HomeMy WebLinkAbout1718 W 13th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMfT NUMBER
.
TOTAL FEE /h~ - RD.
CONT. Lie. NO, TIMETO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
Site Address / 7 f 8 . w. / :s n
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
owner~LnV~++ .
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner's Address
PERMITS WITH WRON~DOAESSES ARE CANCELlE.D
Instaliation By Iz:. L~01'6LtL ~ <tJL.u I (.S
Installers Address
Day Phone Installers Phone
Applicatlon is I:l.ereby made for Perrrit to instB;l1 Electrical Equipment as follows:
SI"'A<ll A.dc!,-1,llN.. ('1-.l'D M1)~l). Loj),.'D.)
Wiring Method
.
AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER PER 100R FEE USE OF CIRCUIT PER - 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
UGHT----:- 50 VOL T8
OR LESS
CONVENIENCE MOTOR
CONVENIENCE - .MOTOR
APPLIANCE ,. .- MOTOR
DISHWASHER ., FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY -c-
DRYER ' ' - REINSTALLATION LIGHT FIXTURE 1#
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 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)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved p.lans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. '"". \
. IRE?JJ
tI/1/~7 ~:ANS PRO D' _ ,
Notify Department of City Ught 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.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE" Original CANARY" Duplicate PINK. TrIplicate WHITE CARD. Inspector's Report
nl YMPIC PRINTERS. INC
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
REMARKS
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O.K. FOR COVERINQ
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O.~. TO CONNECT. SERVICE
FINAL O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16424
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Port Angeles, WashlngtoILnmmmnmm...n...m..mm.m.m.m.mm._.., 1900...00.
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 ..['z/..E.my.i.=.m.!.3.nri!..n_oo__.n..___m_n_._.oo Occupancy____oo."'...,!4mmm___.nm_mn....
~::~ ~.~::~:~.:::1l~~~;g;~::~~~~:zr~~;~.::::::::::::...:...~~~::::::::=::::::::::::::::=:::::::::::::::::::::
1(, jVO/;"VC.
Light Out1etB__..hh___.__...~..........._.._..n. Service, volts _n.__..nm_...!........_............
::> 0 . ?
Receptacle Outlets......:..___..........____..... No. wires .._____...._.....__........__.~......
~ ~~~//
Dryer, KW _mnn.....;:........_n.... SIze wlres...m~..-:~~;.&:.A....._..
Range, Kw.______I.;;;?___________n__ Main lUBe ____nn'~.__mm'.n'__nmm.
<'
Enclosure .........;;?n._.........___......._.....
Water Heater:
. -
KW.n________.r~n>_______.nnn.__n___m
Heal' KW__.:n1.__.mlr1.d__8Bm
Type of wIring:
Entrance Cable ..n_.__n....m...n_......
Motors: size, volts and phase:
I "'_~.-t..-
.---.------..................----.------.----.---..-..-.....
j __"'____.~,~..""'_~____m.m.m__.n.m_mn__.
Rigid Condnlt .mm.___mn
Metallic Tubing h__mn....
Current transtormers:
No. & Size..___n_._______________...._...__.....
Ser. NO............h__.__.....____...__...........__.
Ser. NO.........__..........................h.....__
Ser. NO......................h..........h...........
Total Load....h.....m..__..mm...
Ser. NO.____..........__.__.._.....___n._..........
Remarks: _.n.h_..n.~_~!1-~_~-:.-:!':::::...n___C!'.....:?ln;'-41..~.~onnn_nn.nn_h.___n_u__dOUnnhn...n_nn_nn_.n_nn_n_nnnOnn_nn
Type 01 Wiring:
Armored Cable ..__...__....mh__.__.......
Non-Metallic ........0000.................__._
Knob & Tube............__..._____.........__
RIgid Condnlt ____mn__n._n________.__m
Metallic Tubing ___mm__nnmn___nn
Raceway .._........_..............__..__..._
c;
Circuits, LIght................____....___.....__..._.
Utility .m.__.m~________________m__m.m
Heat __.-G-mm__n_______m__..__.______
,;z
Range ............_........_.._._....____._.__....
Water Heater .._.~.......m...m._...__
,
Motor _n_.h_.....n.....h.......................
~
Dryer n..........nn_...._....nn_.n_n...nn..__
Furnace .........................'~n....._.._.......
~:<.
Total.....................................__
nnn_nu_n__n.nnn_nn_nn___unn__h__nn__n._n__n..n_....n.__duuu..._n_..nnn_nnnn.nnuu.._h..n____n_unnnn_nnnnnnonunn_no0_.
-;~:;~-;~~-mmoo.---------.m-.m.;~~~~.n~~~~;~~------m--.m.m--n.--m.m--m~~.:;.~(j--)X~ml2:.m......--m--
$...:.'J..!..F.'emmoo__..__..m.. NO..mmmm.._____._.____ By ../t'__!f::m.L__.~_..'!f:m__....::~.~__.n__
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected belore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16424
Address..................._.............._........_......................_......._____.....__........._......................_.._.....___.....Date_____.....__._.._.._.........._......_......_......_..
Owner ............h_....................__....._.._......_._...._.._.................n....n.......:....h_.......n.......... Tenant....nnn__.................._......._.hnn_nnn....____.......
----
WirIng Contractor .....................____........_..........__....____...___...___...............___.____.............._..........._____. By......................._....._._...._....___.__....._......_..
NOTICE-Current must not be turned on unttl Cert1f1cate ot Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be Inspected betore concealment.
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