HomeMy WebLinkAbout2626 W 10th St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
[nstalled By:
Owner/Business:
Owner/Business Address:
)( RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
j8( ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription:
PERMIT NO. ",'38q&-
DATE /0-:11-91--
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
J/!!1" Final O.K.
Site Address:
Installer:
New Meters
Permit/Receipt No.
5-
Date:
/()-~/- ?-
.
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 Buil in Permit. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - File by address
YEllOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
&tJ, eJCJ
Permit Fee
GREEN - Top: Meier Dept., Bottom: City Hall
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. /.;2 3;;:J..
.r /,;}t7 /rf7
, -
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
.-
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
OwnerfBusiness:
Phone:
O'wner/Business Address:
Sq. Ft.
o 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)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
o 1.0 03.0
Service size
o Temporary
Amps
o Add/alter circuits
o Auxiliary power
, Uist below)
bt'Speciai equipment
(list beiow)
DetailslDescription:
/Ie I- ~i
Wi'tu
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
~.K. to connect service
J1. Final O.K.
Size
Comments
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
Installer:
New MG)S
Site Address:
PermitfReceipt No.
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 Inspector in W 'ting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT, 1-
- ... NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /.. ~~ C1<-[&'- ~ JJ (J
'. - /Jd)..J1^ )rJ'-~ I
Inspector Amount p icY....
YELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
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OLYMI>IC PRINTERS, INC.
FEEt2f-UMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/2j:luMBER
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TOTAL FEE $0 EE-- J!F:5.
,
CO NT. lie. NO. TIME TO COMPLETE NO. STORI ES LEGAL OC,CUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address ~r.o '2./p /,1.). /0(1-,
CORRECT ADDRESS IS ~ESPONSIBILlTY OF APPLICANT
Owner :::so l-4J M (" k H
----
-----
Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
OUltVljJ/L lLtL~/L
Owner's Address
-----
-----'
Day Phone Installers Phone
Application is hereby made for Permit to install Elee.trical Equipment as follows:
/for 'TV$ , /Jw SZI .4Mf' /y /2--0/Zf'0
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Wiring Method
.
NUMBER AMP 120V. 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 10QR FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE r:r {}j ~\ bd. IrrU kf 'X "",OT.<rr; QO --fn ! ?,vd of /1Z,}( f ~~d.
CONVENIENCE 00 ~ I - u.1. AA~ ~~OA Q~
APPLIANCE I .I . MOTOR /
OlSHy.JASHER ., FIRE ALARMS
DISPOSAL -BUAGLAAA~AM
RANGE V MISC. \
OVEN { / \
WATER HEATER r \, "
LAUNDRY \ V /" 1U ,(...
DRYER \ J / ^,'I ,if 1i.'EINSTALLATION LIGHT FIXTURE #
.
FURNACE / {l (1/1 II L' SUB TOTAL FEE
GAS. OIL
FURNACE / Vf\ .,/[ ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT / V
TOTAL FEE
ELECTRIC HEAT / SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER. .
A.C. UNIT 1/ AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONOUCTORS
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
.
. 'CONTRACTOA OA 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
specificBtions pertainin9 theireto, sUbie,ct ~ compliance ~ith the OrdinBnces 0 . t ;;'=~?JSc Y LIGHT
Date Permit Issued /f 31, /,i 7 .' By
/ ) PLANS PPRO ED
N tify 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 B<t. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
- - ......"................'..'TI:A<::. ,.....('
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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d'l(: FOR e/vERING TV/VI lJ.1 C:!.{.... I
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~ NNECT SERVICE - I . ;0 . ~_ J,.,
. O.K. TO C
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