HomeMy WebLinkAbout1721 1/2 W 9th St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
j<;: 5-'8
.
3-1-"8'3
..
ELECTRICAL PERMIT
DATE
Site Address:
qR
D READY FOR
INSPECTION
License~m~tf2.....
WILL CALL FOR
INSPECTION
Phone:
OwnerfBusiness:
-
Phone:
OwnerfBusiness Address:
Sq. Ft.
l:f 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
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
"id Underground
IV~ltage 1'bJ!L '10
12L10 03.&
Service size 400 Amps
o Temporary
.
Detai ISlDescription:
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/- 10 f<vJ FvlLwlt-c.f.
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/- f,,/<.IAJ, Fu7VIlL
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(G"'It'+6 (.. )
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W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
~Ditch inspection O.K.
Rough-in/cover O.K.
%J O.K. to connect servicjl/ D.
o Final O.K. JvO ~ r
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Addre; 7 Z I
Installer:
'3IM
7h
PermitfReceipt No.
/ S- 5"8
Da3_1 -~8
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspect r'n Writing on the Wiring Report or the Building Permit. PHONE 457.~11, EXT.158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,? 5 2 ~
I spector Amount paid
WHITE - file by address YELLOW - tile by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLVMPIC PRINTERS. INC.
L RtEt 2MBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/06/
PE~MIT NUMBER
.
TOTAL FEE
(&~
r ~ ~ E f.
CONT. LIe. NO.
TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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tv' ,-
CORRECT ADDRESS IS RES ONSIB1LlTY OF APPLICANT
:Tholes A ",Ie-
It'2-o (}Wl?/Y
1-'17'1- 633() {"7011 Free}
/72./
PERMITS WITH WRONG ADDRESSESff CANCELLED
Installation By S'e
Installers Address
Owner
Owner's Address
Wiring Method
.
NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 ~ CIRCUITS CIR 10 30
LIGHT f; I rjN
LIGHT f7 3'fVOL TS
OR LESS
CONVENIENCE /' / . MOTOR
CONVENIENCE 7' II / '(7 Uu MOTOR
/
APPLIANCE -7 -" I 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 F=EE
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 AW.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 is hereby given to do the above described work, according to t e conditions hereon and according the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinance of Jrt P:it.
0." ",'m."~,"" '?/t1 / 77 ~z; ". ".' cr. " ''''
b~ty 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 covenng 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 _
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
^, v..o.r OOI"IT!:R<:: 1"1'-'
REPORT OF INSPECTOR
, ,"
DATE OF VISIT MADE BY REMARKS
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I I O.K. FOR COVERING
-;r'!JTI1 ~ ,
O.K. TO CONNE.CT ~ERVICE ,
FINAL O.K. ,
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