HomeMy WebLinkAbout1030 W 14th St - Building
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L t~JUMBER
A
/01-7
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION.AND ELECTRICAL PERMIT
PERMITNUMBEA
TOTAL FEE - Ib()t> frs.
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
Owner
ELECTRICAL PERMIT ONLY
If) J.o {j.J / l' P,
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Of 1>1 KE.-
Installation By
Installers Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
((CC'T'llt( SU_U let.
Owner's Address
Day-Phone Installers Phone
Application is hereby made for Permit t.9 install Electrical Equipment 85 follows:
All> A GAIA6! ~ A lip tf<1fvf: (
L,1,ft- If '1 -
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yYirin!J Method
NUMBER AMP . 120V 240V NUMBEA AMP 120V 24QV
USE OF CIRCUIT PER 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 -I.
APPLIANCE --- MOTOR
DISHWASHER FIRE ALARMS
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 AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be perfo
Date Application made b
't will be done by the installer and in conformance with the N.E.C. Electrical Code.
,19
By
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 plans and
specifications pertaining thereto, subject to compliance with the Ordinances of he City of Port Angeles. ". . '. ..... \' .~
ECT OF'CI - ,GHT :" \,.
Date Permit Issued
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be cover~d 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
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES .
- DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICA~ PERM!T
A
cn;)-
PERMIT NUMBEA
.
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Eooo -E'LEo S i rr>ob,'( ~.....
TOTAL FEE 3'-11) P.-'"
CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PEAMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMIT
Site Address
l{\~\() \\! I 'i'"
.-. CORAECT ADDRESS IS RESPONSIBILITY OF APPLICANT
F-l1,'1 'Up{!'-"!, .. -
10'0 ":/- II.j u..
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By G. \-i'r+v--,~ (p \r.","i ('~ ~'r VI (,.....
Installers Address \ \{. g l'li- pj.,.(\ c emf- ((,J
'-i r::;2 -GI.O_ 'f
rno 6d(_ ~.,'" ,p..-v,,-e
Owner
Owner's Address'
Day Phone Installers Phone
Application is hereby maq8 for ~ermit toln$tall Electrical Equipment as follows:
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN .
50 VOLTS . -
LIGHT OR LESS
CONVENIENCE' ... MOTOR
CONVENIENCE MOTOR
APPLIANCE . . MOTOR_
DISHWASHER . -- . FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC. ,
OVEN
WATER HEATER
LAUNDRV ..
"DRYER REINSTALLATION lt~HT FIXTURE# -
FURNACE SUB T9T AL 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 2n ^ llII AMP I , PHASE
.
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
. i_II 0
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND -IIA SIZE OF ENTRANCE SwnCH rlnrl
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.'
JUh29 ,19\1"'7 By
Date Application made
.
CONTRACTOR OR OWNER (OR AUTHQ zeD AGENT)
Permissic;>n is h.ereby.givef) to do the a.bove described work, accqrdlng to the conditions hereon and according to the approved plansand
specifications pertaining thereto, subject to compliance with the Ordinances of the .City of Port Angeles.
.' . . DIRECTO~ CITY LIGHT _
~~NS~~~ ~
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 insp~ction 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
~, ............ 1:":"~'TCClC: ",U":._ _ _
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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t/3tJ If1 71r O.K. TO CONNECT SERVICE
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