HomeMy WebLinkAbout808 Seamount Dr - Building
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CIT"Y OF pORt: ANGELE~
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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, PERMIT NUMBER
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TO IrAL FEE Jb~
CO NT. lie. NO. TIMETQCOMPLETE NO. STORIES LEGALQCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNO~R THIS PERMIT
Site Add 'i?oi' S t4-M 00 10T ". -
ess
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG RES E ARE C LLED :
Owner ~~l!:!> (
o~ner's ddress"" " __
DayPho e ~
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Installation By
Installers Address
Installers Phone.
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pplicat; on is h;:e,b: ;i~de for ~~i~~ i~~~ ;:Jrical Equipment as follows:
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"' .. ~iring Method
NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
, 100R USE OF CIRCUIT PER 10QR FEE
USE10F CIRCUIT CIRCUITS PER 10 FEE CIRCUITS 10
: CIR 30 CIR 30
LIGHT I SIGN
L1GHT1 .. 50 VOLTS
OR LESS
CONY N1ENCE - " . MOTOR ;
CONV NIENCE - - " MOTOR
APpu4NCE MOTOR ,
.. ..
DISHW,",SHER fiRE ALARMS
DISPO AL BURGLAR ALARM
.. ,
RANG MISC"
OVEN;
WATE~ HEATER
LAUNI RY ". ,
DAYE REINSTALLATION LIGHT FIXTURE # I
FURN CE . SUI? TOT~L FEE
GAS- IL
FURN ~E ENERGY FEE
ELECT Ie BASIC FEE
ELECT~IC HEAT
- 'TOTAL FEE
ELECTftlC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
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A.C. U IT AMP PHASE
FEEDE ~ SIZE OF SERVICE ENTRANCE CONOUCTORS
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SERVI E AW.G.
I SUB. TOTAL SIZE OF GROUND SIZe. OF ENTRANCE SWITCH
I certif 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.
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Date A plication made , 19 By .
, CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
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. PE!~mlsslon IS he~eby given to do the above desc;;nbed work, .ac~ordlng to th~ copdltlons hereon and a9c~rding to the approve:d plans and
specifiqations pertaining there,to, subject to compliance with the Ordinances of ,the Ci of Port Angeles. '. . 'i,:
I i"("' , . ,DIR OR 0 CIT. GHT, '," , .
D~tepJ;mit Issued -:5 Z 7 91 ~CANS APP OVED' , ,
I Not fy Department of City Light by Street Address and Permit Number when ready for Inspection. Work must not
I be covered or current turned or) b~fo.re Inspection and O.K. for covering or service has been given by. Inspector. in
I WA,.!' Writing on Permit Placard, A" Permits Phone: 457.0411 Ext, 158"
~RNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
I WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OL YMPld PRINTERS. INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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:> '2..1 '''11 Mr O.K. FOR C,OVERING
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRIGAL PERMIT
N? 15840
Port Angeles, washlngt01L:u.....2.~....2..:3.:u...m.mmm..m....., 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.
~::::s..:::::~~::~;::::::~:::~:::::::~~~;1~~'~'~~~~:::m~::~~~.~~~:::::::~~~~::~::~::~:::::::::::::::::::::
Wiring Contractor ....u.:,:!:...,.l::,"-"u,""u"''''''u,"=mmu.u..um By..nu....mm.u.uuum..uuumun..nnu..m.m.......u
J
Light outlet.......2..2...................... Service, volts .../2.9.L.;i'Pt:L.... Type of Wiring:
Receptacle outlets____L_V..h............ No. wires ..~_...".:':2....~......................_ Armored Cable ...____n.....................
Dryer. KW .........~m.n.~mn..mm...m.. Size wlre.....X!.!J.t.!!...,.:.;............ Non.Metalllc .................................
,-
I.') . .")'" ',f
Rang(l, KW m." ___:=:_______h______.hn______no Main fuse ...~..~.:~-..::.___~.~--___m__.m...
:...
Watur Heater: Enclosure ........_....._..........
KW.__n__...~..d~_______________n___n_____. Type of wirIng:
'S-
Heat: KW..~./.:t;........;.t:;(..~!..~~-~:)I Entrance Cable ..--------
Knob & Tuben.............................._
RIgid Conduit ...............................
MetalUc Tubing .............___......__..
MotQrs: sIze, volts and phase:
i ~'" _.
.......!.....:...:..~-...;-:---------...----.----.-----..-.....
f..J..~"L..d2................................
. V'"
.J.........:...........................................
Rigid Conduit .................
MetalUc Tubing ....__...."h..............
Current transformers:
No. & Size...n........._..__..._.......
Raceway _...__.................................._
/'
Circuits, Llght..._~..___.......................n.
Utility ...G.;;.o,.,--..........................-
I.leat .__/.f........_..........................
)
Range ....~.__.._...__.......__n.........u
Water Heater ..~..._____..............
Ser. NO.....n..__.h...h_h....._______h_..h.....
Motor .._..............._..._..____._...._.........
Dr}'er..._......~----.-...-.......................
Furnace ............_........_...'_..._...._...__..._.
Ser. No. n.__.__..___........__..__....__..__.__.__..
Ser. NO._..._.n..____..__.____..__n.._n__.._____..
Tot.l Lo.d.............................
Ser. No. ...._n..______.._...__..___._____....____n
7'
Total..._.____.__...________......_.........
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Remarks : ..uu_.u.uun.n.~_:.~~=/.:...c..;:.;:'.~':'~n_L-:..-!~~~~~.~.~::'.:'k~..____u___u_.._n._.._..n_nn_u_n.un.nnnn_n..n_.u_dhnhU.u.hnu
_n._+n_.u.nnnn.nuhuUU...nn.__.uunnnn_h_Un_.__unuuuun..__nuu_..nh...uu_uuuu......_....u.h..n.nnn_..nnnnuuh.nun_nn_n_
Pel'mit Fee
$..,...j12.f.:mm.m.m....
Treas, Receipt
No........,....................
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By ....1L:.u....~~:.~:.;.:.~dd.Z~..,._,__.
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work is to be con.
cenled 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?
15840
A.(I.dress..........._....____._..______.............................................................................._....._..._.._.__..__......Date..._..........___...._.........._......_...._...._.._....
Owner.........____._.._____.._........_.__...______......__....._.._...............____.__.____........................____....Tenant...____....................._........__..__...__.______._n_____.__.
WiringContractor..__..__...________..___...................._........_.................................................____..__._____.____By............._.._...._................................_......_
NOTICE-Current must not, be turned on until Certlflcate 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.
1"\1........,;... PrintQrs. Inc.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 4 - "3 c- D 7
Time 3 PIV\.
Received by D~",-~" E (phone. personl
Location of Work to be inspected 808 $<2-"'-~.'\..;-.
Name of person requesting inspection L>~o"\.~s E.
Address of person requesting inspection Us:>rp Yo...r..J.. (..., ~13 Phone No. t.f 17 -48'/9
Type of Inspection (circle appropriate onel: Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Othe0~
INSPECTION NOTES:
Inspected: Date <f - 5D - D7
Remarks: !?.ej) l"--L-e.J ~--f-Ll
,
Time
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:::> I'M By De"",,:.., E .
o....",d r<2-G:>/A,,-,,-i-..A -ro Cv:;,-to.",,,,-., 1,'VUL...
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RESTORATION REQUIRED . . . . .. YES
NO X
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
D Repaired by Permittee
o No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STRFFT SIIPFRINTFNnFNT
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