The URL can be used to link to this page

Home My WebLink About1016 E 1st St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES t 360- 417 -4735 Application Number 11- 00001404 Date 12/15/11 Q Application pin number 889596 REPORT SALES TAX Property Address 1016 E 1ST ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -6 -2- 0205 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc CTS/ TEMP SVC Owner Contractor DELGUZZI LISA CTS O 4016 OLD MILL RD PO BOX 15 PORT ANGELES WA 983621905 SEATTLE WA 98133 (206) 601 -6677 Permit ELECTRICAL TEMPORARY SERVICE �p Additional desc CTS/ TEMP SVC. Permit Fee 92.70 Plan Check Fee .00 ltl, Issue Date 12/15/11 Valuation 0 Expiration Date 6/12/12 Qty Unit Charge Per Extension. 1.00 92.7000 ECH EL -TEMP SRV 0 -200 SRV FDR 92.70 ,n Fee summary Charged Paid Credited Due Permit Fee Total 92.70 92.70 .00 .00 Plan Check Total .00 .00 .00 .00 'Grand Total 92.70 92.70 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGE -IN FINAL COMMENTS: GFtt4(4c- PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 0 Signature of owner or Electrical Contractor X Date: G \EXCHANGE\,BUILDING .,_7 I CTS A i Qrt iW eS t i Todd Robinson IT OF PORT 4NGELES PERMIT PPLICATTO?�' C Cel!:206 -60i -6677 Email:todd@ctsnw.com Building Division/Electrical IIlSPeCt10IIS 7 5016 208th St. SW, Suite A Box 15,18405 Aurora Ave. N, Suite H 321 East Fifth Street P.O. Box 1150 Port Angeles Washin_'ton, 9S362 Lynnwood 6859 -672 -6730 Gen. Cont. L Aurora Aye. N 9 e H Ph: (360) 1: /35Fax: (360) 417-4711 Web: www.ctsnw.com Elect. Cont. Lic. CTSNON1941PW Date: C' Commercial Addition /Alteration Remodel Repair' 1 2 Single Family Dwelling Multi -Family or Commercial* 'Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job•Address: Building Square Footage: 5 Description of above Tf+� Contractor a Inro�r atign Owner Information Name: J �J �11 Name: 1 Mailing Address: i Mailing Address: City: nr�WCo� State: WI), Zip:. C3 City: State: Zip: 1 68 Fax.: Phone: Li ens: Fax: License Exp. CTS NON 1 9 4 I P v J i/ O i' License 4+' Exp. Unit Charge •Qty Total (DP/ ,Multiplied by Unit Charge) Item Service /Feeder 200 Amp. :4 119 :90 Service /Feeder 201 -400 Amp. 5145.50 Service /Feeder 401 -600 Amp .5204.60 Service /Feeder 601-1000 Amp. $:262.20 Service /Feeder over 100D'Arnp. 5372.50 Branch Circuit WI Service Feeder. 2.60 Branch Circuit W/0 Service Feeder 5 73.50 Each Additiona[Branch Circuit 2.60 g 2 —T Temp. Service Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 5 110.30 Temp. Service /Feeder 401 •600 Amp. 5 148.70 Temp. Service1Feeder 6011000 Amp 167:90 Portal to Portal Hourly 5 95.90 Sign /Outline Lighting 5 88.20 Signal Circuit /Limited Energy First 1500 sf Commercial 5 95.90 Note: 55.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 5 63 :90 Signal .Circuit .Limited Energy Multi- Family.Dwelling 5 63.90 Manufactured Home .Connection 5 119.90 5 Renewable Electrical Energy 5KVA System or Less 5 1 0 2 .3 0 5 Thermostat NEW- CONSTRUCTION .DNLY: First h 300:Square Ft. 3 110.30 5 30 5 1=ach •Additiona1500 Square Ft. or Portion of 35.20 Each Otrtbuilding orDetached Garage 110.50 Each Swimming Podi or Hot Tub 7 0 l Owner as defined byRCW.1.9.28.261: (1) Owner will occupy the structure for two years after thiselec per last m a ct on (2) Owner is required to hire an electrical contractor if "above said property is for sale, rent or lease. Permit expires afte r six After reading the above statement, l •hereby .certify that l am the owner of the ab.oVe. named aW. Chapter or liWACed electrical al c cThe i em maki of F the electrical installation or elteration`in .compliance .with the electrical laws, N.EC., P e Angeles Municipal Code, and Utility Specifications and PAMC 14.05 :050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash Check Credit -Card t T1101 Dated: X .