HomeMy WebLinkAbout235 W 5th St - Building
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CITY OF PORT.ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
71"2-
PERMIT NUMBER
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TOTAL FEE
/10 9-2--
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CONT. lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address'
'2'"2.."') W. S )1<)
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
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PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By Clet+ Yl( <;..."." .':'<0. 11:"'-, ,
Installers Address \ \ 10 (5 M+' PI.;.'" ,c..~t Pe(_
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Owner
Owner's Address
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Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 100R" FEE USE OF CIRCUIT PEA I 100R . FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT -,- 50 VOLTS
OR LESS
CONVENIENCE MOTOR -
CONVENIENCE - MOTOR'
APPLIANCE )... '20 'x MOTOR
DISHWASHER FIA.E ALARMS .-
DISPOSAL BUAGLAA ALAAM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
REINSTALLATION LIGHT FIXTURE # I ..,
DRYER
FURNACE SUB TOT~L FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC " -
BASIC FEE
ELECTRIC HEAT ~, ''")0 y
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.
- 1 SUB-TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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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.
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CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
~ermlsslon Is h.ereby given to do ~he above described. work, according to the conditions h~reon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the ordina,nce, ~ <?f. th, e:Cit,Y of Port AngeleS, .~ '
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Date Permit Issued J ~ ~CANSA~PROV D . '. . 't/ b
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current tu~ned on before jnspec~ion and O.K. for covering or service has been given by Inspector In
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.
Date Application made
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10
,19 'i?l,
By
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
OATEOFVISIT MADE BY REMARKS
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
N~
17638
ELECTRICAL PERMIT
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Port Angeles, Washlngtoll.m............m.m...............m...m........m.m. 19000"'__
.__ 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 i!l hereby granted to d~al work as listed below.
Address _:.~?~_f[__~_.m..~.....m_..m_.m....moooooo__. Occupancy.__.,.d._L~_.oo_oo_m.m.__....
~:~:~~~~~~~~~.::::~t~~~::::::::.h_~~~~~~;::::::::::::-....~~.-.~~:::::::::~:::::::::::::::::::::::::::::::::::::::
Light Outletsnnnnnn...mn___n.mn_n___.n Service. volts n./r;f.:f?-/---?_l.:!?. Type 01 Wiring:
Receptacle Outletsm____........_.__..h........ No. wIres ----.-;$..........:...--71--... Armored Cable ...__m_mhh.........__...
Size wlres_____./~;..~7. ~..."tP An._a.f/.;4nnn,------.-.. Non.Metalllc m..___.____n.m..m.mm..
Dryer, KW nn.....n__h......._.....____h__. b a.:. .
Knob & Tube......._.__.____................_
Main fuse .h.............__._.__..!..___.........
, .
Enclosure m_::.5......m_.nmn__.__.
Range, KW.___........_______n.______..._____
Water Heater:
RIgid CC>Ddult __n____m_m.m_.n.nmn
Metallic Tubing ._.nmm..___n.nn.m
KW.__._____.__..nn....___..n...______nn____.
Type of wiring:
Entrance Cable ........hh__.._hh........
Raceway _._.____.........._..___..._.._......_
Motors: size. volts and phase:
Rigid Conduit n___m________________n__n.
Metalllc Tubing ..m_...........
Current transtormers:
No. & Size......__....____....................._.
Circuits, Light.__nnmm.._________.mmm..n.
Utility n_.nnnmmnm___.n___..nnmm.__
Heal: KW.h.____....__........................__.
Ser. NO.n_h_......_...............______............
I-Ieat -----...._.__............_..__........._......
Range ....._._____._............._..._._...........
Water Heater .....______.............._.....
Motor ..._...................._n___.__...........
Ser. No. __.___0..................__...__..__.0000....
Dryer __________.........._____..............____..__
Furnace ____.__................_.._0000____00.........
Ser. No,..__................_..__..,............,....
Total wad_____n......__.............. Ser. No, ......_..______..__._....................... Total ...__.......0............__.___........
Remarks: .....,.4.__f-..~..'_=:m....~~__..(,b:~t/ ~~m_m.....m~..m........mm.mm...........m
uu...n_u__n_.._.o.._n..n.nn..nn..nn..nn_ouonn.uununnuO__.nnn.nnnnon.nn._._nnonu..__..n.n._nuo.nun___unn__nonn..._..no..n__
_~:~;~.;~:.m.-----h-mmm..m..;~:~~:-;:::;~~..___-.-m..hoo--mmm___m;;;<<'&hZ--:J1m.........
$...m..mmmm..._hmm.oo__. NO._.__....m..mm..m.... By ..;..'.~m.m!..;....r.d"...~..._......m..::~:::~
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If work is to be con.
cealed due notIce must be given the Inspector so that work may be Inspected before concealment.
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NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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N~ 17 6 3 8
ELECTRICAL PERMIT
Address........................__...__.._._......._.......d.............___.._.....__..................................___....................Date..._......__:__.._.____........_......_......__........
Owner ...nn.........____________...........nn_.__........___..._.._...._n................__._......_._.....____...0..____.... Tenant_....______.__...._:____..______.............._n........._.........
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'\. cealed due noUce must be given the Inspector so that worJi. may be inspectedl,betore concealment. "-.
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1M Olympic Printers, Inc.