HomeMy WebLinkAbout432 W 13th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
FEE RECEIPT NUMBER
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TOTAL FEE /fe t:-k1<qb~~ I r~, \ttetH.e.-
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMIT
Site Address
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PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By E:~c-t....;c Senl ,('-e, J 1Y'lu
Installers Address Ill" <;! "'+- O\,,""Q"T Rd
Installers Phone '-1 ') :2 -/< 4'1- <{
tall Electrlcal,Equipment as follows:
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Owner's Address
Day Phone
Application is hereby made f
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Owner
Wiring Method ~ M
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 . CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER ../ '\ FIRE ALARMS
DISPOSAL /r' ) BURGLAR ALARM
RANGE , . I I /I / MISC.
OVEN j( VV -/"
WATER HEATER t
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
Date Application made
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I certify that the work to be performed under this permit will be done by the installer and in conf
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By
CONTRACTOR OR OWNER (OR UTHORJZED AGENT)
Permission is hereby given to do the above 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.
~ DIRECTOR OF CIT
. Date Permit Issued t,1 fj C ~~ANSAPP OVED
%t~ 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-
WARNING
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
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DATE OF VISIT
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REPORT OF INSPECTOR
REMARKS
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N9 16301
. 5-~ ~/
Port Angeles, Washlngton...................._........................................, 19........
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 work as listed below.
Address ...!~..!.....~......W....!.:;Z..~....................................... Occupancy....~,;!=............................
~::~~~::;::~:ie.;::::::::~c::~~~;:::::::::::::::.........::::::::::=:::::::::::::::::::::::::::::::::::::::
Light outlets................~.Q.................. Service, volts ..&:.~/.,::!..~CJ........... Type of Wiring:
Receptacle Outlets........;/Q....__........ No. wIres md..___m...hup___n.mm. Armored Cable .............------...........
c;, SI I #' t7 f!) Non-Metallic ................___m__._....__.
Dryer, KW.......................................... ze w re...;.j;;;;;;.."4................
./..2.. /' Knob & Tubem...._......n................_
Range, KW n._, .___unn___________..________ Main fuse __....00...............................
S
Enclosure .........m.__nn..____...n._____...
Rigid Conduit ...............................
Water Heater:
Metallic Tubing .n...._..._____...........
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KW.....___.............___...._________......
He." KW....,Ib...>...E./J..l?.....
Type of wIring:
Entrance Cable m..omnm___""..
Ser. No............_______.____...__.......__....____
Raceway ......................._......_......_
".
CIrcuits, LIght..;~.............:m................
~
~:~lti ty ."}.......................................
Range "::::2::::::::::::::::::::::::::~::~::
-=2
Water Heater .mm.....m................
Motor ....................................__.......
Dryer __.__~........_........................._
Furnace .........................'_...................
Motors: sIze, volts and phase:
./..&..:.~......m....m__m.____...........
Rigid Conduit ..__n__.m.__
Metallic Tubing ..m._
Current transformers:
No. & Size............__...__....................
Ser. No............__................................
Ser. No. ...h.........................h.............
,;pc
Total Load.....__....._______._........ Ser. NO.__....____......._.h........_______......u Total.......................................
Remarks: ...............<:!,...e..L..tdt-........d,~".............................................................................................
Permit Fee
. 3,ffJ.o
$......................................
Treas. Receipt
No.............................
By.,lf;fii~~~:~.
NOTICE--Current must not be turned on until CertifIcate of Inspection has been Issued. It work Is to be eon-
cealed due noUce 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?
16301
Address.........................................................................._............_..........__............_.......................Date..._......_.._.._.._.........._......_......_.........
Owner ..........h........__......h.u.._._...._.._.............._.._........____.....h...........__.....__............h...... Tenant....__...................h.____...h__...________.._n____.._......
WIrlngContractor......_....._........._............_......................__...............__.........................................._By..............................................._.............
NOTICE--Current must not be turned on until CertIficate of Inspection has been Issued. If work Is to
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
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