~*~,% CITY OF PORT ANGELES e(~7,~/'- ' """ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 6/06/2002 PERMIT NO: 13467 OWNER/APPLICANT PROPERTY LOCATION VIRGINIA DEL GUZZI FRIZZELL 1016 1ST ST E 4016 OLD MILL RD Lot: 1-4 Port Angeles, WA 98362 Block: 4 [] Long Legal 360/000-0000 Subdivision: WILLIAMS & CRAMER T:FARMERS MARKET S: Parcel No: 063000720400000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $150.00 SFD Units: 0 Commercial: 0 Project Type: SIGN/FREESTAND SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 {~ Construction Type: MFD SQ FT: 0 ~, Zoning Use: CA PROJECT NOTES ~'F ONE 24 SQ. FT FREE STANDING SIGN RECEIPT#9188 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $30.00 TOTAL FEE: $30.00 Plumbing: $0.00 AMOUNT PAID: $30.00 Mechanical: $0.00 Radon: $0.00 BALANCE DUE: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned l'or a period of 180 days after the work as commenced, or if required inspections have not been requested within '180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Sig~'-t~e~f Ow~ (if ortner is builder) Date T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. EPPERMITCA 'AND APPROVED PLANSAT O SITE q7 INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAFNAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-1N WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEEPd-NG 417~4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 (~:~"~ ~ ~ t~ ~----~ ~ BUILDING ~ ?o.r4~ [ FOR OFFICIAL USE ONLY: 4° BUILDING PERMIT - APPLICATION Pe~itfl Date Approved: Date Issued: The Building Permit Application must be filled out completely. Please type or print in in~ If you have any questians, please call 417-4815 Applicant orAgent: ~e~/~ ~E ] /Z ~ Phone: ~D' ~ -~ Owner: CEr~rl~ ~r~Ch Phone: t Address: {/~,~;~/ ~ City:'Ap~ ~D~cIEs/ (~ Zip: ~chitecffEngineer: Phone: Contractor License ~: Exp: Phone: Address: /~/[~ City: Zip: / zoms : LEGAL DESC~PTION: Lot: Block: Subdivision: CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card ~: Exp. Date: ~SA MC T~E OF WORK: SIZE~UATION: O Residential D New Cons~. ~ Re-roof O Wood-stove SF. ~ $ /SF. =3 o Multi-famly ~ Addition ~ Move O Garage SF. ~ $ /SF. = $. ~ Comercial ~ Remodel O Demolition O Deck SF. ~ $ /SF. = $ ~ Repair ~ Sign O TOTAL VALUATION $ /~-~ COMMERCI~SIDENTIAL: Occupancy Group: Occupant Load: Cons~cfion T~e: No. of Stories: ~ Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. R. + Proposed Lot Coverage: /sq. R. = TOTAL LOT COVE~GE:_ ~/sq. fi. PLANING USE ONLY: ~ ~PROV~S: ~ ~ , PL~ ES~Wetland(s): O Yes D No SEPA Checklist requked? m Yes o No Other: OTHER B~LDING PE~IT ~PLICATION SUBMITT~: Your application and site plan must be fiBed out completely to be accepted for review. The Building Division can provide you with more detailed ~omtion on the application and plan subtotal requirements. Yom co~leted application, site plan (for additions) and building cons~ction plans are to be sub,Red to the Building Division, V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. T~s fi~re will be reviewed and may be revised by the Building Division to comply wi~ cu~ent fee schedules. Contact ~e Pe~t Coord~ator at 417-4815 for assistance. PL~ CHECK FEE: Your plan check fee is due at the t~e the building pemt application and cons~ction plans are subdued. All other pe~t fees are due at ~e time ofpemt issuance. EXPIATION OF PL~ ~VIEW: If no pemt is issued wi~in 180 days of the date of application, ~is application will expire. The Building Official can extend the time fm action by ~e applicant up to 180 days upon ~itten request by the applicant (see Section 107.4 of the Unifom Building Code, cu~ent edition). No application can be extended more ~an once. I hereby cert~ that 1 have read and examined this application and ~ow the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the Ci~'s legal responsibili~ to determine what permits are required; it remains the apph'cant's responsibili~ to determine what permits are required and to obtain such. //~ T:~O~S~PPSXBuildin~emit ~ I' Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. I 7;3 z:.. DATE 0!1( ,/?? Site AddreSS:/01b ~ o READY FOR ILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential 