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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000418
PERMIT NUMBER
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TOTAL FEE UIlJ-
CONT. L1C~.NO. TIME TO COMPLETE -'. NO. STORIES LEGAL OCCUPANCY
- ELECTRICAL PERMIT ONLY . NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMIT
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Site Address 7...t!. _ -r _ ~ _
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
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Owner's Address
In5tallati9" By
Installers Addres,s
PERMITS WITH WRONG ADDRESSES ARE CANCelLED
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7-"303
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Owner
Day Phone ~. Installers Phone
Application is hereoy made for Permit fo'iristall Electrical Eq~ipment'as follows: .... AL T
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Wiring ty1ethod
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NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PEA '" 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT StGN
LIGHT 50 VOL T8
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DIS~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 '?~
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
- -
A.C. UNIT AMP 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
&arf 21
,19.5'-'
By
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CONTRACTOR OR OWNER (OR AUTHORIZED .AGENT)
Permission is hereby given to.9o the abov~ 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.
01 ~~R OF TV LIGHT
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Date pe:it Issue~ ) . ~C.NS APPR VED .:~ " ., ,
<7 ~ If r 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
. I 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
OLYMPIC PRINTERS, INC.
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
II) , ? 1- 3'., 7J 77 O.K. TO CONNECT SERVICE
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15636
port Angeles, washlngtonmm___/m~_.:2_2.'ooom.__.__mmm___m_m. 19)_6.
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 . ._anted to do electrical work as listed ~
Address ___Zt__n.:-1::__tiid!~~*---n-nY.~:Lmr;;---m- OlmupanCy_________n_________ooo__ooo_______m________oo
Owner . ~ 4;e.e.::-#':.;:[~____n___n_____oo_____ Tenant______________ooo_____._...____._____._____nm___ooo__m____mm__
Wiring ~;:tr:cto~-_:__~~<.-f2.e'-e::?.-mm---oooooon-.-n-----m Byooooo_ooom___m_m____m__mmooo_____m___m_______m_____
Light Outlets..............n...___n______._.._._... Service, volts ........_.............................. T)'pe ot Wiring:
Armored Cable ................._............
Receptacle Outlets__.n___...___n.___.__n......
No. wires .........................__n...n_....
Dryer, KW......_.._.........._.._...._n..._.n___.
Size wires....n........n..._n...nn....._n
Runge, K\V....__....n...._.__________h___________.
Main fuse 00000000..___00.....___.___.....___....
Water Heater:
Enclosure .....................00_...._.....__...
KW....___________n___.....___._____
Type of Wiring:
Entrance Cable ......00........_....._......
Heat: KW..............n........n_______.._......_..mn.
Motors: size, volts and phase:
Rigid Conduit .___m_m.__mmm_mm.
MetaI11c Tubing .........._......
Current transformers:
No. & Size......................n_nn
Ser. NO.__..__..._..n____...___...._.................
Ser. No. 0000_0000..__..00._.00_...00_................
Ser. NO.__nn......n..n..__.._.__...........__....
Non-Metallic ...............................__
Knob & Tube......._.n....nn__n......._
RIgid Condnlt _m_mm__._________.__..m
Metallic Tubing ..._..........____00___....
Raceway ........................................_
Circuits, LIght..........__.....___..___...__.........
Utility ._______m_m.____m_______mm__m____
I-Ieat ___.........._..........._...___...._......_._
Range ._..._....__.........._._____.....h_....____
Water Heater ...h...n__...n_.............
Motor __._._..........._.....h_...__.............
Dryer 0000..00._____....__...._.........................
Furnace _........................'_...................
