HomeMy WebLinkAbout224 W 4th St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
)6 Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~New Construction
. Remodel
Service update/aiter/repair
o Add/alter circuits
o Auxiliary power
(list beiow)
o Special equipment
(list below)
PERMIT NO. ~ 7:) b
DATE 7- /3'" 'l-lJ
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
xr Overhead
o Underground
Voltage
010 030
Service size ,!!JO 0 Amps
o Temporary
Detai IslDescription:
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Size
Comments
Date
Hold for: 0 Easement 0 Letter
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
tj Ditch inspection O.K.
Rough-in/cover O.K.
~ O.K. to connect service
o Final O.K.
o Signed up for service/meter
o Meter Department notified for instaliation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
Ljt1
Installer:
Permit/Receipt No.
~ 7 :;. .s-
New Meters Date:
-/3"'90
Notily the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspect~Oin riting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
~<: / ~ r. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~t2,. () 0
~1J1 ~ Amount paid
WHITE - fIle by a ress YELLOW - file by number PINK - Top Eng, Bottom: Customer GREEN - Top Inspector, Bottom. CIty Hall
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OLYMPIC PRINTtRS. INC.
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CITY OF PORT ANGELES
DEPARTMENT OF LiGHT
APP.L1CATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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FEE RECEIPT NUMBER
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NO. STORIES
LEGAL OCCUPANCY
TOTAL FEE
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Owner ::::"~:t:~HB:R~ ~d:;;;; 7CJ:~~-
Owner's Address Installers Address .7 I)., r-I &- -Y1~ J'~'-
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
- - - \ -.. -, -
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NUMBEA AMP .120V 240V NUMBER AMP - .120V 240V
. USE OF CIRCUIT - PER 100R FEE - USE OF CIRCUIT PER 100R FEE
CIRCUITS 10 CIRCUITS 10 ,
CIR 30 CIR 30
LIGHT SIGN
UGHT - - 50 VOLTS ---. , VO'~
OR LESS
--- -- . - MOTOR H_ .--
CONVENIENCE
CONVENIENCE -. . - - 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 - . //J,O~
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE. SWITCH OR CIRCUIT BREAKER
A.C. UNIT PHASE
- AMP .
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.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 confor
,19 . g"<;L By
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t - /-c?
Date Application made
CONTRACTOR OWNER (OR AUTHORIZED AGENT)
Permission Is hereby given to do the above described work, according to the conditions hereon and according to'the'approvea plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .
DIRECTOR OF CITY LIGHT
Date Permit Issued
8, ~~~r.1
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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
;,-
REPORT OF INSPECTOR
. .
DATE OF VISIT MADE BY REMARKS
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ELECTRICAL PERMIT
Address '~h.';l~~="'~h,ghm~m'he''''h''''hh''''''h'''''~~'''. D.te'h_h~'_"='!:!.'_"'~h" ~
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NOTICE-Current must not be turned on until CerUfIcate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
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18253
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Olympic Printers, Inc.
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17- ~~Y7 l'i},/l:' /. ./7 /
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. OK FOR COVERING
O.K. TO CONNECT sDcE
7 . ;; 3 -- tf")I rlJ/' "";j. d FINAL O.K. .//,. j/ ~ ~
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