0 New Construction Heat KW ~emodel o Baseboard 0 Furnace/Boiler ~ervice update/alter/repair o Heatpump 0 Other . /Q Commercial/Industrial load /,! Add/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (I ist below) Total Motor load 0 Special equipment (attach breakdown) (list below) o Overhead o Underground Voltage 01.0 03.0 Service size o Temporary Amps DetailslDescription: oft ~ ~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service 1:Final O.K. 1~ 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 Installer: Newt)t8rs . Notify the Department of City Light by reet dress and Permit Number when ready for Inspection. Work must not be covered or electrically energized b fore inspection and O.K. for covering or service has been given by the In~spect in Writing on the Wiring Report or the Building Permit. PHONE 457.04~XT.1!l.8 ~EXT. 224. __~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .!)<- // ()J</ Inspector Am~t paid WHITE - tile by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. .CITY OF PORT ANGElES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A /z 52- PERMIT NUMBER j . TOTAL FEE /"1 r0 CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLlSHED"UNDER THIS PERMIT Owner Owner's Address Day Phone A PEAMI"!S WITH WRONG AD~~S~ES ARE CANCE.L;~O / Installation By /:A/Uj /0iuv Installers Address Installers Phone ECcc7l'UC . pplication ~~ h ~~made for permidnsta'~ ,;rical EqU;pm~+s. follow~:. A _lot:> vL/. It/I U/ A- If) La CA~/V", A>A&~ ..L _J! 7;..c..v ,,,^j. ' , . 'E'.o.J(}/J". j- 3"'1 ;5,,)()' - A-hDV (. 0" l-l~4 P~~~1f , , - - . V ~ NUMBER AMP 120V 240V NUMBER AMP 120V 24QV USE OF CIRCUIT PER 112l0R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR '0 30 CIRCUITS CIR '0 30 LIGHT SIGN , LIGHT 50 VOLTS - OR LESS CONVENIENCE It. ~ MOTOR - -- CONVENIENCE ... X Z- MOTOR .. APPLIANCE 1..---'.,., I~ D~ , ..n MOTOR DISHW~SHER :::-:; Iv ../' '1;j f,J ftI.J FIRE ALARMS . . - DISPOSAL ~ .LIe ?KC :--- BURGLAR ALARM RANGE j/' A .d vr MISC. OVEN (J. )// ,/'1/ /, " I/L ,-VI WATER HEATER V ~V --P yv -f}'( tv' . . . LAUNDRY DRYER - , . J, 'jLS . REINSTALLATION LIGHT FIXTURE 1# FURNACE ct.r 1/1 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. UNIT AMJ:' PHASE .. FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE . 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 conformance with the N.E.C. Electrical Code. Date Application made ,19 By . CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permis~i.on is hereby given to dq the above d_~scribe9 work, acpording to the c.onditions hereon and ~ccording to he_approved plans and specilications pertaining ther:O'/SU1biec;t ~ C70~Pliance with the o::nances ,9f the C.ty ~I~ort ~n~~~s. Date Permit Issued U PLANS APP . -. . 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 - WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report REPORT OF INSPECTOR , DATE OF VISIT MADE BY REMARKS . .. /' I .' . " tt14/~1 .II 5 <7l_ . t,J C'l'/'f'-'t ,.J€'F-d ~<.JpI/".....1- II/fV VOFf , , f J . , . . . O.K. FOR COVERING , I II. O.K. TO CONNECT SERVICE 11/1/37 Dr FINAL O.K. / I / . z Cl II: < ::E !!1 :I: I- Z W l- . I- o Z o C . F~tRfl~Ut~ CITY OF PORT,ANGEL.ES DEPARTMENT'OF tlGHT APPLICATION AND ELECTRICAL PERMIT A 1.c:r3 PERMIT NUMBER TOTAL FEE /h 7 o.Y- /"1~ .~ CO NT. LIC. NO. _=.:;"-:'~ ELECTRICAL PERMIT ONLY NO OCCUPA Site Address /0 L b t: / S7 . / f CORRECT ,-aDRES5 15 RE5751BILITY OF APPL Owner Vll~LI-'4 rIll>], Owner's Address '" Installatio Installers Address Installers Phone c. Day Phone Application is hereby made tor Permit to install Electrical Equipment 8S follows: 5:; 'tJU./ I ( t. V- , "K \ - Wo J.-r-.f' 3t;/" I hi c!UL- '-v:{~ Wiring Mete: j ~ AMP 240V NUMBER AMP l20V 240V 120V PER '00R FEE USE OF CIRCUIT NUMBER PER 100R FEE USE OF CIRCUIT CIRCUITS '0 CIRCUITS CIR 10 3<: CIR 30 LIGHT SIGN 50 VOLTS LIGHT OR LESS CONVEN I ENCE ~ J - ~ Ig~ MOTOR CONVENIENCE 7:: 'iJ'L1 Ir.