HomeMy WebLinkAbout1723 W 6th St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
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DATE
ELECTRICAL PERMIT
Site Address:
D READY FOR
INSPECTION
License Number:
1QWILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
D BASEBOARD KW _
D FURNACE KW
D HEAT PUMP KW_
D FAN/WALL KW _
16 RESIDENTIAL
L 0 COMMERCIAL
D NEW CONSTRUCTION
D REMODEL
~ ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
D RISER
D OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D1!1l D3!1l
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
.. Details/Description:
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W.S. 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.
IUr-rp Rough-in/cover O.K.
~ O.K. to connect service
krinaIO.K.
Site Address:
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Permit/Receipt No.
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Installer:
New Meters
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Notify Port Angeles City Light by Street Address a d Permit Numberwhen 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 ~rmi . PHONE 457-0411, EXT. 224.
:5' I c. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 30 I 0 CJ
ErecyfcaJ Inspe or Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
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, FEE RECEIPT NUMBER
CITY OF PORT ANGELES It~
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/077
PERMIT NUMBER
.
TOTAL FEE
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CONT. Lie. NO.
(So
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Owner
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ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Site Address
PERMITS WITH WRONG ADO
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Owner's Address
Installation By
Installers Address
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Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
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Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100A' FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT ...---. SIGN
LIGHT r------- ( 50 VOLTS
OR LESS
CONVENIENCE .ere' f ~-- MOTOR
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CONVENIENCE -~ MOTOR
APPLIANCE MOTOR
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DISHWASHER 1 , FIRE ALARMS
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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
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT,BREAKER
A.C. UNIT AMP PHASE
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 conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission ;s 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 t e City of Port Angel s.
~I~R F ITV LIGHT
1/7/17
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Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. TrIplicate WHITE CARD. Inspector's Report
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
/ O.K. TO CONNECT SERVICE ..
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- Y'/:7 FINAL O.K.
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