HomeMy WebLinkAbout202 Dolan Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND .ELECTRICAL PERMIT
A
10 '73
PERMIT NUMBER
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TOTAL FEE / to tJY- REs.
CONT. Lie. NO. TlMETO.GOMPlETE NO. STORIES LEGAL OC.CUPANCY
Site Address
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ELECTRICAL PERMIT QNL Y
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OrE?T ADDa:.~ IS _RE.S.PONSIBllITY OF APP~ICANT
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner
Owner's Aadress
PERMITS WITH WRONG AD~_R~SES ARE CANC~~LED
Installation By Co"- fL:Due.. S ~eU I c L
Installers Address
Day Phone Installers Phone
Application is hereby made for Permit to instal.1 Electrical Equipment as follows;
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Wiring Method
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NUMBER AMP 12QV 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100A . FEE
CIR 30 CIR 30
UGHT SIGN :
LIGHT 50 VOLTS '"
OR LESS
CONVS-NIENCE MOTOR '....
CONVENIENCE MOTOR ..
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGe MISC.
,
OVEN
WATEA HEATER
LAUNC!RY
DRYER - . REINSTALLATION LIGHT FIXTURE # -
FUR~~E - SUB TOTAL FEE
GAS- IL I
FURN~E ENERGY FEE
ELECT IC BASIC FEE
ELECTRIC HEAT -- . - .
TOTAL FEE
ELECTI=lIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.UtitlT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS ,
SERVICE AW.G.
T SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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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 the N.E.C. Electrical Code:
Date Application made
,19
By
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
,. ~ermission is her~by given to do t.he a~ove described work, according to.the conditions hereon and according to th~ approved plans and
~pecifldatlons pertaining t:/eto/, ~/bje; t70 compliance With the ~::y'nanCj;l~eGI_ty. O_~I=~r~~)~l\~HT ':- . .' .
Date PermIt Issued ./ ~~ ~
. '._ 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. . . . .
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY ~ . REMARKS
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~lECTRICAL-JNSPECTION
w,.MVrRING ~EPORT
. 457-0411 Ext. 158
D3E I;, /! _C~ () t.J !'NSPECTfij1 F
OWUFfICOdrRACTJ
:rU-CT1l,,-tC St.e.uIC4
ADDRESS
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APPROVED NOT APPROVED
o ................... DITCH ................... 0
U .............. ROUGH IN !COVER ..... .. .. .. ... 0
o .................. SERVICE .................. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED:
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (206) 452-1381
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Ll2!NUMBER
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
917
PERMIT NUMBER
.
TOTjll FEE
fYD
BO~
E LEe.. T s:L
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LEGAL OCCUPANCY
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES
ELECTRICAL PERMIT ONLY', NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PER'Mll t
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Site Address '"
I IB llTY OF APPLICANT ^ PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ' ' -, Installallon By ~1(ctl"l( .s.(yvi (f TlIIr
Owner's Address P d ,;;;- ) -- 'Inslallers'A~dress J 11o~ jlH pI;" r".'+ R,/
Oay Phone Inslallers Phone <fS2 -1Il't'1 ~
Application is hereby made for Permit to install Electrical Equipment as follows:
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Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE QF CIACUIT CIRCUITS PEA '0 100R FEE USE OF CIRCUIT CIRCUITS PEA '0 100R FEE
CIA 30 CIA 30
LIGHT , SIGN
I
LIGHT , 50 VOLTS
! OR LESS
, - - MOTOR
CONVE~IENCE
CONVEl-lIENCE MOTOR
APPLlAf'lCE MOTOR
DISHWASHER . FIAE ALAAMS
DISPO~AL BURGLAR ALARM
, MISC_
RANGE:
OVEN.
WATER; HEATER
LAUNDRY
DRYERI , - . REINSTALLATION LIGHT FIXTURE # -
FURN'OCE SUB TOTAL FEE .
GAS- IL
FURNHfE ENERGY FEE
ELECT IC -
BASIC FEE
ELECTRIC HEAT .
TOTAL FEE
ELECTFlIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
-
A.C.UINIT 200. AMP I PHASE
FEED~ SIZE OF SERVICE ENTRANCE CONDUCTORS
SEAVIi;E Lf/t) A.W.G.
, I SUB-TOTAL SIZE OF GROUND -Ilt.> SIZE OF ENTRANCE SWITCH ''J nt1
I -
I certifr that the work to b.e~performed under this permit will be done by the installer and in confo.rmance with the N.E.C. Electr~cal Code.
DaleA~Plicalionmade 1'2)3_/ fb ,19 By {}&wt ~ ~
I ' I ... \ .: " CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
pe;rmission is hereby given to do the above described ..kork;ac~ordikg to.t"he'c'o'n"diticms hereon and according to the approved plans and
specifipations pertaining thereto, subject to compliance with the OrdInances f the City-of-Port A eles.
i J ~CT 7, CITY LIGHT
Oate P~rmillssued (Z/ 31/'7 ~
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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
nl VMPJt: PRINTERS. INC.
. "'.
REPORT OF INSPECTOR
, ,
DATE OF VISIT MADE BY REMARKS
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'O.K. TO CONNECT SERVICE ..'
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