HomeMy WebLinkAbout409 Whidby Ave - 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
'.
TOTAL FEE
30, cO
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LEGAL OCCUPANCY
CONT. Lie. NO. . TIME TO COMPLETE
NO. STORIES
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
D
CQRRE TAD RESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner 'L. B, R. r_I!JN t::TIUJc.7i",J. Installation By AAlb5-1{S;JA fE.~ I!:.GIA,c-
owner's;ddress.j 21 I') E~ /VA \ ("'bRT Af/{;h~S.t.fItSJliIsAddress p, O. At!J')( IG.:~B FtJA~uJAS'I,
Day Phone 't ~ 2 -I ~ -"1 ') Installers Phone .3 'J 1./ - '/",,"
Application is hereby made for Permit to install Electrical Equipment as follows: ;J t:Jt!1 AM" tJJ. 11-. ~ li'AIIIC.;;'"
/.. J.fre:. :> ~ J.n r. J D ,..!NWASH&." , PIlAlt.r- i /.J)Ary-1b ",t:J^'{t/:JJ.ttt'i/b)
j:)!l..VIt4.. J rt-AIt.it:'>.reA...b ~- #!!.AT ~bAa-"iJJh"'~ J 'fjA. wiringMethod-#,',.;',,,e,
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NUMBER AMP 120V 240V , NUMBER AMP 120V 240V
USE OF CIRCUIT PER (!1/JloR FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT t? J:5 /~4/ StGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE J{,'r. , 1~ 12411 MOTOR ,
DISHWASHER I ?t'J I '7'" FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE I t'fj ;'111/ MISC,
OVEN t.tR.!!/t'i Ie A.. l 2(1) 1:d~1I
WATER HEATER , )tJ 'U~JI ~Ar~.s :2. ,< 124 ()
LAUNDAY I ~~ 114/1
DRYER I ?/\ ~"4() REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS-OIL
FURNACE ENERGY FEE
ELECTRIC' BASIC FEE
ELECTRIC HEAT ,- ~() ';Id~" 10. ClC;>
TOTAL FEE
ELECTRIC HEAT J "" ".l,) ,) SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ']tJfj AMP IrP PHASE
FEEDER' SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE , Od~ ISA~ U I", '-I/O '2.I(j AI- A.W.G.
SUB-TOTAL f7.q~tc SI~E OF GR~U~ ~'i ~tiF~NTRANCE SWITCH :2 tJ" AM P
.
I certify ;~hat the work to be performed under this permit will be done by the Installer and in conformance with the N.E.C~lectrical Code.
, i 70"
Date Application made .APRIJ.../ ,19fjt:; By 1. ':A~~,~
jll C NTRACTOR OR OWNER ( R AUTHORIZED AGENT) '.
. Perrrylssion is hereby given to do the above described work, according to the conditions h reon and according to the approve pans and
specificatIons pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
:1 /- ~ (_ rr) By 11 - /J ~7~ITHIGHT ,'. '
DatePermitlssued 0 ' PLANSAPPROVE~ ~
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. tor 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
OLYMPIC PRINTERS, INC.
\~ :: .!)' ),fJ ~f ~i'
DATE OF VISIT
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5-3-lr
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MADE BY
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REPORT OF INSPECTOR
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O.K. FOR COVERING
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O;.K. TO CgNNEC! SERVICE
\ FI~AL O.K. ~ "
REMARKS
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000237
PERMIT NUMBEA
FEE AECEIPT NUMBER
'.
,TOTAL FEE
. / l?}O
;J. ~"C .-
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oAlle:.: '..
CONT. Lie. NO.
TIME TO COMPLETE
NO, STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
1ft) r ~
PERMITS WITH WRONG ADDRESSES ARE C1ANC r~D
Installation By -Au ,.., rJ
. - Installers Address
Installers Phone
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100A FEE USEOF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOLTS ~
OR LESS
CONVENIENCE MOTOR -< t---\\
CONVENIENCE MOTOR _ \\): '\\
APPLIANCE MgI!?R '.\~ '- \ '\ . l'>'"
DISHWASHER - \l~~..;'l{'~t.tS-~ V
DISPOSAL fr' '~tJf~L~ARM
.....---' ,
(\"\\ ., )1s~
RANGE '-! \'
-
OVEN "'<: ~\\ .' ,\
WATER HEATER ./ ,'\v. \'\-~ \ \ .} ....
LAUNORY 'V\ \ \\- ')\>
DRYER \\ 'v REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL fEE
GAS - Oil
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT . '2.1. 0.>
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDEn SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE V r<. r.f1'6. 11/ .tJf. 7!AWG.
I SUB-TOTAL I~ "" SIZE OF GROUND SIZE OF ENTRAN~'/~'(
. ~ './lu6J/..L
I certify that the work to be performed under this permit will be done by the Installer and In ~ It he~ Code.
DateAppllcation made ::5 / V 7 ,1~ By ~~. . .
- I IoNTRACTOR OR OWNEr/tOR AUTHORIZED AGENT)
Date Permit Issued
el0V/Fi-
WARNING
Permission Is hereby givel1 to do the above describ.ed 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.
. ~.z::I:Y ~I~HT .
By .. -,I ,'. ,0
PLANS AP OVED / ~
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
OLYMPIC FRINTERS, INC.
p'~ () ,; : '
REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
1-1- '15 /fir ,)l O.K. TO CONNECT SERVICE
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FINAL O.K.
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