HomeMy WebLinkAbout823 Georgiana 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
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CONT. Lie. NO.' .
. ,TIMETO 90M.F~L-ETE ",I . NO. STORIES
LEGAL OCCUPANCY
. . ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address _ ~ :;'::'3' . (;':.e ~ f{ i /" N Ii " . , c.' .' . ·
; _ -", i~.J i'COA~Eq-ADDR_ESS IS'RESPONSIBILlTY OF APPLICAN! PERMITS WITH WAONG AODRESSES ARE CANCELLED /1
Owner tv' e s ,fA.) If) C> () , /.1:' I}IH,~R' t( So . Install~tion By" ~ : 't: ,I'S.
Owner'sAddress to 1J,c 11;).7 {!J. el. L u W!f Installer~Address /J {gl,...}
Day Pho~e .. 1 Lf f' - 0')..6 7 Installers Phone 6L
Application Is hereby made for Permit to install Electrical Equipment as follows:
, ',4L Tf>1{. t"r ~ [pc< ,rs IN 8<( rtlhN'?-
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Wiring Method
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AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER PEA 120V 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT yo- .to .,.- J {. dO SIGN
LIGHT , 50 VOLTS
OR lESS
CONV~NIENCE . MOTOR
CONVeNIENCE MOTOR
APPU~NCE MOTOR I
DISHWf\SHER FIRE ALARMS -
DISPO$AL BURGLAR ALARM
AANG~ MISC.
OVEN
WATE~ HEATER
LAUNqRY
DAYEA! - REINSTAllATION LIGHT FIXTURE #
FUA~'iliCE SUB TOTAL FEE
GAS. Il
FUA!'!LCE ENERGY FEE
ELECTRIC BASIC FEE
ElEC1~IC HEAT TOTAL FEE II 00
ElEClfHC HEAT SIZE OF SERVICE SWITCH..OR CIRCUIT BREAKER
A.C.UI'JIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVIG:E AW.G.
I SUB-TOTAL I/.. cD SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certif)i that the work to be performed under this permit will be done by the installer and I
Date Application made
5""' ~ )..2 - rs-
,19
By
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OWNER (OR AUTHORIZED GENT)
Pe(mission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifi~ations pertaining thereto, subject to compliance with the Ordinances of the 9ity of Port Angeles: '::.; _~, '"(', . < . .:v
, '~~CITYLlGHT ,-'
Dale p<!rmillssued. ~C.NS~D ~-: .'
J -- J..)...- 8".s- 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 inspecti9n and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158,
WA!RNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPlq PRINTERS, INC.
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REPORT OF INSPECTOR
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DATEOFVISIT MADE BY REMARKS
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N::
17665
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port Angeles, Washlngton......_____ _ ....____________.__._..___...__...__._..._..._, 19:::_____
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.
_ ,J .
~.;:~ ~;;~~~~~;::;~~~;~~~'~=--~::::::::=-~:::::=:
Li tht Outlets..............._.._...........__.._.....
R€ ceptacle Outlets....m_......._..___n_.......
Service, volts ......_m__._......._..___.m___.....
No. wires ...._n_n_..............__.__..__.....
Dr o'er, KW.................__...._....n_________.__
Size wlres...._.___........._._...__..__..h._..
Ra 1ge, KW.n_nnnn......_.____n....
Main fuse ....____..............__________.......
Water Heater:
Enclosure ____....._....n_..____..............._
KW...........................7..m..........
H, II KW.......J..!....~.....1.~.:....#;"f
Type of wiring:
Entrance Cable ....mm.....__......._____
M ltars: size, volts and phase:
Rigid Conduit ..."...___.m__....m.......
Metallic Tubing .m_.m......._
Current transformers:
No. & Size....__.._..................._
Ser. NO.............._.___.................____n....
Ser. No........______................__._______.......
Ser. NO...__n_....._....._..______..............__...
Type of Wiring:
Armored Cable ..._....mm__.........m_.
Non-Metalllc ...........................__..._
Knob & Tube.____._..........___..............
Rigid Conduit .....____...............__.....
Metallic Tubing ..._.___m_....._______...
Raceway ......._._____..............._.........._
Circuits, Llght............................___........
Utlllty.............................................
Heat ___n__........____...........__...............
Range ....._____..........._..n_........_...__n_.
Water Heater m_n......._.___.............
Motor ............____........___.............._...
