HomeMy WebLinkAbout1616 W 13th St - Building
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F' RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERM!T
A
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PERMIT NUMBER
.
TOTAL FEE
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CONT. Lie. NO.
TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address :.3 ,',' ' , "f-"-//
/7 . J" CORRECT ADDRESS IS RESPONSIB"Y OF A'1L1CA T PERMITS WITH WRONG ADORES
Owner 'J/fr~~ ,U~ ~ InstallatioQBy
Owner's Address Installers Address
Day Phone -. Installers Phone
Application is.her.eby made for Permit to install Electric~1 Equipment as follows:
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, USE OF CIRCUIT NUMBER AMP 240V NUMBER AMP 120V 240V
PER 120V 100R FEE USE OF CIRCUIT . PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE .' MOTOR
CONVENIENCE -- MOTOR'
APPLIANCE ..... . . MOTOR .
DISHWASHER FIRE ALARM.S , '
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 A.W.G.
I SUB-TOTAL --
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
I certify that the work to be performed under this permit Wil~ be done by the installerand in con1?an},l' ~~th th." N,~,C, Electrical Code,
Date Application made ,19 By ~ t:.4u
'. CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission Is hereby given to do the above described work'"according to the coriqitions tier~on and acco;cting to the approved plans and
specifications 'pertaining thereto, subject to-compliance with the Ordinances of the City of Port Angeles;, . : '. .
Date Permit Issued ,'{ ~ojctil BY' ~fd~'2JC~G~ .
/0 , , , PLANS PPAOVEO' , .' '. "
Notify Department of City Light by Street Address,and Permit Number when ready for inspection. Work must not
be covered or current turned on befqre 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
OLYMPIC PRINTERS. INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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/1 1,)(H J~ O.K. TO CONNECT SERVICE
I FINAL O.K.
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FEE RECEIPT NUMBER
CITY OF ~ORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERM.IT
A
S5f?
PERMIT NUMBER
.
TOTAL FEE"
/0.00.
eOf:ll. Lie. NO.
TIMETOCOMPlETE ., . No.srqAIEs
LEGAL OCCUPANCY.
ELECTRICAL PERMIT ~/ NO OCCUP~Nqy OR US.E ESTABLISHED ~.NOER THIS PERMIT
Site Address /b/6 W 11/'1' ," , ",
CORRECT ADDRESS IS RES.:.~NSIB!L1T} OF APPLICANT PERMI!S WITH WRONG ADDRESSES ARE CANCELLED .
Owner )} ;---"#41 /;C If//I ~ LOAlS"/lnstallation By <
Owner's Address -'2) /1) ~~.LI.I AI; ./'? #, - "~~ta'iers Address .
Day Phone . 't -( Z~, J '7 ,. "?" , 1 - I~stallers Phone' '1 ~- : ~
APAPlication is hereby made for. Permit to i~stall Electrical Equipment a~ follows: ~t'L:1.1t"" , ,72, ~,;f.#~Y
, '/J/A) F~
Wiring .Method
.
NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 120V 100A FEE DSE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE ... - MOTOR
APPLIANCE " " / / - MOTOR
DISH,!",ASHER / . A FIRE ALARMS
DISPOSAL / 'V~ BURGLAR ALARM
RANGE j '/ , MISC.
OVEN /I )
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 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 conformade ~f r:.JRct"c.' GOde:
-;, /;1." M.." ~--I A~. A ---/ '
Date Application made 0 1 . "" ,19 By " /. -I
, " " " I- ' " . - , ~tr'CTOR o,{ OWN$10R AUTHORIZEO AGENT)
Permission is hereby given to do the above described work, according to the conditions her n and according to the approved plans and
.
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
By ~ d;IREC2ij,~F CITY LIGHT"
Date Permit Issued PLANS APPROVED ~ ~
/0 1.:>3/g--P Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
1/"- '/ ( be covered or current turned on before inspection and O.K."for. covering or service has been given by Inspector in
I I Writing on Permit PI~card. 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
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
REMARKS
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O.K. TO CONNECT SERVICE
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