HomeMy WebLinkAbout619 Vashon Ave - Building
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Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. 02'1"3./
///.;20kf'
DATE
I nstalled By:
,
,.kREADY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
~/
Owner/Business:
Phone:
Own~r{Busjness Address:
Sq. Ft.
)!l Residential
Heat KW
C Baseboard 0 Furnace/Boiler
C Heatpump D Other
C Commercial/lndustriai load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
):1 New Construction
D Remodel
D Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
D Overhead
D Underground
Voltage
D 10 D 30
Service size
o Temporary
Amps
Detai IslDescription:
tuA~
;V/'-U/ &~L
.
W.S. No. Service
Capacity: D O.K. 0 Not O.K.
o Ditch inspection O.K.
D Rough.in/cover O.K.
g O.K. to connect service
/fIJti1 YJ Final O.K.
Size
Comments
Date
Hold for: D Easement D Letter
o Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Site Address:
Permit/Receipt No.
c;2tfJ/
New Meters
(Q
.
Notily the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the 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 ~ 0 ~
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLY~"'C PRINTERS. INC.
If:, ;;li
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
//77
PERMIT NUMBER
.
TOTAL-FEE
::.3 0 ~
I
~.
Site Address
CONT.lIe. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT
Owner
Owner's Address
SfrrYlc
PERMITS WI~H WRONG AD~RESSEJ ARE
Installation By <:" <<C
Installers Address
Installers Phone
AN'tELLEOr-'" \
(( ~Ur/tCc.
. Wiri.ng Method
.
NUMBER AMP 120V 24QV NUMBER AMP 120V 24QV
USE OF CIRCUIT PER l00R FEE USE OF CIRCUIT' . PER l0QR FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR lESS
CONVENIENCE MOTOR
CONVENIENCE -. MOTOR
APPLIANCE .. MOTOR
DISHWASHER FIRE ALARMS ,-
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY . - -
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT -
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. U:\tIT r II .{} I AM~ PHASE
FEEDER /IV II. I I.. lIT SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE .
A.W.G.
I SUB.TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
1 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.
Date Application made
,19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Perm.ission is hereby given to do the above. described work, ac.cording 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.
- - DIRECTOR (IF C
(, /;& If?
By
PLANS APPRO ED
--aaJ
\1.:\\\
.
Date Permit Issued
WARNING
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or c~rrent turned on before inspection and O.K. for covering ~)r 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 -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPICPRINTERS, INC.
.... ~ \ \
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
:; /,r/tf7 '/tfl-vtJ. O.K. TO c'ONNECT SERVICE " ,
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FINAL O.K. ,.
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