HomeMy WebLinkAbout1206 Olympus Ave - Building
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Site Address:
/.;106
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I~stalled By:
Owner/Business:
Owner/Business Address:
ErRESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW -'-----
o HEAT PUMP KW ~
o SIGN
DetailslDescription:
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. f/O/ '1
";?;/z/h
,
DATE
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Mil
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
;s:: SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Phone:
Sq. Ft.
~AD SERVICE
o UNDERGROUND SERVICE
VOLThGE:
~NGLE PHASE
o THREE PHASE
SERVICE SIZE 7cJ2.D AMPS
d6l:? ~ ~
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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.
;{J;\'1iO.K. to connect service
o Final O.K.
Site Address:
Install:t
s.
New Meters
-
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 writin#o .either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. t).O
~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ "'0 ~
Eleclricallnspeclor Permit Fee
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WHITE - File b"yaddress
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
QlYl.lPIC PRINTERS INC
GREEN - Top: Meter Dept., Bottom: City Hall
FEE RECEIP~l~R
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
4'!~NUMBER
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TOTAL FEE.
)5
0-.0
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TIMETOCOMPLETE
t!8-
NO, STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Addiess J d.. 0 Co 0 L l.( tv..- pi.{ S
~ _ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG..IfDAREfSES ARyCANCELLED ~ _ _ /J _ _
Owner K~t3, ttv Ltr;.H Installation By ~6e-fPf ~c
Owner's Address \ i)...() <0 <9 '-'-1 (Vt PUS Installers Address S;;.y G F7 ti/.J r-
Day Phahe '--l 5:{ - 0 I 0 to Installers Phone 4-..s ~ - q J-. 6 Y
Application is hereby ma~e for Permit to Install Electrical,nquipment as follows: "'--
)2epa..vv Q/vv& c..1/\~1iY ~.-
Wiring Method
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NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 120V l00R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT, SIGN
LIGHT .. 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASI:lER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS .r OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT / J. r)(!
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A,C, UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE .r r x.1 A.W.G.
.;;l.U
I SUB-TOTAL U3. r)O 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.
Datel~Plicatianmade~c.r' If . .19 ~ By ~~~
I ' NTRACTOR OR 'OWNEFf(OR AUTHORIZED AGENT)
I
p;ermission is hereby given tO,do the above described 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.
01 ECTOR OF CI1\~~~HT . ,\
By
PLANS
Notify 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 and9.K. for covering 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 _
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Date Permit Issued
loin/ps-
I WARNING I
WHITE - Original CANARY, Duplicate PINK. Triplicate WHITE CAAD -Inspector's Report
nl YMWC PRINTERS. INC.
REPORT OF1NSPECTOR
,"
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DATE OF VISIT MADE BY REMARKS
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O:K. FOR COVERING "
lJ-lb-'1> /flt:..-f ,
O.K. TO CONNECT SERVICE
II. ).6- 1) '/}J,(~ FINAL O.K. ,
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