HomeMy WebLinkAbout1615 W 6th St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16490
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Port Angeles, WashlngtonU"'__'4d~Um__________mu____m_mmm_m.__m., 19~.:u::?
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.
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Address h/(/..~_______/~L./0'____:2:'),uu____uu_.um__"hhh_h__.m... OccupancY"'Uh'~:?&::-?_______U__'Uh'__hh"UU
Owner u._~~~:::_.:~_~:-!-..-!.uum_~!..:~_::1.._::f:::?...uu___........___.. Tenant__..___.__m____uu____..u____u____mummn__..um_m_______
Wiring c'~ntractor _____2L,:_~__:_:?ulJ~~.:_~.:..?:UC~.'.._h_U.______ BY,uu,uu__________uuu___u______u""u___u__uU_____"h_uu
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Light Outlets....................__.n....n...._..... Service, volts ........:..............................
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Receptacle Outlets......._.n..m.._mn.n.... No. wires nn....~..u........._~_.....h...
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Dryer. KW.mu..Gu...m........._...._..___... Size wlres...__~:_.L._~_<!!.._:.~.........._..
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Ranue KW (0".':'_ Main fuse ....n.._::_!:.t._::..~mm..m..._..
wa:e'r He-~~~-;~-...---n-----.....--- Enclosure ~......;:........~._.__..._._.......
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Type ot Wiring:
Armored Cable ................00......._....
Non-Metalltc .............._._______......_...
Knob & Tube......._......__.m.n..m...._
RIgid Conduit ..............................,
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KW.._u_n..__~__.___....___.....___
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Heat: KW........~.(.;!...............................
Metallic Tubing m..m..n...............
Type of wiring:
Entrance Cable "'''00''''
Ser. NO.__....................._....n...........n...
Raceway ._......_.._._.__............_._..._
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Circuits, Ltght...__::":..m....._...............__._
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Utility...._nt:...._....__nn.n..n..............
t:
fIeat 00...._..........00_......_............_..__
...1...
Range .000000..__.........,..........00...____....
Water Heater ..~..._.m................
Motor ..._.............__....0000..__00..0000.....
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Dryer _______.__...___............................_..._
Furnace ...n.._____...__...._...'~_nn._..__......
Motors: size, volts and phase:
/...;.~~
.-.,.----.:.........-...........-...........-.-....---.---
Rigid Conduit ...nnmn
Metallic Tubing hnm
Current transformers:
No. & Size.m_.n.mmmn.m....
Ser. No..............................................
Ser. No.._......_....................................
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Total c.,..,..'...............................
Total Loadn___._m...................
Ser. No......_..........._.._.......................
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Remarks: ___u.;~:2'-'..!.._~'!.':;:_-=:':'oo__.nn.!::;::~.:.~oo_:_u;!.~~--u-~.oo.-..._noonoounoon.oooo.nnuoooonuoooo_oooou.un.oo_uoo_uunuuoouoonnnn
___...c__n__..oo_n~_oo.n__.____h____...___noouh__.u__h____._____.__...___..___._n_n_._.u_uoo._oooooouoou.unnoo.__oooo._...40____h__oonnn__...oo__0004___._
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'By ({/~<,' /c'i.?r.(;~r.
_-;;Coo.!U...,..n_.h___noon__nnnnoooonn_nuoo_un~h_______
Permit Fee
Treas. Receipt
No.____......_______....__..__.
- C) )/i
$____.,".._,______________...__....__...
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
\
NOTIFY THE INSPECTOR\.I:lY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
N?
16490
Address..____._____............__............................................................_.........._____.......__....__.._.__..._....._...Date..._.....__..__._.._.........._._...._............___..
Owner .00.00..........................._._......__._......_..__..__._._............................nn...n...n_.....nn...._ Tenant..........n.....n...._.._.nn....n__nnn_n_n_n._nnnn_n
WiringContractor....___..__._._____._.._.........._.__._.__._...........__.................__........._________._.________.._...__.._.By.....__.._____.._._____.___.............._._..._....__._.._...
NOTICE:::::?Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
. cealed due noUce must be given the Inspector so that work may be inspected before concealment. .
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date -to -I %-eJ/
Time 7:>: 00 1~ Received by
(phone, person)
Location of Work to be inspected -' Ca l~ w. (" q-\ ~
Name of person requesting inspection J~ ~ {- Po r\- A >>2 e(-e:j
Address of person requesting inspection i *'" . .~ C::it,<.e r P one No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer EXC~ Other W/H-<e ~
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED. . . . .. YES
NO/\
~
V
j: ,(pt." S\
~
H I (<:D.4' 1
~ ,
--.a I $
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
~or Order # 303<.J~ - 231
COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)