HomeMy WebLinkAbout721 W 4th St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. ~t:, 0 :3
7 //.~ A-~
DATE
Site Address:
/52/ W.-
G/~
w;/~
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
D. BASEBOARD KW ----rr;-
~FURNACE KW ~
~ HEAT PUMP KW ~
D FAN/WALL KW _
j2l:' RESIDENTIAL
D COMMERCIAL
D NEW CONSTRUCTION
D REMODEL
'@ ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
D RISER
~ OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE: (W/~y'O
~1 rjJ D 3 rjJ
SERVICE SIZE a!3C'
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
ii'!AA-IM
.
ati o--C~ d~~;tw.. ~~
.
WS. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
D O.K. to connect service
D Final OK
Installer:
7~1
U
(j)r
/I(
21lt:___
Permit/Receipt No.
-S00 "3
Site Address:
New Meters
.
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. I
~ NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT ?
. $ ,..;> 0
EI clncallnspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PAINTERS INC
FEE RECEIPT
.. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
. APPLICATION AND ELECTRICAL PERMIT
000009
CJ?O
A
PERMIT NUMBER
.
.TOTAL FEE
.G2.~ , ~
h /I/~
TIMETOCOMPLETE
:2
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
7.< / l-Vsi t./1J,
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED .
Owner. W... \~V\ ~~f\ Installation By 4I1Ade.~ B/eQ..Tr-tc--
Owner's Address ;;;, /. T J.jfil Installers Address .J ,-5~.f--/ r;;::~r /:S;
Day Phone '-1/5 7 - I../:;J... 7 fr Installers Phone4K::J. -7',';2(;' if
Appli~a.tion is hereby rT!ad~for Permit to ir:'stall Electr!cal Equipment as follows: 7' ''''It'Lr.p,~~~ S'e/"v 'r"~_
C;-.,~, / be);:IT :h. -:::2M
Site Address
r-1 .-...<?
f
Wiring 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 ylRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE '0 .. MOTOR -
CONVENIENCE MOTOR
APPLIANCE .. MOTOR
DISHWASHER .. . FIRE ALARMS -.
DISPOSAL BURGLAR ALARM
.. ..
RANGE MISC.
-
OVEN .- h
WATER HEATER 1,1 A
- - 'i .AJ' ~v
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE # ,/i,l/v/ A
FURNACE . - SUB TOTAL FEE . r-. . f1 .:; ^ V / .Am .
GAS: OIL frJ V /
FURNACE ENERGY FEE ----
ELECTRIC' - ILf /
BASIC FEE "-- -ou
ELECTRIC HEAT ... - 0
. TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ;:}61D AMP /q> PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE 7"/6 -41 A.W.G.
d I SUB-TOTAL . -- y
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.
:lh/H ,19 By '~~,
.1 . t , CONTRACTOR OR OWNER (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.
o . DIRECTOR OF CITY LIGHT
~ZA~~~~~~~
Date Application made
e-< Date Permit Issued
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current tUfned on before inspf;!ction and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ex!. 158.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD _ Inspector's Report
nl V""PI!: Pl=lINTJ:l=I~ IN!:
"_' " . I ' ! ,: L~ '.;
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
7/9V ,} /:- /~/ YM ~-, ,--/ """ ~ yJ G/ ~'" 1/>h1A -r---o----J
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O.K. FOR COVERING . "'.
'7;/1,/flC(. /; / /':...-1~ 1/ (I'p- O.K. TO CONNECT SERVICE
YJ!(?'-~/lE 11 f"-e3 .f.. \.~ , - , ' ,
FINAL O.K:
C
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