HomeMy WebLinkAbout811 W 10th St - Building
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~EE RECEIPT NUMBER
. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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~ .flo 'I~!.f .u J At$$. .
TOTAL FEE .,30 tie! .' , I
CONT. Lie. NO. TIMETOCOMPLETE NO. STOAIES LEGAL OCCUPANCY
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CORRECT ADDRESS IS A SPONS1BILlTY OF APPLIC NT
Owner ~ ,8. IL GtM/,
Owner's Address '.::J:l J Q . &~ /1/11 . p, A.
'1.'52 -12 3~ '
ELECTRICAL PERMIT ONLY
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Sit-e Address
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PERMITS WIT WAD G ..;tlORESSES ARE CANCELLED
Installation By J;4 y /)/!t.D If~ i:.L.rIUe:..
Installers Address Ad. /!;()j( "" ,-nJy~~ J iVA-'lI.
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Day Phone Installers Phone
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ApplJca~ion is hereby made for Permit to install Electrical Equipment as follows: !)!J_~
Wiring Meth?d "'itA. B
.
NUMBER AMP ~ ~. NUMBER AMP 120V 240V
USE OF CIRCUIT - CIRCUITS PER 1 R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 C'R 30
LIGHT < I~ 1/ SIGN
LlGHf 50 VOLTS
OR LESS
. -
CONVENIENCE MOTOR
CONVENIENCE MOTOR - .
APPLIANCE K,'t.' :1. '}f) ~ MOTOR
DISHWASHER . , I . ;Jt) Y fiRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE , <0 7 M'SC,
OVEN P A lte..7/!/i I ~~ ,/'
WATER HEATER / .1(J 7'
LAUNDRY I 2P V' ..
I
DRYER I If) . 1/'" REINSTALLATION LlGH-r: FIXTURE #
FURNACE SUB TOTAL FEE
GAS-- OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT .:} 'l{) ./
TOTAL FEE
ELECTRIC HEAT I 20 7 SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ?OO AMP I~ PHASE
-
FEEDER . SIZE OF SERVICE ENTRANCE CONDUCTORS
- J./ J, II/, ~/" ~/';!{./)
SERVICE AW.G.
I SUB-tOTAL . SIZE OF GROUNO--' SIZE OF ENTRANCE SWIT~H 1/1J!1 14"'"
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. Elec ical Code.
Date Application made
MA-l
:;l<;{
,19 -g"
By
D.
.
ON CTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions. hereon and according tothe approved pians and
specifications pertaining thereto, subject to compliance with the Ordinances.of the City of Port Ange'tes;.... : \'. ':'. .\\,.......\
DIRECTOR Oif CIIY LIGHT ~: ~c \~, \~,
722 ~-'"~)''' \"\ \",..
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Date Perm"! Issued By 0-, '- ~., " \.
PLANS PPROVED ' . , \ ~
Notify Departmen.t of City light by Street Address and Permit Number when ready fo; i~spect;on:Work must not
be cov_ered or _current turnep 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.
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
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I"lil;'/. 1/) I- O.K. FOR COVERING
/fJ'J.;j ft 1 A /IJ1j O.K. TO CONNECT SERVICE
q 2'>'/rt: ill /6'-- t r, . FINAL O.K.
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL F!ERMIT
A
SR~
PER IT NUMBER
.
. .rA Y?-iff
"~ J ,BIA, I n P
TOTAL FEE " 'l/;.M ,"
It CONT, lIC. NO. TIME ro COMPLETE NO. STORIES LEGAL OCCUPANCY
"
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE
.APPLIANCE
DISf-!WASHER
DISPOSAL
.' RANGE
OVEN
WATER HEATER
'LAUNDRY .
DRYER
FURNACE
GAS - OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
-
Site Address 4. II oj ,YO J;.b- ,
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner / i {l,. Po, t';,,'N erA ,J,. :;-;,,' '" Installation By ,r-A '{ A Iii /)' ~ 'if.t:. illlG-
Owner's Address ! 7 Ft'J !" i ;NI/ I P..I}- " Installers Address P,t? t>.,' X' If; t ' 'J'O'/{;L:;, i(/A.># C;'<~'/.J
Day Phone i./':.J -/) '~':> ' ',,: Installers Phone L/:J(<, -J';>~ 1
Application i::; ~ereby mad,e for Permit to il'\.Sta~I'.~!eC~rj.?al;~pment as follows:-.:, All:/.' J A Jf.~. -r t:: M P.
-.....,! , . '. I . I '^>
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. . '-.:.:..1,: /~. (t /> T
'-/ . I-:::~ / /" ,,",
"Vf(' ',' 11. NUMBEA
Fb( r /USE OF eipCUIT CIRCUITS
'f//~I,I /)
51<\...., / /// II) ~
~""VLc;,~W///I. ))
'<If.'." ::; //
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.Wiring Method
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
120V
'"
240V
100R
30
AMP
PEA
CIA
120V
10
240V
100R
30
FEE
MOTOR
MOTOR
MOTOR
FIAE ALAAMS
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 GAOUND '"f$t,;
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. Electrical Code.
ttn.I,
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,19 (?(,
Date Application made
.
By CA;
~ TRACTOR OR OWNER (OR AUTHORizED AGEN-n~ +
i"- --'iV' " .' ,I, ,..
Permission il? ~ere~y,given to do the. above described work, accordli1g to the conditions hereon and accor9iQ9 to the'approve'd 'plansa.nd
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. . \
By . . L ~IRE~ OF :; LIGHT
Date Permit Issued ~./. ~ ~
PLAN APPR VED -' , ,
~/ ~/~',/P' Notify Department-of City Light by Street' Address and Permit Nu~ber when ;e~dY .!~r inspection. Work/must not
_ be covered or current turned on b_efors inspection and O:K. for,covering or serviceihas been given'by Inspector in
I I Writing on Permit Placard, A,. Permits Phone: 457'0411 Ex!. 158, .c' : .'
. 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
,
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7 I ' I IV O.K. FOR COVERING
a.K.10 CONNECT SERVICE
. . FINAL O.K.
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