HomeMy WebLinkAbout2421 W 18th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE Z foQ9.
CONT. Lie. NO. TIME TQGQMPLETE NO. SlORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
SiteAddressZAZ-J W. /817-/ 6.. P. A,
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
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Owner's Address SA. M e.
457- 0523
Installation By
Installers Address
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:5AME:.
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Owner
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Wiring Method
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NUMBER AMP 12QV 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA 10 100A FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAA ALARM
RANGE MISC.
OVEN
WAlE ~ HEATER
LAUN:JRY
ORYE~ REINSTAllATION LIGHT FIXTURE #
FURN ACE 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
FEECER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A,W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
I cert fy that the work to be performed under this permit will be done by the installer and in conformance with the N.
14~
v\DV
,1960
By
al Code.
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 the City of Port Angeles.
DIRECTOR OF CITY LIGHT
~
WARNING
By ..atJ~
PLA~EO
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 -
'.
Date Permit Issued
WHITE. Original CANARY. AU plicate PINK. Triplicate WHITE CARD. Inspector's Report
~. ........'" Dc".JTi::J:l9; INC
-
REPORT OF INSPECTOR
DATE OFVISIT MADE BY REMARKS
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If / 4-1'11 AJl,-f-' O.K. TO CONNECT SERVICE
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
18032
Port Angeles, washlngton.m~:m:=-........~..._t:____m.mm_.._m., 19__~.Y
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trjcal equIpment ln, on, or about any buildIng or other structure In the City of Port Angeles, per-
missIon Is he~bY gj':;ri to d~ ewcaj w;p as listed below. ,ii} ~
Addres~-yj"__~_~~"~'='j;__~__:_?ij;;'::;;;jJ;:;;_m__mm.m_ Occupancy________._.m..____._____.___..__mm.____..
~:::~~~'h:~~~-:a:id~~=~::;;;--::::::::~~::,}?=~~;:::::::::::::...:::_~::::::::::=:::::::::::::::::::::::::::::::::::::::
v !/. II /j,t!/el-<:0 T .
Light Outlets...................._m......._.._..... Service, volts .....my............................. ype of Wiring.
'1
No wIres "..:J Armored Cable ................__.........__.
. .m.mm...m....m...7. ........ij
')#-J: -!: ':r-f(
Size wires...~_c___....q...!..___.......__. 0
L"7'~-
MaIn luse ......_.__.:___.________....__.........
Receptacle Outlets...............................
Dryer, KW..u....un........____....____._________
Range, KW hhm_h..nnmmnu___mmm
Water Heater:
Enclosure ._..__unn_....__......___...........
KW.._______..______.__.
Type of wiring:
Entrance Cable ..___mmm...............
Heat: KW...............n...............m..mu..
Motors: size, volts and phase:
Rigid ConduJt .h...........m
MetalUc Tubing ................mmm..
Current transformers:
No. & Size.......................................
Ser. No..............................................
Ser. No. .............................................
Ser. No...............................................
Non.Metallic m.m..........................
Knob & Tube...................___m......._
RIgid Conduit ................___.___........
MetalUc TUbing ..n.......................
Raceway ........................................_
Circuits. Light.......................................
Vtmt). .....______............_......._____...._...
Heat ......................................._.._..
Range .............................................
Water Heater ...............................
Motor ...d.....................__......._...........
Dryer ..................................................
Furnace .........................._...................
Total Load............................. Ser. NO...n............._.........._.............. Total.......................................
Remarks: .../.fl"'-~.L~__.j___If<hb.~4L..._,-:.I:::.!..~~_____~
. ".
................................................................................................-.-......-.-..'--'-..-..-.-.'--'."'.---..-.-.......-.-..--.-..-...--..._-......
_._..u. ........n.nn__.__n._...._....n.nn.nn....n...._..___.....__...n.nndhnh..n__.nU...u_.unuh...n.unu..nnnnUn..n_.n.___.nnn.___.n.n_
Permit Fee
. / ~ '-.....c? tf
$.._._..__..:..~mm.m-m.
Treas. ReceIpt
NO.[!.0...~_:?_m____.
By....~~__.L~~~
h . /'
NOTICE-Current Inllst not be turned on until Certificate of Inspection has been issued. It work is to be 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
i:)..J ~. / _.~ J2-r-~~ .
&ffl !to ~ 'p ~ELECTRICAL PERMIT
Address.....d, __s!...d.!..:::::::......WL..=:...../....L.......................m.................. Date__.h__e!:._.=._.i?..f~.r2..
Owner 2.1..a2:;;1~:::~,q~~.... Tenant.......-WZJ..--=7~---~-----..
wirl:~;I~=:;~~;.~~:;d:.~:.:fr:.~~~~:~:;;;..~.~~;~;::;:'.:~..;::~::;;~:..~= :~~..;::~~~: '~;'h~:'~~~
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
N~
18032