Dryer....__._...__.............____..........._..__..__
Furnace _.._____..............__.'~__.__........._.___
Total Load__...___________............. Ser. No. ..__...__._u____..........___.._._____....n Total _______............._._..............._
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R ~marks : .~dnn.nn____-:C.~_(J::"L_n_______n~!.n(~!2.___l:.~_.._____._.....nnn.n__u..un.__n_nnn_.du.nn.nun.n._nn_n___nn._du__nnn
$.----....-....-----------....--.-----.
No.__________.._....___..__....
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By u_.%I._Jl..~__:___(.:~:'::.;.~m..u~~.-!.~_~n:..~_~n.nn._::_:~_~_
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NOTICE-Current must not; be turned on until Certificate of Inspection has been issued. If work is to be con.
C€;Lled due notice must be given the Inspector so that work may be inspected betore concealment.
P Z11Ilit Fee
Treas. Receipt
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 6 6 5
A,ldress.....___.._............._________n...................__..................._.__._....__................________.........................Date...________..._.__.._.......__._.............._____.__..
o ;rner _____n.______.............._._._.._u........_...._._n...._.._n.U..._.___.........._........._...n__............._.... Tenant...__n._____u.nn_............_._n_._______.................._..
'VIlringContractor....____.____................_...............___.................................._._......___..............._..__.._____.By._..._..................___._.......................__._____._
NOTICE--Current must not; be tnrned on until Certificate ot Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
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1M Olympic Printers, Inc.
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.7r:~ Port ::::~:'~R~~2L_:?_~6~_7,:~r
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trica,l 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.
Addtess ..nnJ;:~'.;?:::::'I....n...J;;j!f2!.~~~'~:l.-n.m.n. OccupancYm"<'l,P.~-,,,,,o.""'"''''''''''
Owner ......{?2<'"dr.f~t~....m~::W~~~~_TenanL........o....................._o..o...................................
Wiring Con~a~tofl......f1k,.~Q?'~?~C..n..mn.nn.. By...................n..........no...n.........._...................
I.JO/,;.LVO
serv~c:.. ~:::: ::~Z:::~:::~::::::::::::::::::
:::2
Size wires..................................._..
lot:! /f
Main fuse ..___.C.nhm_n._....______........
..s
Enclosure ...____........__....___._
Llgb,t Outlets..........................................
Type of Wiring:
Armored Cable ................._............
Recqptacle Outlets....________.___....____.......
Dryef. KW nnnnn............._....._........__..
I'
Ran~. KW.._.m_.h..__......
Wa~er Heater:
Non-Metallic n................._._...........
Knob & Tube................................_
RIgid Conduit ...............................
Metallic Tubing .___m....___um_u....O
KWm................._________...___..___..
1
Heatt K\V.......................................hn.n
Type of wiring:
Entrance Cable ......__...
Raceway ..............................._._..._
CIrcuits, LIghL.......n.........n........__.......
Utility.............................................
Mo~ors: size, volts and phase:
Rigid Conduit m._mm....m
Metallic TUbing .....h.._........
Current transformers:
Ser. No.........._...................................
I-Ieat n....................................._...._
Range ................................_.._...n....
Water Heater ...............................
Motor ..._........................................
Dryer _u..................._.......................__
No. & Size.............._...__._.................
Ser. No. .............._..............................
Ser. No. ...................._..........._............
Furnace .........................._........h.........
R€enark:~ta:..::~,~....:,.=::....:......,;~:~~.:.::.~i.......a~J.2~~,~.~.......~~~:::..::~:::~::~:::.:.
___~'.~..~nnnnnn.n_n.un_nn~n_un~n_..n_n_n.nnuu_uunuu.nnnnuu____n___.._nnnn__nnu__n.___.n.___.__n_.nnn__nnnnuu.n_nn__...
.__...n_.____.nnnn__._..___n__nn__.nn.__..n~nn_._._.nnn.nn.u.u.nunnUUU'n_.n_..nu.nnuunn,uuu...'___n__nnnun..nn'UUdnunhU.
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!// ,- 't-''/.' PIP ~1-;!1
By ......Z. J.....A.:~&f1....?:P....{M:r......'Lf.,,..---..J
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NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con-
ce~led due notice must be given the Inspector so that work may be inspected before concealment.
PljI'l11it Fee
$.,........:..............0............
Treas. Receipt
NOh...........................
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16175
A~dress .................................................n............h.................h............_...................................... Date..._......_.._.._.._.........._......_......_..h.....
Owner ..................................._......_.._......_......_.._.................n......_............................... Tenant............................._...__......................__.........
Wiring Contractor..........................__......._......_..............................................._....._......._............... By ..............................................................
I NOTICE-Current must not be turned on untU Certtticate of Inspection has been issued. If work :Is to be con~
c~aled due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.