HomeMy WebLinkAbout2326 Samara Pl - Building
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FEE RECEIPT NU BER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION ANDooELECTRICAL PERMIT
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PERMr'r NUMBER
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TOTAL FEE
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CONT. Lie. NO.
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LEGAL OCCUPANCY
TIME TO COMPLETE
NO. STORIES
Site Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
}. '52. C. SA"" "-ItA P v..C-'i-
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICA . PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ,,~{?, I). Installation By ~ 0/ 13i R b /!,f, J;~..,f? I L
owner'sA~dress,?;P/II E'Jb/A'R dA.b Installers Address P.tJ. BO It' '" / :r~Y~~ 6//#$//;'
Day Phone ~r;'2. - J ~ l ~ Installers Phone "2 9:'- 1? (" 100
Application is hereby.~ade for Permit to ins!all Electrical Equipment as follows: i'lL-ill ~ ~ ~
Wiring Method IV NJ - b
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AMP 04ll' NUMBER AMP (f;) ~
USE OF CIRCUIT NUMBER PER @ 100A FEE USE OF CIRCUIT PER FEE
CIRCUITS CIR 30 CIRCUITS CIR 30
LIGHT a I!: // SIGN
LIGHT - - . 50 VOLTS
OR LESS
CON VElA.... ,,; Z ~" /' MOTOR .
CONVENIENCE MOTOR
APPLlJ\NCE .. .. . MOTOR
DISHVoASHER I ~O t/ FIRE ALARMS
DISPOJAL BURGLAR ALARM
RANGE / /I'll ~ V MISC.
OVEN f'1f &F:dl?. ) lC; ~
. I 7tJ' '"
WATER HEATER
LAUNDRY j 20 .,/
DRYER I ~t') ;/ - . REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC -
BASIC FEE
ELECTRIC H~EAT I 70 V TOTAL FEE
ELECTRIC HEAT I 70 1...-- SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT .7 "" AMP PI PHASE '
.
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
. .. - '-1/11 ~h 24:J
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND~~ 4 Sfz:E OF ENTRANCE SWITCH <CIa 41/" J;
.
Date Parmit Issued
I certify that the work to be performed under this permit W~1l be done by the installer and in conformance 1{h the N.E.C. Electrical Code.
Date Application made .fJr:;cJ /q::' ,19~ By lJ
) TRACTOR OR OWNER (OR AUTHORIZED AGE
. Permis~ion is h~ueby gi~en to do the above described work, ac'c~rding t9 the conditions hereon al1d acco.rding to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
. . 20F CITY LIGHT
By ~aij ~~
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 Ex!. 158.
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.
DATE OF VISIT
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REMARKS
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
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FEE RECEIPT NUMBER
" CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
Cf3&
PERMIT NUMBER
.
TOTAL FEE
1I.IlJ1;
I
';:5
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address -< III ~t1 , <' L. ,9., '3 2 (,
CORRECT ADDRESS"'(s"'RESPONSIB UTY OF APPLICANT PEA ITS WITH WRON
Owner J. , /J A . ~.. ~ fI/ . Installation By
Owner's Address ?~ /~ L'L. v/4 "Il #" /:) P. Ii, Installers Address
45''2. -12~ '2-
ADDRESSES ARhANCELLEO .
JA'I8/t? ~JbCT/t/~
P.O, I1dJ( 6~ J'tlYGt:, tV4.~#,
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'l.2f:'-3?61
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
Wiring Method
AMP \~20V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER P R .' . 100A FEE' USE OF CIRCUIT PER 100R FEE
CIRCUITS rE7R".' I 10 30 CIRCUITS CIR '0 30
LIGHT ~ :;'\ SIGN
liGHT L\ '\ '.1 50 VOLTS
~ OR LESS
CONVENIENCE S9. MOTO~
CONVENIENCE .- .-::-"::J. MOTIR J
~
APPLIANCE ... -:::-,-:;\'V MfoR/
DISHWASHER >ZJ\ ~ /I FI~LARMS
DISPOSAL /~ - I~/ If! ~ RGLAR ALARM
. RANGE /' , ---~ fI I ~ISC:
OVEN ( c:::.. m \I ,
WATER HEATER I fA l'l\
LAUNDRY L.'n: ;~ \
DRYER V::.:..--==' REINSTALLATION LIGHT FIXTURE #
FURNACE V 1.-\\.-1 SUB TOTAL FEE
GAS - OIL -
FURNACE k .-;J 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
Date Application made
PU'-- /r(, 19 f?'c,
ctrical Code.
, certify that the work to be performed under this permit will be done by the installer and in c
TRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions tiereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City ,of Port Angeles.
~F CITY LIGHT.
By /#aJ. ~
PLANS APPROVED' ,
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I WARNING I
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 YMPIG PRINTERS, INC.
DATE OF VISIT
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MADE BY
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1\1\~'
REPORT OF INSPECTOR
REMARKS
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
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