HomeMy WebLinkAbout302 Tumwater St - Building
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Site Address:
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Installed By:
.3 D;<
..S:
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Owner/Business:
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Owner/Business Address:
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o :RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o ';FAN/WALL KW _
o ,HEAT PUMP KW_
o SIGN
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Details/Description:
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. J0cP?,
DATE ~?/9 Z
o READY FOR
INSPECTION
License Number:
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
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W.S. No. SERVICE SIZE
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CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
!I 0 INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
per~~c;;; y'
New Meters
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Notify Port Angeles . y 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 Building Permit. PHONE 457-0411, EXT. 224. tJ...O
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT } 0 -
/9?'11 $ 0<,
Electrical Inspector
WHITE - File by address
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OLY'!lPIC PRINTERS INC
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
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FE rCEIPrNUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
000006
A
PERMIT NUMBER
"e
11 , cQ u/ ,ytR /l!t9fle!l61/;-e; .
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TOTAL FEE
il CONT. lie. NO. TIMET9COMPLETE - NO. STORIES LEGAL OCCUPANCY
II
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Site Address
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Owner I
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Owner's' Address .
DayPhJne Sp.3-7>'if1 - 3.\-f'"
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Application is hereby made for Permit
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USE OF CIRCUIT
II
LIGHT
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II,
L1GH~
CONVENIENCE
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CONVENIENCE
"
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APPLIANCE
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DISHWASHER
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DISPOSAL
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.,
. RANGE
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OVEN'
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WATER HEATER -
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lAUN'bRY
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DRYE'f~
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FURNACE
GAS -lOlL
FURNACE
ELECrA1C
ELECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
,
FEEDER
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PERMITS WITH WRONG ADDRESSES ARE CANCELLED ,
Installation By 'Ii. t' /ZI /Y j;; K:'
Installers Address
Installers. Phone
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Wiring Method
NUMBER AMP
CIRCUITS PER
CIR
...; I 4, t/rko
240V
100R
30
AMP
PER
CIR
24QV
100R
30
NUMBER
CIRCUITS
120V
10
120V
10
FEE
USE OF CIRCUIT
FEE
SIGN
50 VOLTS
OR LESS
MOTOR
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MOTOR
MOTOR
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FIRE ALARMS
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BURGLAR ALARM
MISC.
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE ~ t:.~
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER - ,
~}'fM AMP ~ / 116 , t=.
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
SERVICE - ,:7- 4-~s;z:',#J <!! /-1 r' -7 ~ 01 AWG.
:I I SUB- TOT ~L . SIZE OF GROUND ~ ~E OF ENTRANCE SWiTCH
I certi~r that the work to be performed under this permit will be done by the installer and i;:&'nf'Jmance with the N.F,lC. Electrical Code.
· '/'.. H?- \. I, ~ L ~
Date .o1pplication ma~e 7"- \.c~ ,19~ By _ . r ll// / P'/\, Wi' -IL.U'Z-
_!I' ' ~TRACTOR OR OWNER (OR AUTHOf'ZED AGENT) .
Permission is hereby given to do the above described work, according to the condition~reon and according to the approved plans and
specitl'cations pertaining thereto, subject to compliance with the Ordinances ofthe City of Port Angeles. '
,I . , .... . .,DIRECTOROF~ ' .. ..
I . By 9);.-~? g ~~,e~/
Date ~ rmlt Issued PLA~ APPROVED' '_ ,'" ..' .
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7 ~/' Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
'1"", 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 Ext. 158.
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WARNING
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nl YMPlf': PRINTERS.INC
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
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REPORT OF INSPECTOR
DATEOFVISIT MADE BY REMARKS
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FINAL O.K. ,
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