HomeMy WebLinkAbout4016 Old Mill Rd - Building
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FEE RECEIPT NUMBER
CITY.OF PORT ANGELES.
DEPARTMENT OF LIGHT
.APPLlCATION AND ELECTRICAL PERMIT
A
8(3
PERMIT NUMBER
.
TOTAL FEE /b~ .. .REs.
CONT.L1e. NO. TIME TO COMPLETE NO. STORI ES LEGAL OCCUPANCY
,
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address "TD! (, OC/) /}JILt.
~ irECT ADDRESS IS TSFp;SIBILlTY OF APPLICANT
);f 'j)t./J 'It.7'tJ1A
Owner's Address ~.. .
Rd.
Owner
PERMITS WITH WRONG AlnSSES ARE CANCELLe;
Installation By . 7C T1L tc [. If!.. () Ie l.
Installers Address
Day Phone Installers Phone
APPlicat~ is hereby made for Permit to install Electrica.1 Equipment as follows:
-------Pt~ jl~ ovuL /lilA-ST. 8" /'t~ tel.
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
- USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR '0 30 CIRCUITS CIR '0 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE . MOTOR
CONVENIENCE MOTOR .
APPLIANCE MOTOR
OIS~WASHER - FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATE.R HEATER
-.-
LAUN:lRY
--
DRYER REINSTALLATION LIGHT FIXTURE # .
FiJRNACE SUB TOTAL FEE
GAS. OIL
Tu'iiN"CE ENERGY FEE ;
ELECTRIC . .
=-c-. BASIC FEE
ELECTRIC HEAT .
-. TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
-,
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVCE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
his permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
By )C fob
,19
Date Application made
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above de~cribed work, according to the c9lJdi.tions hereon and according to the approved plans and
speCIfications pertaining thereto, subject to compliance With the Ordinances of the City of Port ngeles. I
O { By .,;,1 ';i;:Ji OR OF C~TY LIGHT ",
Date Permit Issued q /'7 7, fJZL~
I /;-- PLANS APPROVED
Notify Department of City Light by Street Address and Permit Number when ready fo(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
OL YMPJC PRINTERS, INC.
-1! 2- f
FEE AECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
.APPLlCATION AND ELECTRICAL PERMIT
A
813
PERMIT NUMBER
.
TOTAL FEE /b~ . ReS.
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
,
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Day Phone
Applicatl
PERMITS WITH WRONG A"~SSES ARE CANCEll~
Installation By we Tn. Cc. ~ [. If!.. () Ie l.
Installers Address
Installers Phone
is hereby made for Permit to install Electrical Equipment as follows:
tI,t!.. 'f
MA
Site Address
Owner
Owner's Address'
,eI.
Wiring Method
.
NUMBER AMP 12QV 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 l00R FEE USE OF CIRCUIT CIRCUITS PER '0 l00R FEE
CIR 30 CIR 30
LIGHT StGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONV2NIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUN:JRY
DRYE~ REINSTALLATION LIGHT FIXTURE #
FURNACE SU.B TOTAL FEE
GAS - OIL
FURN,o\CE ENERGY FEE ,
ELECTRIC BASIC FEE
ELECTRIC HEAT . .
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
his permit will be done by the installer and in conformance with the N.E.C.
By )C fob
Electrical Code.
Date Application made
,19
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
~ermission is hereby given to do the above described work, according to the cqrJditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port ngeles..
. ..," IR OR OF CITY LIGHT
1/;0/16
By
PLANS APPROVED
.
Date Permit Issued
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
Ol YMPlC PRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
17413
Port Angeles. washlngton___...L/:_L..t:-..mmm.....m..m....._m. 19.a::.P
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.
~::::s..:;~~:-::f~~$i!!!::~~~~~~:~~~:::...~~:.~~:~:.~:::::::~~::~=~~::::=::=:::::::::
-- t/' (7
Wlrlng Contractor .mn~"'-?.~_."~nmnm__n.__mnn By.___n.;.mm.nm___mmnm____mn__m__.nn__m_m.._..
Light Outlets..._..._...........___........_..___...
Receptacle OuUets........_m__............_....
Service, volts ............__.........................
No. wires ........_.............._..............
Dryer, KW._n..._.___.___............___________...
Runge, KW ____...h_._n__....________h
Water Heater:
Size wlres...........__.....___............._._
Main fuse ..................._._____..____.......
Enclosure h.._....__________..h........_.....__
KW.nhmm..m.mhmm.m.........m...
Type of wiring:
Entrance Cable ......mmm._.m........
Heat: KW...h_h...h__......:................._.._..__.__.
Motors: size, volts an(hase:
r:J ::/.t.P.<?.;;~re.:~_ji___"...h_....
5'a.b.:,.../~d...._~.-L..z:::..."p.
(j" "'IF
.....----....--..-.----.------------..-......-.-...........
Rigid Conduit ...............................
Meta1llc Tubing m__m__...h............
~ Current transformers:
No. & Size......................._.._............
Ser. No........--.........-...-.-.............--.....
Ser. No. ..._..___.h..............................._.
Ser. No._.........._._...............................
Type of Wiring:
Armored Cable ..................--.-_.......
