HomeMy WebLinkAbout820 W 4th St - Building
57.5
CITY OF PORT ANGEI"ES
DEPARTMENT OF' LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
611
PERMIT NUMBER
FEE RECEIPT NUMBER
-.
, ,PES
TOTAL FEE /h~
CONT. LIe. NO. TIME TO COMPLETE NO. STORIES LEGALQCCUPANCY
. d- . ELECTRICAL p~ NO OCCUPANCY DRUSE ~STABLISHE~ UNDER THIS PERMIT
Site Address' ,:5 'B l-tJ w - f1'h
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES AREfANCELLED.e . _ -L_
Owner Installation By -tf-;--y l Li- J rc.-LU-l:!!::::U_
Owner's Address ' ~ 1i-b=~ It I-- installers Address
Day Phone- Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
Wiring Method
.
NUMBER AMP -12QV 240V USE ~UIT NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIRCUITS PER 10 100A FEE
CIR 30 CIR 30
LIGHT SIG~ ""
LIGHT 5~l~~ T,si-~'
OR ss.. .'
CONVENIENCE <.M1trOR"" "
'.",. .
CONVENIENCE MOTOR .,
- / .
" -.,. ~
APPLIANCE (< ',MOTOR
r;' FIRE ALARMS
DISHWASHSR -' "
DISPOSAL BURGLAR ALARM
,
RANGE / MISC,
!
OVEN {
WATER HEATER {.::;
LAUNDRY ri ,
DRYER . /)" '-!, REINSTALLATION LIGHT FIXTURE # -
"
FURNACE , if::::. '. 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 AW.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.
~//J/tf~
/ /
Electrical Code.
Date Application made
,19
By
TTf)
.
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHOAIZED 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 thereto, subject to compliance with the Ordinances of the City of Port Angeles.
,. YCT 0 CI Y LIGHT
~// J! 1h ~CANSA Rov'~,i , . "
Notify Department o;f City Light-by Street Address and Permit Number when reacy for inspection. Work;musf not
be cove!ed or current turned on before inspection and O.K. for covering or service. has been given by Inspector in
Writing on Permit P,lacard. 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.
. '.,
REPORT OF INSPECTOR
, '-
DATE OF VISIT MADE BY REMARKS
'.
, .
,
-, .
"
.f ' ,
9 K rOR _.....VI:"Imii-
~ I ~ 't~ ltQ? O.K. TO CONNECT SERVICE
\
rIIJJU.9.1t -
.,.. 1.-1 rQr k )'(41Jd uP A-t c,.ft.1
I I I
.
z
c:I
II:
<C
:::!!
!a
J:
I-
Z
W
I-
It
I-
o
Z
o
o
.