HomeMy WebLinkAbout824 W 6th St - Building
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FEE f(ecEIPT NUMBER
CITY OF PORT ANGELES
D'EPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
TOTAL FEE
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ELECTRICAL PERMIT ONLY
1>24 oJ. !;71!f
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner Gf'r-r2.-i ~~+t/;SI.f1"J
Owner's Address lS 4 tJ ,~m
Day Phone S;;.2. - 6.379
CONT. Lie. NO.
TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
Application is hereby made for Permit to install Electrical Equipment as follows:
/?If) FEE~/Y' ~J--i. .I3,MCf4 {,A/IY"""'.
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PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By {jJ..-fIYlf'io:, G/.-lFeTYIc,
Installers Address ~()/ $D. ./.-fNClJI-IN
Installers Phone t({;7 - S.30!:.
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Wiring Method /!-trNlIS~
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NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR '0 30 CIRCUITS CIR '0 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS ,) ,
, , n' ~ "
DISPOSAL BURGLAR ALARM ~l
MISC, "I ) ,
RANGE
OVEN ,
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WATER HEATER .. .
,
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LAUNDRY ..
DRYER REINSTALLATION LIGHT FIXTURE #;.. '. ,; r .;,~
'.',' ,.
FURNACE SUB TOTAL FEE ' , , '
GAS. OIL fr.! ",
FURNACE ~NERGY FEE "
ELECTRIC BASIC FEE <'l .;; : 1'- " ,
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ELECTRIC HEAT .,- 1
TOTAL FEE ,
ELECTRIC HEAT SIZE OF SERVICESW.IT(?H ()R ~IRC:UIT BREAKER
A,C. UNIT .'.' ,'. . .' .
/~, ....) AMp. , PHASE
FEEDER SIZE OF SERVICE ENTRAN.Ct;;,\F9r~p~CTOF.lS
SERVICE .' AW.G.
''l
I SUB-TOTAL '~', ,,,. , )'" ,,".'
SIZE OF GROUND SI;:::E OF ENtRANCE'6~ITCI:i
I certify that the work to be performed under this permit will be done by the installer and in conformanc~~ w.i.th the, N.E.C: Electrical Code.
Date Application made
q~1'7
,19 'i>~
By
dV 1+tJ-nJ~J5. Y'
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CONTRACTOR OR OWNER (OR AUTHORIZED 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.
DIRECJ'R OF CITY LIGHT
By ~,~ ~u~, I ce;J-
Date Permit Issued ./ PLANS APPR V D
(;.1 1;'1 !fJ Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
~I / I be covered or current turned on before inspection and 0 K. for covering or service has been given by Inspector in
I 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
01 YMPIr. PI=lINTFI=l~ INr.
REPORT OF INSPECJOA
DATE OF VISIT MADE BY REMARKS
1/1- 1- ('- #lfl lft'etJ :I'-<{ W,l<e "'--0 u/dP ou7L-eT
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O.K. FOR COVERING
"1~ :l3~ If) "'1// jJ :'. O.K. TO CONNECT SERVICE
FINAL O.K.
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E L E C T R I C A L
PER M I T
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ADDENDUM
RELEASE OF ELECTRICAL PERMIT TO OTHERS
PERMIT NO. if!:5
I, OLYfJf/( Flce T
Permit Holder
on the above electrical
,
, request release of and inspection
on work done to date and
permit. I assume liability and responsibility
additional work required to pass inspection
for release. I assume no other liability and responsibility on this
electrical permit.
Signed:
(.) 114<<)-,.,., ~, .(jy~{ f-..(.-t't
Passed inspection for release:
Date: 9J /z,J Iff
, ,
/1 ./"'.-:? f) , __
'?/,iJ<'-r ,"":,f.fl.-cJ- <--t-;i
, Electrical Inspector
Date: 1" /' '} - y(
ASSUMPTION OF ELECTRICAL PERMIT BY OTHERS
.
I, (.::'f,'{ ( JDJ..'.f5V""
Permit requester
electrical permit in my name. I assume responsibility and liability
for work to be done on this continuance of the electrical permit from
, request continuance of the above
this date forward.
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Date:
..f (l c:? r'
Accepted: 11 ~.<..i/ (, > )/ -r ,&Jve-;;>f
, lectrical Inspector
Date: ~7, ;..'1, r:~
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Electrical Inspector .check one:
I' !
Extra fee required by/for
,~ No extra fee required.
.
Port Angeles City Light assumes no responsibility or liability for
this electrical permit transfer.
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
REQUEST:
Date p- -- 1'1' (.n
Time /O'-~v /J/YI Received by /17
(PhOne~
Location of Work to be inspected 3,)- Y- t-, ) {, It....
Name of person requesting inspection LJc.fe: tI;//,
Address of person requesting inspection !7() J .s- 0 t? sF Phone No. ~// 7 -- l(f('1Cj
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ t:' /C,,-I-R r
INSPECTION NOTES:
Inspected: Date 1,7 _/L/,O,
Remarks:
Time I.:) ~ v0 rl ;Y\ By 7 / 7
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Gi -, rIJ. .
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br'i?c-(k
(rPCI/fc.J <,,,,t!L
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55/&." d..
RESTORATION REQUIRED . . . . .. YES Y NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC ~ Other
Work Order # Jl)'S,!~" i5'7
o COMPLETE
~ INCOMPLETE
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(Continue on reverse side if necessary}
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