Non-Metallic _.................._...........__
Knob & Tube___............................._
RIgid C<>ndult ............__.................
Metallic Tubing ............h.............
Raceway .......__......................__..._
Circuits, LIght..._................._.................
Utility .....................h.............h.......
lIeut ---_..._._............................._.._~
Range ._........................._.................
Water Heater .n.._...__.......__..._.......
Motor .........___._____.......___.._........._..._
Dryer ..__.._.......___...__.........__..._..h....._..
Furnace .___..................._.'_.._._....__. ......
Total I..oad..._....____..______..__h... Ser. NO._____.__........._...__.._____._.___h_..___ Total ..........----.--...........-..........
Remarks: n..9I.&.(nm._._~.~::':k4:~._L.~mP....rM2". .. __nmm._m.m '....n___..m/.i?..=n~m.~.!!
.___...lL.r.mmmm.mnmmnmm_n..__m__m.mmm_______mmrf.__mm.m__m__.__.....__.m..m_.mm.m.m_.m__......___.___._____.
_;~;;;,;~..;~~m--------.-.-..m.:.-..---;~~~~:-~~~~;~~n.__.m---..m.m------.m-7i/2J1i--~:.7Jm.-.----7f..--...--..
$:.._......m._._.m....m.________. NO......____....._m.___.___. By 7'--.Ci---'l'--r~.."tL!Jt-e.-1.4&d#"u--.
NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. If 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
ELECTRICAL PERMIT
N'?
17413
Address..................._...__..................__........._.....__...._......._...................._..............__............_..___....Date...___.._._.._.__.._.........._......_......_......._
,.t-
Owner.__.___..._._..._____....._...__..._.........._......_......_______..............__...._.............._.__.._...__._______.Tenant.._.._______.._.___..._................--.....-..-.----...-----..-..
WiringContractor.__.__...._.........................__....._.............._..........._......__.._......____....._....__................By.................................__........_..................
NOTICE-Current must not. be turned on until Certtncate of Inspection has been issued. If work Is to be con.
~e_al.d due notice mUS.:.be given the Inspector so tbat work may be inspected betore concealment.
. ~ 1M Olympic Printers, Inc.
,
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
17413
Port Angeles, wasbJngtonmmL/.:.I...t:..mmm.....m.........mm., 19.d::.?J
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, o~, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to d6 electrical work as listed below.
Address "-J:?/{.....~..~tf!rf~......m... occupancY..n"T4..e.::"'~hn_...mm..n
~:~=:~~:~:::::?~;;::;;:~::=:::::::::::::.h.~~::~~;::::::..:::::..:.~~~.~~:::::::::~::::::::::::::::~:::::::::::::::::::::
,
LIght Outlets.........................................
Receptacle Outletsmn......m.................
Dryer, KW......n..................................
Range, KW ____.....__...00____________.____________.
Water Heater:
KW....mmnm..........m.mmm
Heat: KW.....................::'....................n
Mot.ors: size, volts and/hase:
,:J ::;/,R.q.;~.~:~.,..."m.n...
]-:1.-&.:,...Ii.~.1.!!...__,(..d',]:"-:1P-..
(j . I" I,'
...........................................................
Service, volts ...00................00................
No. wires .......................................
Size wlres........n.nn..........n........_..
Main fuse ..00.........00..........00...0000.....
Enclosure ...00...........0000.............
Type of wiring:
Entrance Cable ......m.
Rigid Coudult ..............n..............
Metallic Tubing m.mm_..............n
:..J Current transformers:
No. & Size.n..........nnnn.n............n.
Ser. N 0........00..................00.................
Ser. No. ..........0000....................0000.......
Type of Wiring:
Armored Cable .............___h........__
Non-Metallic .................................
Knoh & Tuhe.................................
RIgid COOldult ...............................
Metalllc Tuhlng ....n....................
Raceway ......................._.._..__.__
Circuits, Light.......................................
Utility................,............................
Heat .......................-........-....-..-
Range .............................................
Water Heater ............00.................
Motor .............................................
Dryer ....................._.......................__
Furnace .........................._......_.._.......
Ser. NO...........n................__n..............
Total Load............nn............. Sec. No. .n.......nn.___........___.......n..... Total ...................................__00
Rem~p.2'~..mm.~:-::!.-:C~Pr...k..~. .. ...m...m.~..~~_.m....mLf....=..3....f:::!..;
.m....G.m.nm.mmmm.m.....m..mm.m..m...m.mm.....mm...m...m..mm............m_.m...mm.m....m.....mm.mm........m
. ~
:F=.~~..~~~._.................::::..:..:mm.::~.~::...~.~.~:::.~.::.:~~:.m....mu....::.~lj~l~~:1:.~:~~=::
NOTICE-Current must not 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 before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
17413
~>
Owner
Address..................._...................................................................................................................Date..._......_.._.._.._..........-......-......-.......-
Tenant...........n...nn.n............n...nnnn..n...._..........
Wiring Contractor.......................................................................................................................... By ..............................................................
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It' work 18 to be con-
~e. !lIed dus notice mus:..hegiVen the Inspector so that work may he Inspected hefore concealment.
. ,: 1M Olympic Printers. Inc.
,