HomeMy WebLinkAbout340 W 10th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PE;.RMIT
A
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PER~ITNUMBER
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TOTAL FEE ;;SO,VV ~O
. CONT.lIe. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT QNl Y
Site Address ,th B
CORAECT DDAESS IS RESPONSIBILITY OF APPLlCAN
ownerJru} R ~ _,,JQ,,{tI( e ". ('.Jp d< Installation By
Owner's Address t... n VV\ ~ "i\ (" ""Q. r..IlV ::.. Installers Address
Day Phone J4.51- ql) I 9 Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows: C'. Y\oiV"', G 4'111"\""" to 0 rl.Mf> b()1'
'tr' ~\AI 70() (l.Mi'Jr"wl"e, \'-.OlJ~f'. -l-h(DOt:jl'\OlJ-h 'I- Pl)-t-, \y\ ~ e\-e~\
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NUMBER AMP 12QV 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE / MOTOR
, l.:7
CONVENIENCE I. ,/1 II 1'1' ' MOTOR
APPLIANCE N\\ MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL J BURGLAR ALARM
RANGE )0". 7C MISC.
A ,
OVEN v V .~./ J,'
WATER HEATER V . /',rI I ,
LAUNDRY /'-. \' Y
4
DRYER V / I) IY' REINSTALLATION LIGHT FIXTURE #
FURNACE / I \Y / SUB TOTAL FEE
GAS - OIL
FURNACE flY\ If' / ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT / IY ./ -::2 rl, r) 0
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
Date Application made
,.':j /. ~
/
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,19. '
I certify that the work to be performed under this permit will be done by the installer and in
By
Permission is hereby given to do the above described work, according to the conditions ereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of he City of Port Angeles. .
" %7: __ ~/ DIRE R ~1Tv. ~IG~HT
By
PLANS
Date Permit Issued
.:9/5:-/r~
I WARNING
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
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
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DATE OF VISIT
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; "MADE BY
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REPORT OF INSPECTOR
REMARKS
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ELECTRICAL INSPECTION
WIRING REPORT
I ~ ';;sr" 457-0411 Ex!. 158
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NOT APPROVED
, , . ' . . . . . . . .. DITCH .......,...,..,.... 0
, . . . . . ' . . . . . . . ROUGH IN/COVER, . . . . .. . . . . . .. 0
. ' . . . . . . . ' . . . . . . .' SERVICE .................. 0
........,..........~..................O
fJ'CU>s S OM'L t-JI..l>/l'L '-"-' QILle
CORRECTIONS NEEDED:
(j) v..J uU:' \J /-J D UL t(,H- T6l u-PrL ~ AN '{ . L
N<(.~O S C6U'l!2.II"G 0 r0 uJA-U-- It> filDT7Ct
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@ ~l PU'r'1"cS oN 5<.1'-'11L~ ~ 0 IZfCfT
NctO % 7>t ON.
(J) 1,~ rJ--,~/ ~~Cf /'-..l'LLO ~ ~ L SfCUtC...'itJ
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(j) .M.l..- f ("''TV i1..'i: 5 NH.O 70 Bt: (p M peel" 0
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APPROVED
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (206) 452.1381