HomeMy WebLinkAbout2030 W 5th St - Building
/ ~E~12 NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
9~5
PERMIT NUMBER
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TOTAL FEE
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caNT.lIC. NO.
NO. STORIES
TIME TO COMPLETE
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address tV..s;. J.... .---:;l-& ()" ft 5 0
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ;) / .t3. /). Cd /of . Installalion By 77':41/3/n D /.,~ E'>~ /1!l1 c.-
Owner's Address :?:z I d IC t. 1,}4 ~"A 1) Installers Address P. () c ./3d Ir b " J :71' v<:: 4 uJA>I ~
Day Phone o$I.s2 - l::z 3'? . Installers Phone ~ - )? ~ 7
Application is hereby made for Permit to ins!all ElectriC?al Equipment af!: follows: N t'tI_ (. J _ _ 4 ~ .' .
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
LIGHT /,,, 1<
LIGHT
CONVENIH,tr;1J :/ 2/')
CONVENIENCE
APPLIANCE
DISHWASHER
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DISPOSAL
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RANGE
OVEN
WATER HEATER
LAUNDRY
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DRYER
FURNACE
GAS - OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
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ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
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Wiring Method IY M -f>
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AMP
. PER
CIA
240V
100R
30
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NUMBER
CIRCUITS
(fJ
FEE
USE OF CIRCUIT
40
....cJ
FEE
.-
SIGN
50 VOLTS
OR LESS
MOTOR
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. MOTOR
MOTOR
1/
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7
FIRE ALARMS
BURGLAR ALARM
MISC.
.
7'
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REINSTALLATION LIGHT FIXTURE #
SUB ~OTAL FEE
ENERGY FEE
BASIC FEE
P/.
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TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
'7cJd AMP 1?f
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
I SUB-TOTAL
C//fJ //t2:?/tJ AL AWG
SIZE OF GROUND.\9fq SIZE OF ENTRANCE SWITCH "04 11M/)
Date Application made
I certify that the work to be pe.rformed under this permit will be done by the installer and in co
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I Code.
C RACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described ~ork, according tothe"conditicins hereon and according to the approved plans,and
spedfications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. " ':. 1 .
,'" . . :X;.T~L1GHT . .,.
BY'. c;;7(&L \'~
PLANS APPROVED .
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned ~m before ins'pection and O.K. f.oEcovering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. I
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Dat~;j;fr~
WARNING I
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
OL YMP\C PRINTERS, INC.
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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t- O.K. TO CONNECT SERVICE
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CITY OF PORTA~GE('ES, '
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
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FEE RECEIPT NUMBER
PERMIT NUMBER
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.
TOTAL FEE
It~
T:4 Yl3i ft-
.' '/484..
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LEGAL OCCUPANCY
CONT. Lie. NO.
TIMETQCOMPLETE
NO. STORIES
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLlSHE6 UNDER THIS PERMIT
Site Address It) Jlh slllt-~r' '~~l' ~1t ~o1D
CORRECT ADDRESS IS RESPONSIBILITY OF APPLl~E~~ WITH WRONG ADDRESSES RE CANCELLED
Owner 1., /3. A c..,IlI. " Installation BY' IrA '1l3jJ{1'J ;;:~€&TA.Ic.-
Own'er's Address . & ZIt? ~J.U/A. /(M.b P.A, Installers Address P,tJ. 13" it t';. ;r.P'/t.L
Day Phone 1<')- fez -; 2- ' Installers Phone qZ<tt- 3?6'7
Application is hereby made for Permit to install Electrical Equipment as follows: 'jiM P,
Wiring M~'hod
- . "-P.'~. -
.'
NUMBER AMP 120V 240V NUMBl:R AMP 120V 240V
USE OF CIRCUIT PEA ~00R FEE" . USE OF CIRCUIT PEA : 100R FEE
CIRCUITS CIA 10_ 30 CIRCUITS CIA 10 30
LIGHT I C::--It: SIGN
, . It::::, \ h,\ 50 VOLTS ,
LIGHT OR LESS
,
CONVENIENCE U'" -- .. MOTOR
CONVENIENCE . '% V MOTOR .,
0r: .
APPLIANCE ..... MOTOR
DISHWASHER C \\1\ FlRE ALAAMS ,
DISPOSAL J '-:::. j BURGLAR ALARM
./ It'" ,/ . MISC, ,/ / ~
RANGE .-/ ,
OVEN r- / fit
WATER HEATER I ""J ~ 'J V I. --""
LAUNDRY y.- . ' I I' .
i
DRYER JI.: :-/ REINSTALLATION LIGHT FIXTURE #
FURNACE ~ ~\ SUB :rOT AL f.EE . .
GAS - Oil
FURNACE 'r- ' j::::;JA ENEAGY FEE :
ELECTRIC .. 'A
/L, 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.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 arid in conformance with the N.E.C. Elect ieal Code.
Date Application made
11'11,19 q(..
By
CO RAClOA OR OWNER (OR AUTHORIZED AGENT)
. .". ~ ' . ,. -'.'
Permission is he~eby given to dp the ~bove describ.ed ,!,ork, according to t~l8..q()nditions hereon and accordil)g to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances oUhe,City of .Port Angeles.
, , , , ~ " _, DIRECTOR OF CITY LIGHT
BY'PW"
.
Date Permit Issued
PLANS APPROVED
~, .
- _. .
Notify Department of City Light by Street f'ddress and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K.lfor covering or service has been given by Inspector in
Writin'g 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 Reporj
OLYMPIC PRINTERS. INC
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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