HomeMy WebLinkAbout722 C St - Building
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FEE RECEIPT NUMBER
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE
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CONT. lIC. NO.
TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
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Owner;
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Owner's Addr
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Day Phone
APPlica\,on Is hereby made for
Installation By
Installers Address
Installers Phone
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Wiring Method "- d ../
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NUMBER AMP - 120V - 240V NUMBER AMP 120V 240V
usa OF CIRCUIT , PER lelOR' FEE USE OF CIRCUIT PER -felOR FEE
{"'-~ - CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
, , " 50 VOLTS .
LIGHT ,. k OR LESS
-'. - '-'7 " L,;JV. If- ' . , '{I'/ft,-:- MOTOR .
CONVENIENCE .~
CONVENIENCE _.0_- MOTOR
APPlIAt"CE MOTOR
DISHWASHER . FIRE ALARMS ,
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, BURGLAR ALARM
DISPOSAL
RANGE MISC.
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OVEN ,p
WATER 8EATER
LAUNDRY ..
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACf SUB TOTAL FEE
GAS-OIl\..
FURNAce ENERGY FEE
ELECTRIC BASIC FEE
ELEGTRIC IjEAT . 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
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! certify that the work to be performed under this pe!]!.!! will be done by the Installer and in conf
Date Applioation made 7":'/ Z:-. -/15 . ,19 By'
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ncal Code.
specifications pertaining thereto, subject to compliance with the Ordinance~ of the
.
Date Permit 'Issued
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By
PLANS A R VEO
Notify Department of City Light by Street Address and ermit Number when ready for inspection. Work must not.
_be covered or current turned on before inspection and .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
OLYMPIC PRINTERS. INC.
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REPORT OF INSPECTOR ,
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DATE OF VISIT MADE BY REMARKS
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"7, /~. $5 /fj/~ f . O.K. FOR COVERING
>< '- v./ O.K:.,.Tq CONNECT SERVICE
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, FINAL O.K. . ~, . . .
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15384
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Port Angeles, Washlngton__________________________________m_____m_m__m________, 19__m___
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.
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~::; ~,?~:-~{~;J~~t~;;;~~:"'~~";::~:===::=
Light Outlets.....n..............................m.. Service, volts ....I..:f...~.../.!:.?!..C~ Type of WirIng:
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DR~Ce:,PKtawclle-.--o---u-t--l-e--t-s--u-------------u_._-_-_-.u_-_-_....--_-_._._-_-_u_-_-_ No. wires ....nn~n..._.........m.~:;........
, Size Wi'esuu)!./f.u,,'_f.:__.u__
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Rtnge, KW..n..... __...n_...___....___.. :Main fuse """"'__"...mn..................
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Water Heater Enclosure ..........................h....mnn
I KW__________~____.______________u________
Hial: Rw._:L7~u:.t'..flJ?uof.~
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Motors: size, volta "andIihase:
Type of wiring-:
Entrance Cable nh...n......_m..........
Rigid Conduit ........m....................
Metallic Tubing ....n................___..
Current transformers:
No. & Size.....................__................
Ser. NO.........._nn.............n..n.....nn__'
Ser. No...............................__....._........
Ser. No...............................__..............
Total Load.....__......................
Ser. NO...........n........._n....n___nn........
Armored Cable
Non.Metallic ...__.............n........_____
Knob & Tube
Rigid Conduit ................
MetallIc Tubing n...___..._____nn.......
Raceway ...............n....._.......m._....._
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Circuits. LighL..!..n........____....n.............
Utility ...._....n..................................
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Heat ...............................................
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Range nn..n.:...__.n.n...nn.__.nn__..._...
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'Vater Heater ~~........._......_.....__.
l\fotor .n_..d..........nn.....n_nnnn.n...
Dryer......._............._...._.._....................
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FUrllace .......-:.................._....__............
Total ___3_~___u_____________________
~emarks: _______,__L~:t~:/?________.i~__::_:!?._____./t.&______://!...t:.________m_..._.______..______._______________m__
_!-____~__.__.un____uuu.hh.__......~h_nn_______.__.__.__.__U.h.___Uh_UdUh__~..__n.____hu.h~n_._n______h__UhU~n~wn______~__nu____.h__UU__hn__
.__nnn___n___u.~un__n__n..uh__d___n_n__..___n._.__.____U.___hhnhn__hn~.nn.______n__.~w~n___.._nu_n~____n.h.hnn_nn.__.Uh___.___n__.uuu
t~_~~f._~:~_m_____m___h_ ~~~_~:__~~_~~~_~~_______ By ______~tt:._m:![~"!:~1.~~~_~_~?,_,~"___
NOTICE--Current must n()f. 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 berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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If", 1/ j-~,~ Y'ELECTRICAL PERMIT
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N?
15384
Date calied fo~doe'2ion.:t.:_n__.fLn.._u_.___n.__..__.__.n__u__...____________...--u--n._____...n_(:n___=_/u?n:__u::?_5u~n.___n
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. I R.reliminary Inspect1onAat();'":"...(;:.l~~:.;..fr.._:....-..........._......-.-...-.....___........._......... .............___........._____...._........_...._......._.........
Inspectioncompleted__=-:.:::.:.~........'~_.....~':.:.~.:........................---............_............._..................____............._.._......_.....n..........._.........._...___._
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Total Load nnnn...nn...n_nnn..................U..._nn.h_nn...nnn..n__..n.'''n_ ...nn_
1M 3-72 Olympic Printers, Inc.
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......n......nnnu.........n..n.n..............n...............nn._...._...u...___......_
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