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HomeMy WebLinkAbout2104 W 12th St - Building ~ O~~ FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A (f)(OtA:fJ~r PERMIT NUMBER . TOTAL FEE &<J '00 -~c ~ Is' .."'" ..:. ( )'. ,../ , \)'"'. - \. C', , r-'. CONT;,LlC..:"!O.,,, T!~ETOCOMPlETE . NO_~TORJES NO OCCUPANCY OR USE EST~BLlSHED UNDER THIS PERMIT LEGAL OCCUPANCY - . ELECTRICAL .~~ONlY Site Address ;:2/0 sf 0, /-2 __ "1'... r C~R~EC_T ~DDRESS IS RE~PO~SIBILlTY O.F APP~ICANT Owner -.JU/I\iV H A-Alf..<( Owner's Address S~' .. Day Phone Appllcation is hereby Installation By Installers Address PERMITS WITH WRONG ADDRESSES ARE CANCELLED (): {~ ~detof Perm.it 19 install Electrical Equipment as follows: t t!U)VVL - Installers Phone ~.~ ~"'.x /;r ,.Hf'/&P1J . . . / m Wiring Method - , - /'" NUMBER AMP 120V 240V - NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS 'PER 10 100R V/EE USE OF CIRCUIT CIRCUITS PER 10 100A FEE CIR 30 CIR 30 LIGHT a r_q11 SIGN liGHT I /oLV I'-' .~ 50 VOLTS OR LESS CONVENIENCE / ao , . MOTOR CONVENIENCE MOTOR APPLIANCE .. . MOTOR DISH\oVASHEA . FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY - DRYER REINSTALLATION'UGHT FIXTURE # FURNACE . - 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 SER~~NCE CONDUCTORS SERVICE 6 ~ "----. AW.G. . I SUB-TOTAL tr ~) SI~E OF ~ND - "- / , SIZE OF ENTRAN~ITCH j - -,~ I .~. I certify that the work to be performed under this permit will be done by the installer and' ", 6'~.f? - gr rmance with the N.E.C. Electrical Code. Date Application made ,19 By CONTRACTOR OR OWNER (OR AUT RIlED AGENT) Permisslon 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 Ange~s. \ , ,.... \ -"1 \. . '\ - By - ~ AJRECTOR OF CIT~'~IGH'T~ . ~'j . \: Date Permit Issued P - '10- f? C/ Zd3- Q J () r PLANS APPRDVED . / "" I WARNING 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. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - ~,\P'CPR'NTERS.'NC. WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report ~ REPORT OF INSPECTOR l DATE OF VISIT MADE BY REMARKS 71-7 -({Y 1t42-- . /:. .PlY - 0-' /' L- , 'Sh..' W.P<-/ --..v: 1.Ut UJm "'. ~ ,. -1 (/ t/ " IIJ, J ,?t-.L, iiI fi/::J-= O.K. FOR COVERING ',t- J..]-;/t.L '/I{ fl O.K. TO CONNECT SERVICE tJ-."I-J-'H 11J)J FINAL O.K. . z c:J II: <C ::liE !!1 :r. I- Z w l- . I- o Z o C .. ~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nl! 16784 ~ - :2 c; :>7' Port Angeles. Washlngton__m.mmm..m__......m.m..m...............m.m. 19000";-' 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 work as listed below. Address .____r::;.!..??m?!..._4r.:.l.~__t:/.__n____.nn.n_..__n___. Occupancy___._____--:L,f:m<..-"~----..-.--m..-- Owner ~Ww.~;;...~.;;~--...--.<:~J1Tenant..---mmmm------...-n-----.------.---m---.m.m__.........__ Wiring ~.~:~:~~~~.:_:..7.t;~d!K'!:._!1dmt;.~~T.~.____m. By...____m.m..mm.mm__.mm.m.___m_.....m.______.__.. Light OUtlet8.__________t.::s.:::,,~~..____.. Servlce, volts ../.;;;':?!./:/..f!.:4.--- Type 01 Wiring: Receptacle Outlets....~.:?................. No. wIres ..m..?.~................_..::::' Armored Cable ..n........................_ . C .t././cJ ~?/ Dryer, KW......_......:...__.n......n............ Size wires.....-.:<<._......................_.. Range, KW ___.nn/.C<~__n_.____n____ Main luse ------~t!.-/1.--..----- Water Heater: ____ 'Enclosure ..~............................ KWn-----.Yr..n~J7-----_--,Jj Heat KW_____.hh~h?...(/{-orhl.o._ Type of wIring: Entrance Cable .__...... Motors: size, volts and phase: 1/11 -. ..r....~.-..h.-....................... Rigid Conduit ........_............ Metalllc Tubing ...~............... Current tTanstormers;~ No. & Size......_.....;~.:.....___..... Ser. No..................,..___....................... Ser. No. ............................................. Ser. No.................__..__....................... Non-Metallic ............_..................._ Knob & Tube......................_n.......~ RIgid Conduit ._________h____________.___.n Metallie Tubing ........................._. Raceway ........C.................--...- Circuits, LighLj::_....__.......n............._.. ~ :~ti ty ..~~~~~~::~~:=~:::~:~::::::::~:~::~~ "'1 Range ......~.':.;..................._............ Water Heater ....;(,.................... Motor _._.....................n___.............. Dryer .........~~..h__.U....................__ Furnace ...........................,_......_........... Total Load............................. Ser. No............_....._.......................... Total ._<7...r.:.n................... Remarks: ___..._____,~~,~__r.=:=~~_____n_C~::!...,,--.,""'..~---c.:------m--...m--------...m----.m......:....__.__....__mmm t ;~.'. -;~~;ii~--------.mn-.m.m----.;~~:~.n;~~~;~~m.--.m----.--n---.----m----fi!rz.Jl~;tm.m.~zm... $.~m......m__m.m.mm__ NO.__.............__m....m. By -7fm__...__m.mmm____-"-m.~~e:...,!.-t!.'7!..~_- NOTICE-Current must not be turned on until Certificate ot Inspeetion has been issued. It work is to be con. eealed due notice must be given the Inspector so that work may be inspected betore concealment. - ,- -- ELECTRICAL PERMIT L., N? 16784 Address................_................................._.................................................___.........__.....................Date..._......_.._.._.._.........._......_...______....._ .. . . ~ Owner ..................................._.....n..._......_......_.._................._n....._................................. Tenant........................................_.......................__.. Wiring Contractor........................uu.._...............";............._...............................__............................ By............._................................................ / NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- p'1 eealed due notlee must be gIven the Inspector so that work may be inspeeted before coneealment. '. \ 1M 0IY';:;" "'inl.,.. Ino.