HomeMy WebLinkAbout516 E 2nd St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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FEE RECEIPT NUMBER
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TOTAL FEE
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CONT.lIe. NO.
TIME TO COMPLETE
NO, STORIES
LEGAL OCCUPANCY
. ELECTRlyAL PERMIT ONLY
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. <,.CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
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Application is heret?y made for.P~rmit to install Electrical Equipment as follows:
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT,. \
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Site Address
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. Wiring Method ifl c..
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER '0 100R FEE USE OF CIRCUIT CIRCUITS PER '0 100R FEE
CIR 30 CIR 30
LIGHT i SIGN
LIGHT ., 50 VOLTS
OR LESS
CONVENIENCE I .. . MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALAFMS
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 . /h
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.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 . '/-;/2-5/; t .19 By X"
/ I CONTRACTOR OR OWNER (OR AUTHORIZED AGE~T) .
PerrJ.:Iission Is hereby given to do ~he above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining theret: ~ect to compliance with the o:;nances O;;Z;)ijfjt fHT
Date Permit Issued !t, ! ! r" PLANS APpll(( '--. . '.v '. , . '. . . .'
toti;Y 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
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
., 'DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE -
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR use ESTABLISHED UNDER THIS PERMIT
Sib "E. 2-A/D$-r
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner TEAiJ' BAI-t'J~i I'>(;~ ,.
Owner's Address k/'b 1> I /<;; h L!' '5""- S./". f;6rn+"~1-
.3.37- A /<-(2:,
Site Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By 'at--! /'Ylpic- . Et.-eC'T'Y'IC
Installers Address fje I ;;;:0. /.-./ NCOt-J
Installers Phone I..,{ r;;.7 - S.3 0';;'
.R-EPt-t4C4~ IE ~ is-nN 6-
E>"iS''''N t!. c..1 ('{;,./,-rs
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Day Phone
Ap,plication is hereby made for Permit to install. Electrical Equ[pmenJas follows:
$E;nlIC.tt WITH ZOO !"rMf' - IZ-s e.nJNI!C-r
(3) NEu.! 1-+1EA'r C!.-1t"W;rs.
Wiring ~ethod
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NUMBER AMP 120V 240V , NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT P-ER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT ., 50 VOLTS
OR lESS
CONVENIENCE .. . MOTOR
CONVENIENCE . .. MOTOR -
,
APPLIANCE " MOTOR
DISt-!WASHER . 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 . - 3tJ, 0 cJ
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ;LITO AMP $, /II G /.-,!, PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE (/ y- Je,CO t.(IO TI-+I.I Prt- ,J m AW.G.
- I' SUB. TOTAL J"-OV SIZE OF GROUND" ~ SIZE OF ENTRA~CE SWITCH Z (JO
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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
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,19 %:> t-f
By
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Date Permit Issued
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
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .
. ' DIRECTOR OF CITY LIGHT
I J,- /3-6~ ~C.NS~~ ~~/\' 4, ,,'
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned onbefore 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.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
I"ll VIuIPIr. PRINTFR~ INr.
r
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
I:t.- /3 . S'''' l1f~ O.K. FOR COVERING
i )..- IJ - (){ /f7 f.~ O.K. TO CONNECT SERVICE
I). -11/- it If/l z /;) FINAL O.K.
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