HomeMy WebLinkAbout1103 Campbell Ave - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
16785
Port Angeles, washlngton....../!!...:..:?:.L.................................. 19..1/?'
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 d6 electrical work as listed below.
Address ../!.e'hJ.....~.;;;;J;I-:~:..~~. Occupancyhh..c'!.d~,,~~~~h......hhh____....h
..~~ ,.
~:~=: ~.~~:~~~~.:~~:~~~~.~~:~~~;~:::::::::::::......~~:::::::::=:::::::::::::::::::::::::::::::::::::::
LIght Outlet..........~.;.~._.._..... Service, volts /r?-"L..~.~... Type of Wiring:
R t I Outl tV> No wire. .... Armored Cable h_._..m...................,
ecep ac e e s....._.................._...... ! ~ . .......-:!............................
Dryer, KW mmh.?.................h......... SIze wlre....-;:1JJ!J,F-.. /
Range. KW .../.~,.............. .............. Main fu.e ....,....<.....--72................
Water Heater: Enclosure ...C:..........t:?.m.........
Non.Metallic .................................
Knob & Tube................................~
Rigid Conduit ...............................
<;L
KWm..................Z...;Z......
Heat' Kw...ITi.},..../~_..~4r...
Metallic Tubing .....m....m........_..
Raceway ........;1-...-.....--...-
Circuit., Llght.t7""........................._..
~:;t~;~~f~ curr:~~::::::e:~:::::::.::::::::..:.::::: =::~...:::.~...::.::__:__:..::..:.:__.:=:
JL,e~..._......................... 9
'/ ../;l (I" No. & Size....................................... Water Heater .ft..........._................
rC).d .' .:..o:-(,cr""................................. Motor ...~...................................
..:;,Jc; /r M~ Ser. No............................................... ~
) )( 0- t;::.~".~1: :::::::::::::~ s... No.......................................... ~:,:~~~c:L::::::::::::::~:::::...:::::::~~
/ 4- ~ ~.'::... :::: :::.::::::::::::::::~:::::::::::::::::::::::::: Id~ot~...J....~.................
Remarks: ..h...h.h...h.__--;-:::J.4...&,~...hCL!21..~c!.,~".~..........................................................................
Type of wiring:
Entrance Cable ..mm.....................
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Permit Fee
'3 ;)0
$..h..."...~.......__..mhhh....
Treas. Receipt
No.............................
By.~~~~~...~:_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It -work Is to be eon.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
1.
,
ELECTRICAL PERMIT
Nt?
16785
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Address............._....._............................................................................................................._.....Date..._......_.._.._.._.........._._...._......_.........
,
Owner..................................._......_..__......_......_.._....................................................::.....Tenant....................................................................
Wiring Contractor...................................._......_.............._........................................._................... By..............................................................
";'
NOTICE-Current must not. be turned on until Certificate of Inspection has been Issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
()lvmo!c Printers,:.Jnc.
-,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . . .
-:
REQUEST:
Date Z - I .. () c,
Time
7' Ai-I-t
Received by t1c"'''t ,'S E (phone, person)
Location of Work to be inspected //tJ"S Um.1k/l 111/2..
/1... . I,r-
Name of person requesting inspection I/C VI '" '5> ~.
Address of person requesting inspection ~rt y.....,JI {7~B
Type of Inspection (circle appropriate one):
Phone No.
'i tl -l.{fN9
Sewer Foundation Framing Chimney Plumbing Final
Permit No.
Sewer Excav. ~lA.)A...-f< ~
INSPECTION NOTES:
Inspected: Date 2 - (-0 b
Remarks: J2 elK-' r S/<f P.E.
21 of' 'P-E.
Time I { A i"'1.. By De." "l , S E .
~J,fL ~ z... u''P' U"1 :DIA..<; c-.....d
RESTORATION REQUIRED . . . . .. YES
NO ><
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
o Repaired by City
D Repaired by Permittee
D No Damage Found
D Asphalt 0 PCC 0 Other
Work Order # gO~<{'-01o
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
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