HomeMy WebLinkAbout1016 W 6th St - Building
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FEE RECEIPT NUMBER
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TOTAL FEE
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
_ APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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CO NT. ue. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT DNL Y
Site Address / () I G l.v 6 '1'4
CORRECT ADDRESS 15 RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSeS ARE CANCELLED
Owner 0.(;-, ~-tN'dl ;c/' (' Installation By f/ ~.^.4,,'c;;,-~ ('or S{--
Owner'sAddresJ /1 \'-v 1/ h (<II. Installers Address 41[;(0 S C"'.
Day Phone II 5':;; '~;;:S'3 Installers Phone '--/5;;) -sss I
Application is hereby made for Permit to install Electrical Equipf)1ent as follows:
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
USE OF CIRCUIT
LIGHT
LIGHT
CONVENIENCE -
CONVENIENCE
APPLIANCE
D!SHWASHER
DISPOSAL
. RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE .
GAS - OIL
FURNACE
ELECTRIC
elECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
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.....---, Wiring Method
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I~ l'UMBER AMP 120V-
IRC 1:- ~CUITS PER 1 0
J t..-_ CIR
FEE'
;.,..... Mt
240V
100R
30
SIGN
"50 VOLTS
OR LESS
MOTOR
MOTOR
MOTOR
FIRE ALARMS
BURGLAR ALARM
MISC.
.
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
A.W.G.
I SUB- TOTAL
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
By
I certify that the work to be performed under this permit will be done by the installer and In conform
DateApplication made 7/:;J,.3, ,19 ,9(-
CONTRACTOR oR" WNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above ~~scribed 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.
. . .-1 (, -; h / .' - 01 ECf.? O,F. Z'l.IGHT
Date Permit Issued /1. ~./ I /"..h
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 giv.en by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411.Ext. 158.
.
WARNING
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PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
9lY~PI~~R.~NTERS,~_C_. _ _ _ __
WHITE. OrIgInal CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
"
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
REMARKS
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O.K. TO CONNECT SERVICE
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N9 15635
1- ;;J? 'j /'
Port Angeles, Washington.._________.___.___._.._______.___..___..______m....n.___, 19::.___f:?
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 gork as listed below.
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~::::s..:::.;2(~:~;=::::?!~~::::Z:~:::::::::~:~:::::::::::::.---;::~:~:::.__~::~~:.~~.~:::=:::~:::::::::::::::::::::::::::::::::::
Wiring Contractor n___.___1:2::.~:.:7.~n::\,;:n...n___n___.m.____nn___ By__.nn_______________.___.___m___.___nm_mn_n._n_n_m.__n
Light Outlet....._______....____________________.___.. Servlce, volts ..;ft!.tj(:.~-?r.--'?.... Type of Wiring:
-" -
No. wires .....:.::._....._......................_
r
Size wires._................................._..
Main fuse _____:?,'2/i..______________...
!::
Enclosure h...................n_.....n.....n.
Receptacle Outlets.........n_..n..__..__..._...
Dryer, KW nn..._..............__....__._.._..
Range, KW n__nn..h........_u.nn.
Water Heater:
KW..._........____......
Type of wiring:
Entrance Cable mmnn
Heat: KW.......n...._....nnn_...nn_n...n....__
Motors: size, volts and phase:
Rigid Conduit ........h_._._.....m........
Metalltc Tubing _____h..u....._..........
Current transformers:
No. & Size.......................................
Ser. NO............nn.....n.......................
Ser. NO..n_n._nnnn_._........n.........__.n...
Ser. NO............._....................h.........n
Armored Cable ................00.......00...
Non.MetalIlc ___________.______.__.___.___....
Knob & Tube.........n..m.n.__.__m......
RIgid Conduit _____.________._______...._____
Metallic Tubing ............m_..n.._....
Raceway ________.._...................._......._
Circuits, LlghL........___....___..___....h..._....
Utility .._.00000000................................_
J.Jeat n__________..........................._......
Range ..........................._....___._________
Water Heater mm_h_m..................
Motor .................._....._00._00.00._.........
Dryer..........._._____..._._..__......................
Furnace _.00..._....00._.........._....._...00........
Total Loadh.......n.nnnnnnn_.. Ser. NO.......h.........____.._...n.h_.n..nnn Total 0000..000000.000000..__................
~:=:~~~~---:::=L~~=:~::::::!::::::i~~:~~~::\:9:::::::::::::=:::::::::::::::::::::::::::::::::::::::::::::::::::::
Permit Fee
Treas. Receipt
NO.n__....n......n__......__
By n..9/~fl..L~.~.~.~~~~
$.n__....m.______n________.___.__"
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15635
Address............................._______..........._...n................................................................___...._._.___.....Date..._....__...._..__._......._.._......_._...__.__......
Owner n......nu....hnnnn_...nn.__...n_.._......__._..._n_.n........................_....00.....00__.....00..0000__. Tenant......unnn...nn...u...._.n___n.n_.........................
Wiring Contractor ....._....................__.___..........................._......................_......__..__.___..______._____.._.___. By......_...____._..__..__._....._.._......_....__...._....__...
NOTICE-Current must not be turned on until Certificate of 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.