HomeMy WebLinkAbout834 E 4th 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
DATE
f[) 1. 9
0b-c;3
PERMIT NO.
Site Address: ~.3 L{. 0" t..} t1l
Installed By:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Owner/Business A
)i RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
j REMODEL
ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
0-4 ~ ~.LM~
READY FOR
INSPECTION
P:Oji3t;;,
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ 1Jl Rough-in/cover O.K.
o O.K. to connect service
y" Final O.K.
Site Address:
~'-+
Permit/Receipt No.
r9
New Meters
-
Installer:
Notify Port Ang s City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and .K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building P mil. PHONE 457-0411, EXT. 224.
.?--/5
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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YElLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
po, or']
Permit Fee
GREEN - Top: Meter Dept., Boltorn: City Hall
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15768
..:c-- ..' '7 1,
Port Angeles, WasbJngton............!.....=_.f.~,L................................., 19...:..~.-
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.
r :::-</lC'" ~';:;f' ., .
Address h..h......L...........C,................................h........................h Occupancy................~...........................
1,. /~/'! .,---
Owner ...~,::............:.....L:...""<...".__............................ Tenant.........................h...............................................
Wiring Contractor ..h.............................................................. By..........................hhh......................................
Light Outlets....___________.____...........______...
/r'" (.J/....' c,,::" C
Service, volts .._n~n.___n~....:.=.................
Receptacle Outletsn______................_______
-,
No. wires ..___n_~:n____........n_..._......
/ /')
~.... /.<':) :~..-
SIze wires__...L...!_.....__..~..._:_______..__.
/,r1a /!
Ma.in fuse ..c.,.................:......____......
,.-
Enclosure ...._~..._...._..._____.______n.....
Dryer, KW nn....h__.........___...._______n_____
Range, KW n...mmmnm_
Water Heater:
KW.....__mmmm.mm___.mm_________.
Hea" Kw____./S.=.fjJL_________
Type of wiring:
Entrance Cable 00..00..............._
Motors: size, volts and phase:
Rigid Conduit .________________.____..______
Metallic TUbing ....__.
Current transformers:
No. & Size.....................__..n............
SeT. NO...nn.._........._..........n......._......
Ser. No. .......___00000000000000_00...00..........._.
Ser. No............._.............___._.._.....___....
Type of Wiring:
Armored Cable ..___...__00._................
Non.Metalllc ........____.____................
Knob & Tube__.............._____._____.......
RIgid C<>ndult .....____.__...................
Metallic Tubing .....n..........n..m...
Raceway ..__.___......................__._...._
Circuits, Light..............._...___............_....
Utility ....................._n___............_.___.
Heat ..._........______.................._.__.......
Range ....._._.n_._..nn............__n_...n...
Water Heater ......._..._0000...............
Motor ........_______..___....._..........___......
Dryer 00__.0000_................000000..................
Furnace . ._......_..__.__........'~_..............___.
Remark:~ta:h~:,~.~==:~~.~"...mm...::~~~~__.y.~:..~..~~dJ)...~~~.__:::~:::~.:~..:..:.~:::~::~::~::
,'~l tL/;1 / 0
. ffI 'Ii-'~: /-~t: /r/
$....................................., No............................. By/' .~n.;, ......I::.:.:U:::.};J...if:d"".-:!."":f("~....~
NOTICE-Current must not: be turned on until Ce:rtif1cate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that ~tork may be Inspected before concealment.
Permit Fee
Treas. Receipt
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
f?C)-e 4-
ELECTRICAL PERMIT
Address .---.1F--3.,e..~~...~c:-L----..........--............................................... Date.....................................__...._.................
owner___._.~~.._..__~.(.,..!.~.:-...;~........;!.___......_.._......-.---...........____.._____...__._____._.Tenant___.___..________________...____................................._..
/ S;;~ ;3/}
Wiring Contractor......_6:":?;":?.~,.....;.;_4,.~~
N?
15768
.____..................__....__..____________________.______. By__________.__..__............__......____.____.__.....__
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
n~ r.l,,~~;~ 'D..1o.1.....~ !~~
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
15Y-f
E
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INSPECTION NOTES:
Inspected: Date ~ 7~ /-ot Time
Remarks: dtl' rile.- J5170,,-" r...J- Jf59-
By 1-Z-2.. jL~
RESTORATION REQUiRED...... YES NO
~ /j1A.
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73 Rt:Ak "- F---SD/ .,
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt OPCC ~er ,'""h/Jo/'!
Work Order # 36o<fz..-l ~
c:D:?oMPLETE
o INCOMPLETE
{Continue on reverSA side if nAC:Assarvl
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