HomeMy WebLinkAbout1004 S Pine St - Building
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F~E R':;CEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NlJMBER
CONT. LIe. NO.
TIMETOCOMPLETE
NO. STORIES
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TCT AL FEE
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LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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CORRE T ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner _ l-i {lW 0"- ~< y-~ ft Installation By tie ctl" IC, ~v v \(-& Tnt.-.
Owner's Address \00'1 S f\"" Installers Address \1"8 JYlt Pk<H <\n+ ~./.
DayPho,e "-152- blla;- Installers Phone L..j<;'2-J"Y? '-I
Applicat on is hereby made for Permit to install Electrical Equipment as follows: M 1 SL W ','(' '~n ~ .4'<J r
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Site Add-ess
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Wiring Method
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NUMBER AMP 12QV 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT /' 50 VOLTS
OR LESS
CONVENIENCe "< ~ J/ Ik~ MOTOR
CONVENIENCE , MOTOR
APPLlI NCE . MOTOR
DISHW!\SHER II Ii ^ FIRE ALARMS
DISPO. ;AL J) lJIJI A-1 A VA BURGLAR ALARM
-. , /,/ I
RANGE MISC.
- C I/p1 -
OVEN
-
WATEF HEATER
-
LAUNC ,;\Y
-
DRYER REINSTALLATION LIGHT FIXTURE #
FURNA::::E SUB TOTAL FEE
GAS. OIL
FURNACE 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
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.
~ Il..t ,19 l?G By W).{Jd!-i. (2u""J
Date Application made
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CONTRACTOR OR OWNER (OR AUTHORIZ.ED 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 th~ereto SU~jec 0 compliance with the Ordinances of the City of P t Angeles.
D TOR CITY LIGHT
Date Permit Issued tj. /1 !(, '"
Notify Department of City light by Street Address and P mit Number when ready for inspection. Work must not
be covered or current turned on before inspection and .K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ex!. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
~RNING
WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD -Inspector's Report
OLYMPIC 'RINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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~5 if,. $~ltJV. I-/..A...IJr 11\-<..J... t.t fVl.Ollt II
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4- ~ ~~ \k1\ O.K. FOR COVERING
II Q..K 19 SemlE:BT 8Enwl.:..f "? M.(~W""'" If'-' L:;?Il.IJlc::::t::
'i It I f1 ilf FINAL. O.K. ~
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
17246
S--/3 7?J
Port Angeles, Washlngtonmm.___mm._.......m.mm..m...m.m...m.m.. 19.000.___
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.
Address ___l..f!.__Qm?!__'~_.,4f.::,I2__...__.._____..______...__m_______. Occupancy_..""4-4?~____..___m__m..m...__
~::~ ~.~~~:~~~~.:e~&=:.~;;.:;;:::::~~:~~~~;::::::::::::::..:.-..~::::::::::=:::::::::::::::::::::::::::::::::::::::
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Service, volts _....._.__...............~.nnn......
,...3 '
No. wires 00000000___.................__..0000__.
. /YttfJ
Size WlreS..............n..n_...nn......._..
"t;=<::> ().4
Main fuse ._..___..:"..........".......000000__00.
S
Enclosure ___..mm__n___.mm..............
Light Outlets.........._..................._...........
Receptacle Outlets__.._m.___..n...............
Dryer, KW..........'-.......________n.u._.....
Range, KW _n___/.,;?..h______u______u___
Water Heater:
KW.%.J:mnlZmnnmnm
Heat KWmnn..!./!f.4?=lllnnn
Motors: size, volts and phase:
Type of wiring:
Entrance Cable ............__..nm
Rigid Conduit .....mm_um..__
Metallic Tubing ..._nm........
Current transformers:
No. & Size_.......nn_nnn....................
Ser. NO.__nn.n..nn._.._._......nnn_....n..n
Ser. No. ___n.n._nn.................n___n_.n...
Ser. NO.....................nn_nn.............._._
Type of Wiring:
Armored Cable .....m_.mm..n.m.____.
Non-Metallic ....._.m__m..__m___..._.._.
Knob & Tubemmm__..___m___._....___._
Rigid ConduIt nnmmnm.m.mm....
Metallic Tubing ..n.....m...............
Raceway __................................_..._
Circuits, Ligbt._........______.______.____._....._..
Utllity mn.mnnn__mm...__m....m__m__
Heat ___.____._..____.._...._..._...._...._......
Ra.n.ge ._..._.......................................
Water Heater ....h...m..........._.......
Motor ..._........................................
Dryer........__............._______._______._______.._
Furnace _.__......................__00__00____..___00.
Total Load___...........n_____nn.... Ser. NO.nn_nnn__n_.................nn___..... Total ............nn_n__n..n____.._...._
:~::::::...:::::=t!..:=Jt5~!;::~::::c:~:~~~:::::~~:::~:::::Jt:~:~:::~:::~~~~:~~:5t:: ~.-~~
;~7':;.<!{4~~-;!f::f::-----rJ7;;pl:J2---/
$........___._____..___________...__... No.____.....___.._________..... By __.u~:.__:..__._.._'::(m...__~.'l.-&d'!_---~_---.2I~~_f:;;;._~....~~.
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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?
17246
Ad~ress.-----..--........-----.----...........-.-.-----.........._.._........_............_._............_..._..__..............._____.___.....Date..._...._______._.._.........._....___.._..._.__......
Owner..______.........________._..._...._.........__.............._.._......_....._._...________.__..._______________._....__..__Tenant_._..___....._...._!.__________..__.......__..____._________.__......
Wi,ringContractor.........._________........_.__..._......_________..._....._..........______.._.._........_..____.._;.............._____.By.._..__.............___..._.__..___.................__._......
.~'\ NOTICE-Current must not be turned 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 before concealment.
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.IM Olympic Printers, Inc.