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Home My WebLink About2109 W 12th St - Building /535 FEE RECEIPT NUMBER D CITY OF P.oRT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT_ A /08/ PERMIT NUMBER . - . -. --- = ( t TOTAL FEE . _/6- ;l?G"J CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT t AJ / I ,:).. ~ 1>/ -A- .:: CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner ____}J8L- L~ JEt..LS Installation By ~LF Owner's Address o;::;ll 0 q tv ~ \;). 'l:0- 1> -A - Installers Address 4SI)- c?lfll en-_ '2--2-.0 Day Phone. Application is hereby made for Per - I fP. lDAMP. Site Address USE OF CIRCUIT 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 6Z Il?Cf .;j-;p?41F. _ 415Z- / & SZ-- - 1S /7A-/Ce:Je.. .-,:. NUMBER CIRCUITS AMP PER CIR ,Wiring Method AMP PER CIR btI6. 240V 100R 30 240V 100R 30 120V 10 NUMBER CIRCUITS 120V 10 USE OF CIRCUn FEE FEE 13...-' ~~ SIGN 50 VOLTS OR LESS MOTOR . . MOTOR ,,1 MOTOR FII3E ~LARMS BURGLAR ALARM MISC. . J.i,,--r "TuP-. I 1:-,,,0 I .REINSTALLATION LIGHT FIXTURE # Sl)B TOTAL FEE ENERGY FEE BASIC FEE . /k~ SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER '0/) TOTAL FEE I AMP SIZE OF SERVICE ENTRANCE CONDUCTORS PHASE 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 i-n' confotel"la . t A~/.' ctrical Code. ,. -- ..' - ~.-?/(/f/V;?~ . . Date Application made ,19 By\!.. /../,A{ I ~. . _ ... - - .~ONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above descr.tbed work, according to the condition/hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. , - DIRECTOR OF CITY LIGHT . Date Permit Issued WARNING OLYMPIC PRINTERS,INC. By 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 on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Pe-rmits Phon.a: 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 REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . ., -- . -. . . h - . , . . . ,- " ~ORCOVERING J A ~Eft't'1e€- 4//611' 7 If/! r _O"_K_ I 7" , . z c:J a: <t :::!! !!! J: I- Z W I- ;.1 l- e z e c . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16135 '" _/ A ,,--- :.( /' ~ /,'" Port Angeles. Washlngton.u.m___.:::..m.____............u...u.mmm.mm., 19u.__.~: 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 d6 electrical work as listed below. Address ...5!/'2...?..m~~=lf!:...Gt.........m...um.......u........ Occupancy....df:c:.qm.__m.....u__.__um.. Owner ut/1?y~:r;~-:::".~-:P.~m.~u..cy TenanL.m.u__m.mm_.........._.m__.....uu._u.__um_..m__.. Wiring Contractor __..!%.~h.<:'.:!!!.:Lo:~?""__..m!;,,:..u............ By...__mu...____m.m__m...m__m__mh.._.__u__.uh...____ / '5 J;?o/~jt:; Light Outlets...................._.._......._.._n.., Service, volts ........_...;-......................... '-16 .., Receptacle OUtlets....m~h_mnm............ No. wires nm-~n--~-;;__.:t_7-.- DrY"'", KW __m.m..~';....hmm....mm.... Size wlres...~t.i;;Zl......._.. Range KW / ~ Main fuse ._..................................... Wate~ He~~~;~--nh--nn.--.n-.. Enclosure ....$..n.h_..m_........ KW.m..h___~_5~~_______.n_ Type of wiring; Heat, KW......I.i'.:h.Il/3.....,..,.. Entrance Cable 0.0...0.0...,.. , Type nf Wiring: Armored Cable ................m........... Nnn.Metallic m.mmm.m__mhmmh. Knob & Tube................._.n_n.......__ Rigid Conduit ...,....m.h.__m.m.mm Metallic Tubing h.hmh...hmhmm. Motors: sIze, volts and phase: / (i',' . 'L./.; :::::2>r!:~:::::?:.:::~::::::::::::::::::::::::: ! . . Rigid Conduit m.m.m._.m Metallic Tubing ___......m_ Current transformers: No. & Size............................_.......... Raceway -.....c:;...---...............-...- Circuits, Llg~m.........mm_.mmnhn... Utility .nf?......__..........__................. Heat ~. Range ..:~..[:::::::::::::::::::::::::::~:::::: <;S.o") Water HeaterO?.~......_.m..__......... Ser. NO...n..n_........_n.......n_..nn_........ :T:.::~.._~~.~....~~..~~~~~~~..~~~~~~~~~~~~~~~.~~ Furnace .........................._................... Ser. NO......._n_............__.....:.............n -:7 t.; Total Loadn.......n...........__..... Ser. NO..........._......_.............h........._. Total _'-_......n_.nnn_u._n......nnn Remarks: m.mnnmmu'''t__!'!_.~n'.t-::un...n~_1::;n:Ln':'(.~.t.'.__....__.u__.______..u..mm__.mmm.m...mmm..mmu.mum Ser. No. ........................................00_._ ,. n. .;~~;~--;~~mmn-.mn--mmmm;~~~::.;~~~;~~..m.--....--..mmm'...m.5i/7Jr:u;7'.m.......~~?m.. $mZ...l2.C;.___.__..m.m..m NO...m........___m.m.u.. By r.'(!.n~...m~._._m~~:.?:C.:.:;.-(..J_:::..__::..-:..'um.'::.. 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 wprk may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16135 Address.......__._........____._............................................................._.............._..........____....................Date..._.........._.._.._.........._......_......_....___.. Owner n..................n__..........._......_..____n._n_...__.___......_........00....00..............00.00..00_....00.__. TenanL...n.._...nn_n...............n.____............_.......n_n.. Wiring Contractor ............____..........u__.............................................................nn...........n._..n._._._.. By......_..n....nn.n_..._..__n_n.....:.....___............ 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. 1M Olympic Printers, Inc.