HomeMy WebLinkAbout1107 W 8th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
93/
PERMITNUMBER
.
- ,- ~~S
TOTAL FEE 3o~
CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY
- -
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner
-pM
//07 ~/ 8711 -
, COARECl ADDRESS 15 RESPONSIBILITY OF APPLICANT
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Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
f{~C~/L SERI/ICF
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Site Address
Owner's Address
Day Phone Installers Phone
Application is hereby made .for Permit to jnstall Electrical.~quipmen! !l_s follows:
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USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
120V
'0
240V
100R
30
- USE OF CIRCUIT
NUMBER
CIRCUITS
Y"iring M,Bthod
AMP
PEA
CIA
FEE
120V
'0
24QV
I f00R
30
FEE'
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE
,APPLIANCE
DISHWASHER
DISPOSAL
. RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS - OIL
FURNACE
ELECTRIC.
ELECTRIC HEAT -
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
l4-c/Z_I/t<1
19, ~L-
SIGN
50 VOLTS
OR LESS
MOTOR'
.
.
~
--""'-4f?>
"
MOTOR
MOTOR
F!.RE ALARMS
BURGLAR ALARM
MISC.
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE - - -
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKEA. .
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
A.W.G.
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
,19
By
.
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
'to _. '!,
Permission is hereby giv~n to do th,e ~bove_describe:d work, according to.the coric;titions'hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordlnanc.es of t City of Port Angeles.
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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.1or 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
OLYMPIC PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15983
POrt Angeles, washlngtonnmn_..l!_~~.~...............m...m....., 192~
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about l}ny building or other structure in the City of Port Angeles, per-
mission is hereby granted to dO eI~caJ work as listed below.
Address .m!/?'t.m?.~)l)::.nmn..mmn...___n___.n..___nnn OccupancYmnm___~~Le."d.mn..._m.....m..
o~er ..mn.;k~Jf~~Jt?-=.:-=n:'~i!!a~f)nt..nnnm.m---nnn.....--.._......mm.mn..m.m..mm::..
Wmng Contractor .nmnmn,.mnm.m.__.mm~nm'.nn.nnnn"'m BY.n.....__n.n.mmnnmmmnmnm__.nm.___.___..m 00
Light Outlets...................m.................... Service, volts j?-~....() ....~c.t:J........ Type 01 Wiring:
Receptacle Outlets No wires.. _ Armored Cable .................--..--.......
....----....................... . .....W.:;,..p.....--..--
Dryer, KW..u.....n..__.................__n...... Size wlres..._....__.____...__.______........_d Non.Metalllc ........--..----...--............
:1;&0.4
Muln fuse ...:......d....____.....__.............
~
Enclosure ...__..)__.........__................
Knob & Tube.......................__.__...._
Range, KW.........._____.....___.....___....
Water Heater:
RIgid Conduit ...............................
Metallic Tubing m........................
KW.......mm...........mm..mm..m...
Type of wiring:
Entrance Cable ...........................__
Raceway ...................................._.._
Circuits, Light.......................................
Utlllty.....................m.....................
Heat: KW.................__...........____....__....
Motors: sIze. volts and phase:
Rigid Conduit .................
MetalUc Tubing .......
Current transformers:
Heat ......................................._......
Ser. No............____.....................__........
Range ..................................__.........
Water Heater .__.......................__...
Motor ..._..........__n......................__..
No. & Size.........__....__........__............
Ser. No. ........--..--...............................
Dryer.......................____....................._
Ser. No. ...........__.............................n.
Furnace .........................-_......_...........
~~::~~:ot.al::;:~~d~~:;~:~.~~~.~.:~~~:::~.::~...~..~~~.~~...:~i:.:::::::::::::::::::::::;:t~l::~:.~.~...::~:....~:.:.:~:~::~:::..:
.;~;:;~n;~~.____mn__..m____..___.n;~~~~...~~~~;~~..m...___n..___n.nmnm.m.~n:l:7Z;~j7 {fdmm.--/P.......
$.mnnmmm.mmm...m.m. NO.__..__..n.m.....mmm By nn:!):.:.L__L.m.f:f:=':..:~,...-C-__.,.~~,__
,,< ,
NOTICE-Cnrrent must not be turned on until Certificate ot Inspection has been issued. It work is to be eon.
cealed due notice must be given the Inspector so that work may be inspected berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15983
Address........................................................................................................................................Date..._.........._.._.._.........._......_......_.........
Owner..................................._.........._......_......_.._...........................................................Tenant........................................................_..........
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.
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Olympic Printers, Inc.