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Home My WebLink About1031 W 17th St - Building v CJ G,:'1/ FEE RECEIPT NUMBER *' CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ooo1ooA PERMIT NUMBEA . TOTAL FEE / s;. CJO ~ NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address / 0 .!fo~E;; ADf:.!.,s ;'po{.,'Z::f; APPLICANT r::'Dr-~~e..;J""""" _ Owner's Address I/:> ''? /. ~'-''''' V- I) I 7\ Installation By Installers Address PERMITS WITH WRONG ADDAESSES ARE CANCELLED ~.;J1 ~~];!- iTS;).. - 9;;U; </' Owner Day Phone Application is hereby made for Permit t9 install Electrical Equipm~nt as Installers Phone 0(/ !~~~ I Wiring Method .' AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER PEA l20V 100R FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN 50 VOLTS - LIGHT OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR . APPLIANCE MOTOR DISHWASHER .. FlAE ALAAMS , 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 /~ \.,-0;fJ TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE Y.. ISO. AW.G. / "'" I SUB-TOTAL 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 conform / f~ ;< ( ,19 '14 Date Application made By CONTRACTOR OR 0 NER (OR AUTHORIZED AGENT) Permission is hereby given to do the above d.escribep 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. J' f)L(- Byn1."..ef7~CITYLrGHT " II~;; 1- PLANS~ED ~ 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 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. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR \ t.... \ \ \ ' ~ DATE OF VISIT MADE BY REMARKS - '. . , .. It- ). r?tt 4l1-f O.K. FOR COVERING 'rj - ~).I -6'( Ifl/J O.K. TO CONNECT SERVICE {(.~-1Lf /fi{3 FINAL O.K. , . z CJ a: c( :E ~ ::J: I- Z W l- . l- e z e o . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt? 16019 Port Angeles, WashingtOlL___..._./.{:'.._=-...:?...9nn..............___n___, 19..2? 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 do electrical work as listed below. Address .zfj.2!..___/~7..l.2dt:___nn___.n.n....______...n___ Occupancy..A,~~.___nm___nh.........___. Owner n21:,!2.~.,f~~L.~.n___n_________.~nant..._...---------....-......---._.---........---mn___'n,nn.m.." Wiring Contrac~~-fl..>d?.~.-g;#eL;~---.6b......;~n. ~;;;.n------.---n---m---n..---..n---...nn---m..------..n LIght Outlets..............................._.._..... ServIce. volts .;'..3..''.L:.--...---...... Type at Wiring; Receptacle Outlets.....~.q............... No. wIres __n..........................._...... Armored Cable ...-....-......-............- r:. SI I ~ a>.Y Non.Metalllc ..................-----..--...... Dryer, KW ............~.__..n__....___..________ ze w res..../.Z...__.__....__,___......... Range, KW ___._____.!.?:_____...___.___._____ Main tuse __?;!J.-5?.t!..4............. -S Enclosure h........._.......n__.._...n___..n. Water Heater: /" 4/ :) KW...........___!__..(._______nn.____.______.n. Heat' KW........./.G......8.;3........---....-- Type of wiring: Entrance Cable .........n_m___.__m..___ Motors: size, volts and phase: :::::::--:..--:t:~:~~:::::.:::::::.::::::: I Rigid Conduit ..mm.n.n................. MetalUc Tubing hm.........n........... Current transtormers: No. & Size.............__..nn.......nn.._.... Ser. NO.............n_._.__.._....nnn__....._.... Ser. No...__......................................... Ser. NO.n_..nn..........n_....................... Total Load..........n...nn....__.... Ser. NO.n_n_.......n.._.:_......._.............. Knob & Tube...................__.._____...... RIgid Conduit ............................... Metallic Tubing .m....___................ Raceway ..............................._......_ Co CIrcuIts, Llght..._..._..n............._............. UtilIty .....~......._.............____......... Ilea, .../.?l............................_..__ Range ....;-?.............._____..__......._..... :2. Water Heater n..._......................... Motor ..._..........._.____...._.._............... Dryer _...._._Q.:__...___.........................._ Furnace .........................'_................__. 2% Total .._-.........-....----....-......--... Remarks: ..___.m..nn___.4''-''!2.''___.".=:..n.-G~--&../..n---...m........n....m.......---.n..___................_________00___ .___n____________mn______n.m.______.___n___nnn______n___.___n______mm___.___.m___.mnn..........n..n:..JJ...n......mn...m...n...n........... Permit Fee Treas. Receipt rJI ;t; /J/w.~~i/ $:.n..g.~___n____________.. NO.______n___......___..._... By ..nm:m:..m___!....Zr.'::.......~...m.......m~~ NOTICE-Current must not be turned on until Certificate ot Inspection has been Issued. If work Is to be con~ cealed due noUce must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16019/ Address.........._.......____.............._._.....__........_.....___.....__...__._..........................._......__.._._.................Date..._..._______..____._.._....._......_......_.....__.. Owner .........n..__.....__.nn......n__h.....___......_.._..._.._............................................._..........._. Tenant....._..n..n......._...___....__...nn..._..........._n........ Wiring Contractor._...._._____._._..___........................_......_....._............................._............__.........___..___ By __._............................._........................._.. NOTIC~urrent must not. be turned on until Certificate ot Inspection has been Issued. It work Is to be con- cealed due notice must be given the Inspector 80 that work may be inspected before concealment. '. 1M Olympic Printers, Inc.