HomeMy WebLinkAbout737 W 9th St - Building
~
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
..L
-.
(;1)'7
FEE RECEIPT NUMBER
A-1WU1G9
PERMIT NUMBER
.
JO, diU OC,.),VOZ 'V- ! / /loNI e..
TOTAL FEE
CONT. Lie, NO TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
Site Address
ELECTRICA_L PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
t 9:.7:6. J ::P 0'- T'
'-\.-
- Q -/
CORRECT ADDRESS IS AESPONSIBll1TY OF APPLICANT PERMITS WITH WRON ADORESSE AR:.- CANCELLED //1
Owner LC1.......rv I~"""(":.; \""~.J"C{L Installation By ,p;J// _:J, (-1..;1..Le~,
( ~ /
Owner's Address '7 '?7(.J~ ,1- 9~ ,,,J- Installers Address (I q P '?JJA'- ~&1-<-<.--r ,:;:pd
Day Phone ?'~- 7 - ~ - 7 '7 '7 I nstallers Phone .y '5 - 7 '- V 7 /1'" cJ
Application is hereby made for Permit to install Electrical Equipment as follows: I N <: r A- Le :2 CO fl Nt. P
)'ef?r/i(-('
;::, C"f?~ Fat<..
Fu Tu 1\ e:
1()/f'cJ
/Ie A T-
Wiring Method
flf7~
.
NUMBER AMP 12QV 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
, CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE 1/
FURNACE SUB TOTAL FEE
GAS-OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ElECTRIC HEAT ;'? 6
TOTAL FEE 0-0
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ,;;J, 010 AMP I PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE I ,;1. II rv . V It,c.c 3/0 C c(';Je P- lie (' 0,01'('1{, AW.G.
I SUB-TOTAL ,J~,C<) SIZE OF GROUND SIZE OF ENTRANCE SWITCH 2(JC
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. Electrical Code.
Date Application made
A~
/)
,19rr By
. Date Permit Issued
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.
)____ 13 __ Y) By /Yl ~~Jr:J9::fl.ITY LIGHT
PLANSA~ ~ ~
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
.....
DATEOFVISIT
).,-/) -'T':>
. -.' ;Z
5-
.Ys-
't-( 6" v r;
1
'.
;
.
"
)
,
I "
'6
~ ..
"
llO
Ii
,l
t ~
I,
"
, "
.4EPORT OF INSP~CTOR
MADE BY
REMARKS
5/1,.,1 P DEPOSIT
to Mailing Address - AMOUNT
The undersigned hereby makes application to the City of Port Angeles for Utility Service subject to the terms and conditions
of applicable City Ordinances which are hereby agreed to and are made a part of this application.
.!l
8
, 'C
r'. .!l
!i "
0.
.; E
Z. 8
" ~ ~
I ~ " "
- 'C
" '5
, ,)1
\':', , ,
~
?'/'( !/.:o'IS
tY'evJ
5'Tif'L€
/-1 () <15 e
,f.
'i'-
tJJ1-T.
o Of.,(Ts,
" Cl-
111. ;g
IV c
AtVl".rTAPle- /1/
~ (..(5 <...
1./
/It'lf' rJ~, ,1,fe SflLL u/~R '7'(& <::IN
,-.'....~J
'~.,;~'",.,! , LIGHT ID
TURN ON WATER 0
!,l/Rf"tI5R<217l,llrA
NAME
Date
)
LIGHT 0
SHUT OFF WATER 0
v
/\'- 1\
7?7- tJ 9r/..
ADDRESS
ACCT. NUMBER
NEW APPLICANTS:
.:). \ - :' . /// '
EMPLOYER
I ", ~> /1
At!. ('c"'! <':( '-'r
ADDRESS ?-
.fc,<illc<: 'J]. ~~
, 11,eL
i A jf f/. '/ /"J., R p f -,- h u J..
-", "
IILr<:/~ tV
PHONE NO.
f-!r7-;- 777
OWN
o
PROPERTY OWNERS NAME
o
RENT
PREVIOUS RESIDENCE
SIGNATURE
ADDRESS CITY, STATE J
APPLICANT ACKNOWLEDGES RECEIPT OF A COpy OF "CITY OF PORT ANGELES - GE-NEF' I,
INFORMATION RESIDENTIAL UTILITY SERVICE", , '.
,y 4, ,? /' ," / r- .r"S"'
x-~a_</!_, /')Arl /~~_....~ Date ~,- ;J ': ')/'1
/' /.-
OLY"'PIC PRINTERS, INC.
,
I
O.K. FOR COVERING
., /- /
O.K. TO CONNECT SERVICE
FINAL O.K.
.
.8'1
z
Cl
II:
<
~
Vl
J:
I-
.z
-
I-
o
Z
iO
'0
,
I ~
j, I
I"
I
I
.