HomeMy WebLinkAbout1737 W 15th St - Building
FEE RECEIPT NUMBER
CITY OF PORT ANGELES"'
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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, PERMIT NUMBER
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,,30, fO '
',' ,r ',,' t,CONT.~IC.NO~', '.TIMET0<20MPLETE "N9,s:rORIES
f) . \ EL.EC~~IC~L PERMI!, ?NL.: \ . N~ OCCUPANC'! OR USE I~STA~;'SHED UNDER THIS PERMIT
Site Address I~ J. t \ IN, J.f'~ ^' 'P'A.
h CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ,tI. uh. e.tlNdj4de:r''''Al Installation By '1A''/IJI.ff} ILJli'"rAu_
Owner'sA~dress . "If :11 I () E.I wA. ,q(}A ~ PIl. Installers Address P. 11,11. b(. jIJ'It:&., -IdA~IJ.
Day Phone -I,J,{2 -.1.1 J~ ' . InslallersPhone '1)':3">'" 1 .
Application Is hereby mad~ lor Permiqo install,Electrlcal Equjpmenl asfollows: C elM I'J. C. I t:... 1..If) &IS tC.-
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'TDTAl FEE
LEGAL OCCUPANCY
Wiring Method NNJ-.[J
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER ~R FEE USE OF CIRCUIT PER ~R FEE
CIRCUITS CIR 10 CIRCUITS CIR 10 30
LIGHT .5' I( '7 SIGN
LIGHT -- 50 VOLTS
OR LESS
CONVENIENCE -,- .. MOTOR , .. ,
CONVENIENCE MOTOR
APPLIANCE ., 2~ ./ MOTOR
DISHWASHER . .,1\ ./ FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE , <'IJ ,/ MISC.
OVEN ^ AYOI/- ~ " "'"
WATER HEATER . , 10 17 411 fl r. '>> &.4- .4 2e) n~
LAUNDRY . ' I -at) 'v" .
DRYER " '1..0 ,/ REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE ,
GAS - OIL
FURNACE -. ENERGY FEE
ELECTRIC - .,;,
'11). V BASIC FEE
ELECTRIC HEAT { .' ,,,"
TOTAL FEE
ELECTRIC HEAT J '1' CJ. t/"... SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ?tfJ () AMP , IJ' PHASE
FEEDER SIZE OF SERVICE ENTRANCE. CO~DUCTORS
SERVICE 2~,,/. -- ./ ",/8 IIh ~
A.W.G.
- 1 SUB-TOTAL SIZE OF GRou~o4'L",e41P.1!f ~TRANCE SWITCH ~"d.IrM P
Date Application made
5lr.pr. 29' ,19 Q!j By
Code.
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I certify that the work to be performed under this permit will be done by the installer and In conformance with
~ TOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditio h eon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angele~....... -, t' _ \\ )"
DIRECTOR F CITY liGHT . "
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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.. Permits Phone: 457-0411 Ext. 158.
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Date Permit Issued
f/~Oh~
WARNING I
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD, Inspector's Report
OLYMPIC PRINTERS, INC.
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REPORT OF INSPECTOR
DATEOFVISIT MADE BY REMARKS
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Ie - r! -11') 17iY'f-, O.K. FOR COVERING
/1)-;( - y')- /J1 ./-<-17 O.K. TO CONNECT SERVICE
1 ll' I <71 "--AJM .j . \ '...
FINAL O.K.
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