HomeMy WebLinkAbout1215 S N 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 /6,oV . .. I8w
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT O~LY 0;1 OCCUPA~CY OR USE ESTABLlSHE~ UNDER THIS PERMIT
5 C TV OF APPLICANT PERMITS WITH WRONG ADDAEpS
Installation By
Installers Address
Day Phone
Appljcatj~.)n is ~ereby made for Pe~mit to inst~11 Electric~1 Equip
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Installers Phone.
. Wiring Method
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NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PER 10'OR FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT / SIGN
LIGHT 50 VOLTS
OR LESS
CON\~ENIENCE . MOTOR
CONVENIENCE MOTOR
APPLliANCE . MOTOR
DISHWASHER FIRE ALAR.MS
DISPOSAL BURGLAR ALARM
..
RANGlE MISC.
OVEN
WATE;R HEATER
LAUNDRy ..
DRYER .. . REINSTALLATION LIGHT FIXTURE #
FURN;ACE SUB TOTAL FEE
GAS ~ OIL
FURNfiCE ENERGY FEE
ELEC RIC BASIC FEE
ELEctRIC HEAT .
TOTAL FEE
ELECtRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.lINIT /.5 AMP / PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE 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 w.
Date Application made -~s.t' ,1~r By
the N.E.C. Electrical ~
.
Date Permit Issued
~
CONTRACTOR OR OWNER {OR AUTHORIZED AGENT)
,
. Permission is hereby giv~n to do the above de~cribed 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
By~~J~ d-f2
PLANS APPROVED ;
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be cover~d 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 Ex!. 158.
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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.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
EI:;ECTRICAL PERMIT
Nl!
17032
Port Angeles, Washlngton_____.._.?__=_~.~___..___.._________......____., 1927
In aceordance 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-
~~:~~~&~:;;:'O~=~~~====:::~::=:
Wiring Contr~ctor ____...__.._.~~~...h.~~-----.--- By.___________________.___.__________._______n_______..._______________
Light OUtl.t.._______.~._.~..___.___._.._.___. S.rvlce, volts .1:?::.t;y:..:?..__f.Sf.._ Type 01 Wiring:
Receptacle Outlets___my_~nm__....... No. wires ..:i._..._..........__..._.L!.... Armored Cable ..--..........................
C SI I ~~ a--f' Non.M.talllc .-------------------------------.
Dryer, KW m.m._______.________m____.__.m ze w res17---LL-A-------.--------- ,
12 / ...J,f!J(J . Knob & Tubem....____...._........m..~...
Range, KW...__n__ nh____.:.__...n__..... Main luse ---..-.S--:---..-------------....------
Rigid Conduit _____n______.____________.___. .
Water Heater: ! /' Enclosure m__mm___..._______...._____ M taUl T bl
KW........mm1t.n::?_......____mm.__ Type of wiring: Ra.c.waCy u ng ---..-------...............
~' ,4) ........................-.....-.-...-
He;lt: KW...../t2.t....._..._b../l............... Entrance Cable .._n_m_ ..m_____m..... CIrcuits, LIght____~__m__...m__.....m..._..
Motors: size, volts and phase: Rigid Conduit ...___._..__m.....___....___. Utility .m..~............_....................
::~~~~:::::::::::::::::::::::::: curr~:::l:::::::.~~;------......... =:ge ..:::~:::::::::::::::::::::::::~::=
Water Heater ..~..................._...
No. & Size...................__________
Ser. No......................_........................
Motor ____........__...__h................._....
Dryer .....B.........-.....................--..-
Ser. No. _..___.....u..__..________....__.____..__...
.;;.y
Remark:~ta:__:~.----.~~;:::~:::.:::.__..::.:~:.~--:------------h-----hh~_~~::__.:::.::::~:::-:::.:::~:::.:::~::~::
Ser. No. .._____.__._______..__..____........__.......
Furnace _._._......._........._..'_._............_....
---.---......-.-.........--...---...........-...-.----.-..-...----..................--.....-.-.--...-.......-........-.---_....._._~.............._..--.._--......_............
.....__hnmn._.________h______hm___.___.________h.___h_nm_______________.______n_____._m._.n_______.---m.---...-----"l..---h----.-----.---.....--..----
:.~I~.~~~__________________m ::~.~.~:__~.~.~.~~~.~m..___ By _tJ{.ftt::/fhL~ r
NOTICE--Current must not be turned on untll Certificate ot InspecUon has been issued. It work Is to be eon.
cdaled due notice must be given the Inspector so that work may be inspected before concealment.
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NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
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17032
Address___.__...........____......_.___.........................__......___........._............._......_..__._.......__......................Date..._.....__..____.._.........._._...._......____._....
Owner.._____..............__.......____.___._.__..._......_......_.._.................__........._..________......__............Tenant..._.........__.._.__________..._........._..........__.............
'.',iring Contractor n__.._.....___._.........._...........uu................_.....................____..__......................_.._..____ By......________....___n..........nn.................nnn..
t NOTICE-Current must nl>tibe turned on until Certlflcate 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. .
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Olympic Printers, Inc.