HomeMy WebLinkAbout1702 E 3rd St - Building
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ELECTRICAL WORK PERMIT APPLICATION"
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Telephone number
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Installation description
~Commercial 0 Residential
Job wired by
~ectrical Contractor 0 Owner
Date Expires
lSoOQ UL It
o New
o Altered/Addition
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State ZIP
9 ff':3 ~"L
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FAX number
3b"o ~
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Address OJ,5SJ;ctr ~ 'rfldSr--) ;2~L.-SI':'
Ci'y},;;J J~OC> S ~N.I'-\ '3612-::<"':" I
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O"rncr as defined hy RCW 19.28.26]:(1) Oumer will occupy the structure for two
.vcars (ifier this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if allore said property is .Ii)!' sa/e. rent or lease.
After reading the above statement, I hereby certifY that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal~
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
o Cash ~ck #
o Credit Card Visa
Mastercard
Discover
Card #
x
Expiration Date
of card
Date: /! t:!J#
Electrical Load Additions-"od~u;ubtractions
o NO LOAD CHANGES
D Baseboard KW
D Furnace KW
D Heat Pump Ton
o Fan-Wall KW
SentmeJnformatLcm
LAR
D Overhead Service
D Temp Service
D Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SAME DAY INSfECTION. CALL_BEFORE 7:00 AM 3(ill-417-4735
/' ROUGH-IN THERMOSTAT /' SERVICE
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Appr"v~d By Date Approwd By " [)al~ Appro\ed By
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FINAL DITCH FEEDER
Itl~o/~ ~ Approwd By "- Dale Approved By /
Date Approvcdfly.-/ "- Dale
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
3CANNED
Date~
Initials~
N? 15157
(( -:;; b ;:,p
Port Angeles, Washlngton.hn.n__.,__m__mm_.__.__________.h__m__________"__' 19..mh_
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-
mission is hereby granted to do electrical work as listed below.
~:::;sh:::;~~::~::::::::~;.~~::::::::::::.m;:=~~~:::___~::~:_a_~:~::::~~~::::::::::::::::::::::::::::
Wiring Contractor .h..~.<t::~.~..n---n.---hn---__..m Bym_.mnn___m._.____._n_h__hnnh.nhn__h_n..n.._n_.___
/dO/~ ,/6
Service, volts .n.m_m___..._..........m__._.m
3
No. wires m.m---..--.;;..~:?J..u.m.
Size wires.....:,.~.--m.-.m.m...---..
Main fuse _mm.__~~_~n!Lm......
S
Enclosure '_'''n'''nm__nn__m__._...m...
Light OutletB____.mmm___m....._....._........,
Receptacle Outletsm.mm.........___.........
Dryer, K\VI..........n__......._n___.n_____._____.
Range, KW..n...._mmmmmn._
Water Heater:
KW.._______n___nn___n_______________________
Heat Rw_;Z9hh.A~{f.___c0h
Type at wiring:
Entrance Cable .m....n__......m...m__
Motors: size, volts and phase:
Rigid Conduit m___..___n.............m..
MetalUc Tubing .____mm._.........._...
Current transformers:
No. & Size........n__.._...._...................
Ser. NO.........._.............n....................
Ser. No.._......_................_....___...._........
Ser. No._...._........__.__...._..............._....
Trpe of Wiring:
Armored Cable __n____mmnmm..m...
Non-Metallic ......_......._..................
Knob & Tube...n__....n......nmmmm.
Rigid Conduit h___hhhh__mm__.__
Metallic Tubing mmummm___...m_
Raceway ___.........__..__....._.........__......
Cireui ts, Light......................_..........m...
Utility mm______m___m___._____m_______m__
Heat
Range ....._..._._.._.........___.............._...
'Vater Heater .........n_..m_........m..
Motor __n...__..._......___..___................_.
Dryer mn...n_____...__..............................
Furnace ........-._____.____......_.._.....m__..
Total Load_.........__....n___.._._... Ser. No. _....___......_n_.....___.......n......._.. Total ...........__....______......_.........
Remarks: nn'4<'-.&-'-"=m__9....2-4....yn-~~m'mnn.m--m.mn-m.n.-n.-n-nnnmhn.h_hn__nnm_____nnn
Unhh_____n.__n___nnnn_nnnnnn_nnhn_hnn_n_n__nnnn_nnn_nnh~nn__n_nnhU_nn__._n..n__'_____'nnn_.n__.._.n__'hUnn_hn'_nnn__
i~.~~_~~~-n:-::.-:..-:::::...__:nn-----i~~.~_~:::~~_~~~_~_~:-_~.::_:----nmm.h---:~-i.VJl::l~~=Z::~::::.::::::::
NOTICE-Current must not be turned on until Certificate of Inspection haa 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
"10 .1-;:/ A~t.---u
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ELECTRICAL PERMIT
N?
15157
Date called foli6~(<!ct[2n.........e......__:J..:i::i?__m.____m________..._....m_____.......mm___... .____....._... rP - ;., {' -/ V
~::;~::::y~:~:t:::~-l{~~:;~'~:.:-:::::::::...:::::-:::::::::::::::-:_:::::::::::.::::::::::::::::::::::~:::~::::::::::::::::::=.::::::::~:::::::':
Total Load _._______._________.________...________..............._..._.____
/ 1M 3-72 Olympic Printers, Inc.
....n____.._n.uu.......nn..__...._..................._.__n...........__.._..................-