HomeMy WebLinkAbout2124 W 16th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000101
PERMIT NUMBER
.>' TOTAL FEE
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C9NT. Lie. NO..
rIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
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CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner M ,e)....t (' M J 7'5 ON 0
Owner's Address S ;) /\/'I ~
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Site Address
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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PERMITS WITH WRONG ADDRESSES ARE CANCELLED ^
Installation By 6J w/\/ ("
Installers Address -5 fi ^'" -f'
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Wir~ng Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R 0 FEE USE OF CIRCUIT PER 100R, FEE
CIRCUITS CIR '0 30 CIRCUITS CIR 10 30
LIGHT I 10 V- SIGN
LIGHT 50 VOLTS :
OR LESS
CONVENIENCE :J... 10 </ MOTOR
CONVENIENCE MOTOR
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 S7E SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER lOt/it t/ /~ sjz[ OF SERVICE ENTRANCE CONDUCTORS
SERVICE / A.W.G.
I SUB-TOTAL It.. SIZE of ~~OUND SIZE OF ENTRANCE SWITCH
Date Application made
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,19'!'4
I certify that the work to be performed under this permit will be done by the installer and in confor
By
CONT ACTOR OR OWNER (OR AUTH IZED 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. '
12 DIRECTOR OF CITY LIGHT
Byl,' id-rY~
Date Permit Issued PLANS APP OVED '.
.
1_ WARNING
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.
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
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DATE OF VISIT MADE BY REMARKS
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FINAL O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15536
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Port Angeles, Washlngton......._.oo<_.,~oo...._._~......................._......., 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 ..",6l~:):~oo.....?1!:..!..f...~~~.:...oooo.....___.............oo..oo Occupancy.A.L~.oo.......__......_.........""
Owner .[~~~~;f2.(Jk.~.!.!.~':.~ Tenant..uuu........uu._....u...._...u............u.......u.........u
f'I .,'. '-- ~'I,' '-1-0
Wiring Contractor .../:.:L!.::.oo:oo........,:!.oo:oo.....i.L..::ooLoo:.~-By...oo.........oo...................00..00...__0000....................
If
Light OutletB..........................................
'-0
Receptacle Outlets...._,__._______.__..___......~
,
Dryer. KW nn~.....h....n.......u.......u___...
Range, KW ____..(__=_____n._______.________.___.
Water Heater: ./
KW....nnn.g..6...........n..u.u
Heat: KW........:/.;..r..~jJ.:.;..........u
Motors: size. volts and phase:
I
Total Load....___._....___.............
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Service, volts ......................:................
.:3
, No. wires .......................................
'I/j" . I
Size wires.........___.._..._._..._.____.....__.
,. 1.-) 14
Main fuse .__.____..,..._.....0.....__..__.......
C"
Enclosure ......:=_...__.......__......__......
Type of wiring:
Entrance Cable .......___...._.___.._....__.
Rigid Conduit .._...........__.___......___..
Metallic Tubing ....._.....................
Current transformers:
No. & Size..._____....___......___...._____...___
Ser. No........__..______...__.__...__......__..__...
Ser. No...........__.._............_............__...
Ser. No. ....__........................._............_
Ser. No.................._........................_.
Type 01 Wiring:
Armored Cable ..__.___.___0.................
Non~Metalllc ._..~...._.................._.._.
Knob &: Tube.__..___h........................
RIgid Conduit ...............................
Metallic Tubing .....un.................
Raceway .........._.._.._._~~~._.~.~.........._
.
Circuits. Llght......._..___.__........._..........._.
Utlllty.......:...n...............................
"
Heat .____.:_:___._...._...................._.~_~
Range __.:-:..___......................_....___.____
-.)
Water Heater ...--:...__......................
Motor ____....................__..._..._._._.......
Dryer__.___.t..__......._......................__.....
Furnace ........nn.............'_......_.__.....__.
Remarks: ~~.~~____.__.___.__.:_t"__~:_.!.._.:._~:.....~__.!:!:"~:...\_~":l~._"..t:._.__._.__.___.__.__.__._._.____________..__._.________._______._~___.._~.~.._~...._
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Total .........._.......__.....__...._h._.._
Permit Fee
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$..._....................._...._......
Treas. Receipt
No,............................
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By u..!._____:.~_!.'m__umnumm___:____.~=-_.:n.C::.?_l..:L~
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work is to he con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
.......:.:!..t..2..!......J!:.L.!...~m~l............m...............................................
Address
N?
15536
Date..._._....____.._.._.........._._.._._......_.._._....
Owner......._.._.!_...,:____.;~....:.:..~._~~_._._~___'.._....:_...;.~.._........__(..;-.~.--..-..---...........-...--......__.._..._Tenant..._..............._..........__...._.____......_..._._.___.._______
I
WlringContractor.~_..___.._.:_:_~_:..~__.:!.:......_.:_.........:......._....._._._..~___....._:.l................__...........__.._.By___.___.._...___......_.___...._.........___....._____._._._._
NOTrCE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.'
_IU Olympic Printers, Inc.