HomeMy WebLinkAbout911 C St - Building
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FEE ~ECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000297
PERMIT NUMBER
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TOTAL FEE
I CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
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Owner I
. I
Owner's Address
s.
C
IS RESPONSIBILITY OF APPLICANT
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PERMITS WITH WRONG ADDASSES ~E CANCELLED I .
Installation By .... \=" \-t' t' ....r n L.-
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4-<; 1- 7 3 "if1
Installers Address
Day Ph9ne . Installers Phone
ApPlicatlon;s hereby made for Permit to install Electrical Equipment as follows:_
rt'pc~i.... 01 1l.""''''3pd Wire"
Wiring Method
.
NUMBER AMP 120V 24QV NUMBER AMP 120V 24QV
US'E OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R' FEE
CIRCUITS CIA '" 30 CIRCUITS CIA 10 30
LIGHT SIGN
L1GH;T 50 VOLTS
OR LESS
CONVENIENCE I :1.0 1/t."'" MOTOR
CON~ENIENCE MOTOR
AP.p4IANCE MOTOR
DISt1YJA~HER FIRE ALARMS
DISPOSAL BURGLAR ALARM
AAN~E MISC.
OVEN
WATER HEATER
LAU!<DRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS1- OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELEfTRIC HEAT TOTAL FEE /L.~
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEPER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB-TOTAL It. eo SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I cer~lfy that the" work to be perf.ormed under this permit will be done by the Installer and in con
Date!Application made _1'\ ~)' ::2~ ,19 '?S-" 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 the City of Port Angeles. ,. . .. "','
; By n1 " CC?AGHT '. ..:-
. .0Da:~per:~s:;:~ PLANS~ ~
~ D 1) .;>> 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
I I Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE.Originsl CANARY - Duplicate PINK. Triplicate WHITE CARD . Inspector's Report
OlY,,",PIC PRINTERS, INC,
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DATE OF VISIT
REPORT OF INSPECTOR
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MADE BY
REMARKS
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000251
PERMIT NUMBER
.
(I. 00 ~ :L.-- C' 00 .Nt/A"".
TqTAL FEE LECTSI340B7
CONT. Lie. NO. TIME TO COMPLETE NO. STCRI ES LEGAL OCCUPANCY
I
Site Address
I
Owner J
,
Owner's' Address
tj;LECTRICAL PERMIT ONLY
'1// f 2.. ,So (J
. CORRE<?1,.ADDRESS)5 RESPONSIBILITY OF APPLICANT
'V " "7 f-,..y
I
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Installation By
Installers Address
PERM1TS,WITH WRONG ADDRESSES ARE CANCELLED
Electric Service Inc.
1168 Mt. Pleasant Rd.
RliKX K 457-5010
Day Phone Installers Phone
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Appliea_ion is'hereby made for Permit,to install Electrical Equipment B:s:follows:
"
Wiring Method
Ifo/Vfef
,"
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
use OF CIRCUIT PEA 100R - FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
L1GHlj SIGN
LIGHT 50 VOLTS
OR LESS
MOTOR -
CONVENIENCE
,
CONVENIENCE MOTOR
APPLI~NCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
, -
RANGE MISC.
OVEN n. '^ C ,-- >< //'?-- '
WATER HEATER ./JQ/t1/'
LAUN;DRY r' ,
DRYER REINSTALLATION LIGHT FIXTURE #
FURN'ACE SUB TOTAL FEE
GAS': OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELEcfrRIC HEAT, TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKEA
-
A.C.l.!IN1T AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERV;CE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
."
I certify that the work to be performed under this permit will be done by the installer and in conformance with th .E.C. Electrical Code.
- -----------
,19 J?'I"- 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
specif.lcations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .. .
By '~~7YITYLI.GHT'
Date Permit Issued /1_(r ~ --~_~ ~
.', ' -~' PLANS APPR VEO .
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.
Date Application made
, ,
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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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FINAL O.K...t. . ..~
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