HomeMy WebLinkAbout1621 W 15th St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
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7~~ 3 ~o .
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
Installed BY:~
Owner/Business:
Owner/Business
)(Residential
Heat KW
D Baseboard D Furnace/Boiler
D Heatpump D Other
D Commercial/Industrial load D Add/alter circuits
Total Connected load D Auxiliary power
(attach breakdown) (I ist below)
Total Motor load D Special equipment
(attach breakdown) (list below)
Details/DescriPtion~I"'-~,LA~ ALA-i?/Yl ~Y67E'JYt..
D New Construction
o Remodel
D Service update/alter/repair
D Overhead
D Underground
Voltage
D 10 D 3..0'
Service size
D Temporary
Amps
W.S. No. Service
Capacity: D O.K. D Not O.K.
D Ditch inspection O.K.
D Rough-in/cover O.K.
D O.K. to connect service
~ Final O.K.
y~
Date
Hold for: D Easement D Letter
Size
Comments
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Site Address:
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New Meters
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Notify the Department of City Light by Street ddress 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 Inspew-- Writing on the Wiring Report or the Building Permit. PHONE 4sg0411, EXT. 1.58 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT if! / Cc, ~ q..::?
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OlYMPIC PFlINTERS. INC.
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
I&?~
PERMIT NUMBER
Ie
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/0. eo /~ 1:-.8
.- TOTAl FEE
CONT. LIe. NO. TIME TO COMPLETE NO. STCRI ES , LEGAL OCCUPANCY
Site Address
ELECTRICAL PERMIT ONLY
/~2J d /5-!lJ.-
CORRECT ADDRESf1,!$ RESPONSI IUn' OF APPLICANT
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NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT
Owner
PERMiTS W~TH WR&DRESSES... ARE CANCELLED ) . .' _ .
Installation By i/Llh "> 9 /J j, ~ oVV
Installers Address _ 0 L. td': /.9:1b -
Installers Phone ~ S7-,7) 2-0
~ rrrC~~)/ :;?odt""/.J
Owner's Address
Day Phone
Application is flereby ma~e for permit to instal~ Electrical Equipment as fo/lows:
f~~
. Wiring Ml?thC?d _
.
-
AMP 2~:{f. ~~ NUMBER AMP ..120V 240V
USE OF CIRCUIT NUMBER PER" 12QV 10 R_ USE Of: CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 -. CIRCUITS CIR 10 30
LIGHT C;.. -:-::::J SIGN
~.." :--.. 50 VOLTS ..'
LIGHT OR LESS
"0r j MOTOR -
CONVENIENCE
CONVENIENCE '- ........ MOTOR ,. :'~
APPLIANCE l\ I.... '), /J MOTOR ~i
DISHWASHER . c:.. ........., / FIRE ALARMS ,,...1 .
1\ ..1
DISPOSAL t..:::::::! 1""- "~f J BUR~LAR ~t~tjM
RANGE ~ 't' MISC. ",,1;
- -
OVEN , I'...:::J
WATER HEATER / V {;-.. :::;"
V /;. 17..::-' -...., ,
LAUNDRY
DRYER / I II ::'/- REINSl'l LATION LIGHT FIXTURE #
FURNACE / 1-"'" .. StJ~ TOTAL FEE
GAS-OIL' - , '
FURNACE '''NERGY FEE
ELECTRIC ' . :-!BASIC FEE
ELECTRIC HEAT
_:.-0.{ TOTAL FEE
ELECTRIC HEAT '7 SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.
A.C. UNIT /-D 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 performe~der this permit will be done ~y the installer and in conformance. WI~h tJ N.~.C. Electrical Code.
Date Application made /3/ e-Jvwe...- ,19~" By l..Jnf2A1.-~ ~
./ CONTRACTOR OR OWNER (OR-AUTHORIZED AGENl) -
Permission is h!lreby given to d~ !he above qescribed, 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.
, .. ',- BY. dZrr;P~ \\ '~:,
Date Permit Issued PLAN OVED ~ _
. I ~ I / of"'" Notify Department of City Light by Street Address and Permit Number.wh~;;-~e~dY for inspecti~~TWork must-not
"! 10 '/ be covered or current turned on before inspection and O.K. for covering or s'ervice has been g;venby Inspector in
I I Writing on Permit Placard. A:. Permits Phone: 457.0411 Ext. 158, - . '~~. . '
, WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - .SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS,INC.
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REPORT OF INSPECTOR
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DATE OF VISIT
MADE BY
REMARKS
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