NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT _ 70 ~
, Inspector - Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Halt
OLYMPIC PRI"ITERS. 'NC.
qs-I
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000449
PERMIT NUMBEA
.'
~. 01" /Fr-' t>
TOTAL FEE /. DO /52.CL. - fhNfe
CONT. ue. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
-
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address /2 / L.( f 3~d
. ./1/1 COR~ECT ADDRESS IS RESPONSIBILITY o~ APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ~5,'. //,...-O/Yl0 <; CJ A./ Installation By 4?c /,'A./..UA /1/ "5 /.-~'" T
Owner's Address /,;z / y /::- B ..",,,,( Instailers Address ;; ''( R'" IA-" go '7""'1
Day Phone -,-/,,,- '/ "7'~:7 ') 3 Installers Phone 7' r ') 0 b e9
Applicatlon is hereby made for PerlTllt to install Electrical Equipment as follows;
,;t/~? 5'e>.-<., u~'C C
WiTlng Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR '0 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE u MOTOR
APPLIANCE _ - . MOTOR .
DISHWASHER FIRE 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 ,cO 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.
/ch;
I -
,19?<5-
By
Date Application made
NER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.. ,r ( r'..
DIRECT~OfE)TY ~IGHT .' , '
.-A'~
l
~.
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.
By
PLANS APP OVED
.
Date Permit Issued
(0- J-. )-1>
I WARNING I
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. DuplIcate PINK. Triplicate WHITE CARD. Inspector's Report
-. ...._,...~....~'T<:O~ ,h.]r.
. . , '. ~ ~ " l
(,'. ~ .,'. (tl U'
,\, t ) ,J \J t.'
DATE OF VISIT
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MADE BY
REPORT OF INSPECTOR
REMARKS
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