Total Load...._...._........n.nn.... Ser. NO.n__.n_...nnn_...n_..nn.._._.......... Total ._...._.0000_._.0000...._._.__._.._..._
Remarks: -m-/JJ!.._~na..r:..,f;4_n____J~~my__c2:-~~~___~__m_____mmmoooooo.__m_oo_
,/
.._n__nun.nn_nn.n_nn.nnnnnnnu__dh..nnn..nnnnnnnnn.nuu_.n__..n_nnnn.nnu._...n_nn.n~.__n.n._n.n_nnh....U___.____..___._n
Permit Fee
Treas_ Receipt
NO.___.....___..._______m_m
By _moo_mooom_mm_...m____'mmm_____oomm.__________
$_ooo_m___________oomm_mm_oo_
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 betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N,?- '15636""~'
/
Address....._...........___..._.....___.___...............................___._..__.._..___._......._.............:.!:....__...._..............Date..._....._...._.._.._.........._......_..._.___.......
Owner .._.................n._.n........__........._......_......_.._..........__00.00.0000___00................._...____.___... Tenant....n._............nn...n_____..n__nn~._n_...._.............
Wiring Contractor ............_....n..n_....__...n_.....h..._hU.._.........................._._..0000_._............00........_.0000_. By...__...._...n__........_..................h..........._....
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work I1J to be con-
cealed due noUce mUf5.t be given the Inspector so that work may be inspected before concealment.
.
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1M Olympic pr!;.;ters., Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15630
Port Angeles, wash1ngton__m....,.{=:L;fm......__...mmmm_m., l~k
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 hereb~ grant~d to dO electrical work as listed below.
Address --.1[.~t/~/f;;~~;~1@p.l--e--ztt occupanCy._f~----m.----.....-m.m---
Owner >~.~:-:&;t/.c;.?:4,~-:.m.-11Y,?9FenanL--m--.---.----.:....------..---mm--_m.mm__._...mm.....
Wiring Contractor ----d2'"r:r{fe"'{~,,"".-'e/d:f~~-------m- By_____m.m___...__..____m.___._.mm.___m____m_.m_________
Light Outlets..................................._..... Service, volts ....................................... Type of Wiring:
Receptacle Outlets...............m............. No. wires ..h................................... Armored Cable ...---......................-.
Dryer, I(W __unn....n..._........................
Size wires.......................................
Non-MetallIc ................................_
Knob & Tube........_.......h..._......_..._
Rlgld Conduit n__._____h....n...__...n...
Metallle Tubing .__........_m_.h........
Raceway ........_......................_......_
CIrcuits, Light.......................................
Utility.............................................
Heat ......................................._.......
Range, KW..........._.................
Main fuse ....__.................................
Water Heater:
Enclosure ......................
KW...hhmm.mmumm..mu
Type of wIring:
Entrance Cable .............................
Heat: KW _.h_......._...............................
Motors: size, 'Volts and phase:
Rigid Conduit ........___......
Metalllc Tubing ............
Current transformers:
No. & Size.............................,.........
Ser. No........_.....................................
Range ...................................._........
Water Heater ............_.,................
Motor ..._.......................,................
Ser. No. ...._........................................
Dryer.............._..................._...............
Furnace .........................._...................
Ser. No........................._........_............
Total I..oad...................._........ Ser. No.............................................. & Total.......................................
/J j)-~ ;J - /I \ / ?/~',-.-.
Remarks: --m..m.."'W-.::::..f.&1::C~~____mm~__. ~.__m__m.<:' - . _~-:r-L.~<::I....<:m
._-6;~c:.~eJd.m,;;;'!:-;;:;;~=:..mm__m.m.m___._.._._..~..mm..m..m.m_.mmmm..m..._____.m_...m..mm
-::~.:.~~..~~~..:.~~.~__~-n.....-__..---m.-::~~.~:..~~.~~~~~.....~..m---------m-..::~E~:~:.~~~~~:<<~
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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
,
ELECTRICAL PERMIT
N?
15630
Address............................................................................._..........................................................Date..._......_.._.._.._...__....._.._._._......_........_
Owner ..............................___.............._.............._.._................._......................................... Tenant............_................__......h.............................
WjringContractor....___._____......._......:~.............................._....'.........................................................By............................__...........::....................
NOTICE-Current must n()t 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. .
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Olympic Printers, Inc.