~ MOTOR APPLIANCE rrz: 7'!. MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC, OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE II 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. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.wG 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 conformance with the N.E.C. Electrical Code. Date Application made ,19 By ~, CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and-according to the approved plans and specificalions pertaining lh:i ;;710 compliance wllh the Ordinances 0 lh City of P~~ A~IT ' Date Permit Issued 1_ I V 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 Ex\. 158, PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WARNING WHITE - Original CANARY. Duplicate PINK - Triplicate WHITE CARD -Inspector's Report OLYMPIC PRINTERS,INC. DATE OF vlsn ~ ~ \ REPORT OF INSPECTOR M.- o. .", ELECTRICAL INSPECTION WIRING REPORT 457-0411 Ext. 158 ::?{~~ZOR =-rRM1H99 3 _~:PEC2tI-_ _ _ Su U<.GI< 'it, Ai f L2'-c. ~ (c.. o (f, l ( Jr OUJ ~c. tJJEU_ ________ ~ APPROVED ~NOTAPPROVE~ o ................... DITCH ................... 0 o ............. ROUGH IN/COVER.. . .. . . . . . .... 0 o .................. SERVICE .................. 0 o .................... FINAL.. . .. . . . .. .. . . . .. .. . fr ADDRESS z Cl a: <I: :e !a J: ~ Z w !::'" a: ~ ~ o z o o COR CTIONS NEE.DEC: 4r O~ 4r,f .2 OAlE PI/-N&L ff~/rV7 '/V--O C41!hz IAvf ~f.....JfA.41( ! 5" 8Vi/L G".<+-<:Lvi , ~l.ILr 17 vi fet ~~-<- 10 M."/C'L >>k k b. "" "-fA- LP ,1-4 ",;" I d 110 r' -;;~(.j!C W- Eru'-l-J1~ ('~!J ii~ -{;;FU ~,.j) II-t-d- -6IHd.~r u-' fiLt v rJ J W (AJ,d FJu,/,-11wf In (J,'L/ff.-4 J. c1tr(Jo~,,~ NOTIFY INSPECTOR WHEN CORRECTIONS .ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OLYMPIC PRINTERS, tNC. (21)6)452.1381 O.K. TO CON~ECTSERVICE FINAL O.K. . , r--- ~ C?~!:iLEA , ' CITY,OF PORT, ANGELES DEPARTMENT OF LIGHT APF'LICATION AND ELECTRICAL PERMIT A 0000 (W PERMIT NUMBER TOTAL FEE e . -01 I ~ ) ~ TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY 1_ ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /1)/V.--G--J4> . CORRECT ADORE IS RESPONSIBILITY OF APPLICANT PERMIT~ WITH WRO~GARES~~S _ARE :.ANC. ELL~ " Owner Installation By ~.-l..-i:-1 ~ Owner's Address l .-SO' - f :;k, installers Address /. ~ U/(I..{? Day Phon( ~."-o E ~ , jlnstallers Phone - . Application ls hereby made for Per[Tlit to install Electrical Equipment a.follows: ~~"Mf 7L"1---' ~- r 1- tLti~ nL!_ff~A~ ~~~~ d~J FJ0u/ r 2.; ~~~h~f /1 If /J - NUMBER . KMP .. 120V 240V USE OF CIRCUIT CIRCUITS PER 1 (21 1 0 QA CIA 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 10 240V 100R 30 FEE LIGHT LIGHT CONVENIENCE - ... CONVENiENCE APPLIANCE .,. D1SHWASHI?-R . OISPOSAl .', RANGE OVEN WATER HEATER LAUNDRY SIGN 50 VOLTS . OR LESS MOTOR MOTOR MOTOR FIRE ALARMS BURGLAR ALARM f I ~SC, 'f://?, iF'. J I..- co/,-,'-)-:r;:".! l J.,...-. i' I, REINSTALLATION LIGHT FIXTURE # SUB TOTAL FEE ENERGY FEE BASIC FEE If . TOTALFEE W6~t> SIZE OF SERVICE SWITCH OR C~IT BREAKER AMP ~ .PHASE' SIZE OF SERV~NTRANCE CONDUCTORS ,1,/ "tJ 1/_. ......:. ("...J:. DRYER FURNACE GAS - OIL FURNACE ELECTRIC .ELECTRIC;; ~EAT_ ELECTRIC HEAT . A.C. UNIT FEEDER SERVICE J!L~.H ".,1,. 6~ Id &'1, ./ SIZE ~OUND ,/ A.W.G, I' SUB:foTAL 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. Date Application made I(J-J- , ,19~ By . ~~"J/;sued CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is ~e~eby.g~v~n to do the_~bove qescribed work, according to the conditions hereon and according to the approved plans and s'pecifications pertaining thereto, subject to compliance with the Ordinances of the City. of Port A~geles. \ '.' _' '\ DIRECTOR OF CITY LIGHT' ., , , ~CANS!kf~ ~(//93~7rU/~ Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current tur"ned 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 , " ~ : t . " . REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS -- . , fp- 0- fl.-f ;;J A/, -r (!JtIo.1Pb rtf,.k. FOR COVERING O.K. TO CONNECT SERVICE 1 ...:'{ -- If &;' 1J1f J FINAL O.K. . z Cl a:: <C :!E ~ J: I- Z W l- . l- e z e o .