HomeMy WebLinkAbout1122 S D St - Building
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. ~ ( fI':<.
DATE~/#70
Inst lied By:
rr.EADY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Own rfBusiness:
I
Own~r/Business Address:
Phone:
Sq. Ft.
J? Residential
Ir Heat KW
D Baseboard 0 Furnace/Boiler
D Heatpump 0 Other
D Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o Add/alter circuits
o Auxiliary power
(iist beiow)
o Special equipment
(list below)
o Overhead
o Underground
lo tage
10 03.0
Service size ~ Amps
o Temporary
o New Construction
o Remodel
o Service update/alter/repair
Detfllls/Description:
.
(!)tJrJ CUPlrr-
~
W.S. No. Service
Cap;j.city: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~~RpUgh-in/cover O.K.
1I'fill O.K. to connect service
o 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
Inst~ller:
It) ~~
-
Site ,!Address:
.
Notily the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mus, not be covered or electrically energized before inspection and O.K. for covering or service has been given
by t~e Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ ~
Inspector Am unt paid
WHIr:E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMP~C PRIt-HERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
16637
-- C
Port Angeles. washlngton.__...?L__::..2..&...______...___._________.____...... 19.7.r'
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trloal equipment in. on, or about any building or other structure in the City of Port Angeles. per-
miSsion Is hereby granted to do electrical work as listed below.
,","",
Address __Lj.?,__;],__....S.o.____..:'L....___~.......--...----........... Occupancy__.......I.~...L.....____..__......
Owner (r.-S JJ.-.IJ...A}. Ct!..~..... Tenant............___............____.___._____....___.___.....____......___
Wiring ~.~:;~~~~;.:::?ii.}2~~r;..ekf!..-J.,-------- By__...____________.._________....______.......__....____..._____.......
Light Outlet......................._.................. Service, volts ...I;t)...-::..?::..\f....Q..... Type 01 Wiring:
Reeeptacle Outlets...._....._...n......__....... No. wires ..__......3.......................... Armored Cable ............................-
SI . .... r:. J 1/ .A Non.MetalUc ......._..00.....................
ze wlres.l?'_l.:::z..m.~...m..........
~ v.l /',-
Main fuse ......._m.....__._....m..Lm.....
Dt)cr, KW.nnn............n........n_...._n___
Ral :ge, KW h__._....__..h____h__n___
W~ter Heater:
Enclosure .....0000_00____...__.00_......._00_...
KW.m................m..m...m....... ..
He,;!: KW..E.~.........................m
Type of wiring:
Entrance Cable ......n______n......m..n
Metors: size, volts and phase:
Rigid Conduit ....mm_mm......m.....
MetalUc Tubing ..nmm.......
Current transformers:
No. & Size..nnn___._._.n_n.__......
Ser. NO..._.........................__nn_n...n....
Ser. NO._..._.....n...........nn...__....nn.....
Ser. NO...._n.....nnn__....___n.............__...
Total Load.....n....___n.............
Ser. ]\'0..000000000000___._.........00......._.......
Remarks: ___..___~..[.)---K.1A..J......F~.~..............{i2~...~....m.....______...._______________...___..........
Total.......................................
Knob & Tube..................................
RIgid Conduit .....m.......................
Metallic Tubing .._..............mm_...
Raceway .........__........_........._.__..._
CIrcuits, Light.............n.........._.............
Utlllty ................................m..........
Heat ---._........__..._...._.............._.._.
Range ._....._..__........____......__.............
Water Heater ....._................._.......
Motor _..__......._....._._.......................
Dryer..............____........____._...______......._
Furnace ...................._..._~....n_.._.......
............--................................................................................._..............._....._.._..u..............._......._._..__..__.......u........
Permit Fee
uU.__U.n_hU._nnn.....n.n...uUUU.n_nnn..nnnuunnn..un.nnu..uU"".._...n._.uu'UUU.UU"UUUh..nunun..nuunununuu.nn.u
$......................................
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
ELECTRICAL PERMIT
N?
16637
Address..................._._.__..............._._.....__...__....____......_.................................._._____..__.................___Date..._......_.._.._.._..........___...._....___......._
Owner__........__......._____.___.....____...._.._......_......_.._........_....._.__...._..._.........._______...__...._.__.Tenant._______..........._......_.____.._._._______..___....._..........
WirlngContractor..............._............__........__.__.___......__.._..........___...................____....._.___.___._............By._..........................................................._
NOTIC~urrent must not be turned on unUl Certificate of Inspection has been issued. It work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.