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HomeMy WebLinkAbout1016 W 6th St - Building /T3r FEE RECEIPT NUMBER . TOTAL FEE CITY OF PORT ANGELES DEPARTMENT OF LIGHT _ APPLICATION AND ELECTRICAL PERMIT &:c;r PERMIT NUMBER A .. //0-0 f:;? CO NT. ue. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT DNL Y Site Address / () I G l.v 6 '1'4 CORRECT ADDRESS 15 RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSeS ARE CANCELLED Owner 0.(;-, ~-tN'dl ;c/' (' Installation By f/ ~.^.4,,'c;;,-~ ('or S{-- Owner'sAddresJ /1 \'-v 1/ h (<II. Installers Address 41[;(0 S C"'. Day Phone II 5':;; '~;;:S'3 Installers Phone '--/5;;) -sss I Application is hereby made for Permit to install Electrical Equipf)1ent as follows: NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT USE OF CIRCUIT LIGHT LIGHT CONVENIENCE - CONVENIENCE APPLIANCE D!SHWASHER DISPOSAL . RANGE OVEN WATER HEATER LAUNDRY DRYER FURNACE . GAS - OIL FURNACE ELECTRIC elECTRIC HEAT ELECTRIC HEAT A.C. UNIT FEEDER SERVICE M "~,-., 'I ~~~~~~ \tQ \~v .Pff Jfcc _. \ ~W U .l\.~ U '--' " .....---, Wiring Method 1 - . I~ l'UMBER AMP 120V- IRC 1:- ~CUITS PER 1 0 J t..-_ CIR FEE' ;.,..... Mt 240V 100R 30 SIGN "50 VOLTS OR LESS MOTOR MOTOR MOTOR FIRE ALARMS BURGLAR ALARM MISC. . REINSTALLATION LIGHT FIXTURE # SUB TOTAL FEE ENERGY FEE BASIC FEE TOTAL FEE SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP SIZE OF SERVICE ENTRANCE CONDUCTORS PHASE A.W.G. I SUB- TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH By I certify that the work to be performed under this permit will be done by the installer and In conform DateApplication made 7/:;J,.3, ,19 ,9(- CONTRACTOR oR" WNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above ~~scribed 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. . . .-1 (, -; h / .' - 01 ECf.? O,F. Z'l.IGHT Date Permit Issued /1. ~./ I /"..h 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 giv.en 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 _ 9lY~PI~~R.~NTERS,~_C_. _ _ _ __ WHITE. OrIgInal CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report " DATE OF VISIT . loh) q ~ . MADE BY 1\ \~ , I V REPORT OF INSPECTOR REMARKS r "--..< 1"1" " ~, .. I I 1_ I'!" I ! I { ""' \ II r \l {. ~ i ! ,-.. . IT', .......... t I . ~ J t -, ~ , , ~u"-rmUil . O.K. TO CONNECT SERVICE F~ . I V '5(WLJ c/O 'I I . ii I" z Cl II: c( ::!! !!.! :I: ~ Z . ~ o z o c . . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N9 15635 1- ;;J? 'j /' Port Angeles, Washington.._________.___.___._.._______.___..___..______m....n.___, 19::.___f:? 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 gork as listed below. /O/J, vrr;d ? ~::::s..:::.;2(~:~;=::::?!~~::::Z:~:::::::::~:~:::::::::::::.---;::~:~:::.__~::~~:.~~.~:::=:::~::::::::::::::::::::::::::::::::::: Wiring Contractor n___.___1:2::.~:.:7.~n::\,;:n...n___n___.m.____nn___ By__.nn_______________.___.___m___.___nm_mn_n._n_n_m.__n Light Outlet....._______....____________________.___.. Servlce, volts ..;ft!.tj(:.~-?r.--'?.... Type of Wiring: -" - No. wires .....:.::._....._......................_ r Size wires._................................._.. Main fuse _____:?,'2/i..______________... !:: Enclosure h...................n_.....n.....n. Receptacle Outlets.........n_..n..__..__..._... Dryer, KW nn..._..............__....__._.._.. Range, KW n__nn..h........_u.nn. Water Heater: KW..._........____...... Type of wiring: Entrance Cable mmnn Heat: KW.......n...._....nnn_...nn_n...n....__ Motors: size, volts and phase: Rigid Conduit ........h_._._.....m........ Metalltc Tubing _____h..u....._.......... Current transformers: No. & Size....................................... Ser. NO............nn.....n....................... Ser. NO..n_n._nnnn_._........n.........__.n... Ser. NO............._....................h.........n Armored Cable ................00.......00... Non.MetalIlc ___________.______.__.___.___.... Knob & Tube.........n..m.n.__.__m...... RIgid Conduit _____.________._______...._____ Metallic Tubing ............m_..n.._.... Raceway ________.._...................._......._ Circuits, LlghL........___....___..___....h..._.... Utility .._.00000000................................_ J.Jeat n__________..........................._...... Range ..........................._....___._________ Water Heater mm_h_m.................. Motor .................._....._00._00.00._......... Dryer..........._._____..._._..__...................... Furnace _.00..._....00._.........._....._...00........ Total Loadh.......n.nnnnnnn_.. Ser. NO.......h.........____.._...n.h_.n..nnn Total 0000..000000.000000..__................ ~:=:~~~~---:::=L~~=:~::::::!::::::i~~:~~~::\:9:::::::::::::=::::::::::::::::::::::::::::::::::::::::::::::::::::: Permit Fee Treas. Receipt NO.n__....n......n__......__ By n..9/~fl..L~.~.~.~~~~ $.n__....m.______n________.___.__" NOTICE-Current must not be turned on until Certificate 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15635 Address............................._______..........._...n................................................................___...._._.___.....Date..._....__...._..__._......._.._......_._...__.__...... Owner n......nu....hnnnn_...nn.__...n_.._......__._..._n_.n........................_....00.....00__.....00..0000__. Tenant......unnn...nn...u...._.n___n.n_......................... Wiring Contractor ....._....................__.___..........................._......................_......__..__.___..______._____.._.___. By......_...____._..__..__._....._.._......_....__...._....__... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that 'Work may be Inspected before concealment.