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HomeMy WebLinkAbout1420 E 3rd St - Building C2 PI d- FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT ~.\ fH'.~ ,...) r,t A . . . ,'1,Ii.,.J \1 ..... . PERMITNUMBER . TOTAL FEE /S~ ~ ~ caNT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY Site Address , , . PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner Owner's Address ~~.Ad _./j . Day Phone tf:o.'7 - ?1S(? Application is hereby made for Permit to i~all Electrical Equipment 85 follows: . /../ /1' ,-~,., -//2. jf..-_ ~ &-<-t- {:t{ c:J , Installation By Installers Address , Installers Phone ./' . If '-' ~ /l ~~~O-f ~ , / '0 Wiring Method . v ... ----~. /1/1.--/ NUMBER AMP USE OF CIRCUIT PEA CIRCUITS CIA LIGHT I LIGHT CONVENIENCE I CONVENIENCE APPLIANCE DISHWASHER DISPOSAL .~ RANGE OVEN WATER HEATER LAUNDRY DRYER FURNACE GAS - Oil" FURNACE ELECTRIC ELECTRIC HEAT ELECTRIC HEAT A.C. UNIT FEEDER SERVICE 120V '" 240V 100R 30 \ SIGN . I 50 VOLTS OR LESS ~ / {'~ MOTOA USE OF CIRCUIT NUMBER CIRCUITS AMP PEA CIA ~A/ / 240V / 100R 30 FEE FEE 120V 10 , MOTOR MOTOR FIRE ALARMS BURGLAR ALARM MISC. I SUB-TOTAL REINSTALLATION LIGHT FIXTURE # SUB TOTAL FEE ENERGY FEE BASIC FEE TOTAL FEE SIZE OF SERVI\SWITCH ORj:IRCUIT BREAKER '\MP"7/' SIZE OF SERVIC~TRANCE CONDUCTORS / '" AW.G SIZE OF GROUND / SIZE OF ~NTRANCE SWITCH PHASE /5'- - , 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 If ,'9Z){B 7- Date Applic~tion made . Date Permit Issued (OR AUTHOR ED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and accor ing to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. !.. ~ \ .1 ,( _' DIR~_V BY~~ ffi - . - { PLA A PROVED : . ~ . ',_ 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. \- WARNING 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. '.._ t:,,"-.;' REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS , - - /).-J..6-Tq '1l (..2 () CI rL",;s" C II.OSS !f't)!.-/ ~I( J ny lie. u./{ L L ('ALL W~eK FII'/I CA,--If) , . . - . , . , . , , , , - " - '. " .. . , , - / - - - , , - . . ,. . - , . . " " \ , " .. " . . , , - - " f <)1. .~~ .-1!J O.K. FOR COVERING . . O.K. TO_CONNECT SERVICE {. l1U - - 2- 'IS- FINAL O.K. . . z Cl a:: c( ::E ~ J: I- Z W . l- e z e o . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17678 /,;')-36 F/ Port Angeles, Washlngton..m......:oom......._..m.....oo..oommm...moom, 19,0000000 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. / 7/ ;;J () E'.~.fl A.-e-<L-- Address .mm...oo...m.moomoomm..oo..moo.m.m.;I2m..........oo....moom. OccupancYoo...m..mmoo.:mmoooo..._m.moo.... Owner c:..;."-<<'d"7.--;~~f..~-:=moo'~.m.(:;.0 ~J'enant.m...oo...moooooo_oooooom._mmoooommoo.oo....m....,...... Wiring ~~:~::~o~':.,.d~.r:f:f?0..~::.m By.oooo.........oom.m__.__m.__oo__.__moo..oo..mooomoo....m /::YCJ/;,;J;Y(/ Light Outlets..............................._.._..... Service, volts ............7........................ Type of Wiring: Receptacle Outlets............................... No. wires .....................__.n......n...n Dryer, KW un......n..__...........____.....n.... Range, KWm.hmmm__u.m.... Water Heater: Size wlres..................................._.. Main fuse ....n.......n........................ Enclosure ...nn........n....n Heat~:~.~~:~i/~~~~.?~::?i:~;.~~:~~~;t,~ l,~:r:~::n~~ble ............................. ! Motors: size, volts and phase: Rigid Conduit ................. MetalUc Tubing .........__................ Current transformers: No. & Size..nn......n......................... Ser. NO...................................n.....n... Ser. No. .................................nnnn.... Ser. NO..........................................n... Armored Cable .......n.................... Non.Metalllc ......h....m..hh....h.h.h Knob & Tube................................_ Rigid Conduit ....mmhh.mm.hhh... MetalUc Tubing ..............nm...n... Raceway ..............................._......_ Circuits. LighL.....n............m................ Utility hhhh......hhUUh...h.......h....... Heat ......................................._...... Range n......n......n....n......n............. Water Heater ............................... Motor ........n..............nn................. Dryer.................................................. Furnace .........................'~.nn._.n..n.... Total lAladn.n..nn...n............. Ser. No. .n......n......_........................n Total....................................... Remarks: ....__mec..,t24..moo.!.?..~~.fk.--:C.oo~oo...,d-'0:L~:===.'?:=oom..mmm.mmm.m.oooo...__.m....m ..m.mmoommm...m.......moom..mm~m..m.__.....m.oooo.oolmmmm.______...__..mmm....m....mmm...oo..m.mm..m.mmoo...oo Permit Fee ..n...n.n.....UnUhnnU.n......n.nnU...n..n.nnu.un.unuunu.unu..uh..n.un..nu.uu....u...........nn.nnuuuu.......n...u.....un." $:oo.m........mmmoom.moooo. Treas. Receipt No..__..,...__................. By ."J(!&;!!..~~.<.!:.~. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due noUce 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~ 1 7 6 7 8 Address..................._.................................................................................._...............................Date..._......_.._.._.._.........._......_......_......... Owner n....................n..n......_.........._...n._......_.._.....................................n..nn.....hn..... Tenant........nnn..nnn.....................nn....nn..nn.n.... <:::.....\ , Wiring Contractor...................................... ....................................................................................By.............................................................. NOTICE-Current must not be turned on until Certificate ot Inspection has been Issued. It work Is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers. Inc. '.