HomeMy WebLinkAbout1624 W 14th St - Building
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FEE RE(:EIPT NuMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
. APPLICATION AND ELECTRICAL PERMIT
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'TOTAL FEE
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LEGAL OCCUPANCY
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TIME TO COMPLETE,
NO. ~TORIES
'. EL~~AL PERMIT ONLY
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C RRECT DRESS IS,AESPONSIBllITY OF APPLICANT .\
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o OCCUPANCY OR USE ESTABLlSHED,UNDER THIS PERMIT
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Owner
Owner's A.ddress
Day Phonl9
Application is hereby made for Permit to install Electrical Equipm!3nt as follows:
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Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
. USE OF CIRCUIT CIRCUITS . PER 10 100R FEE USE OF CIRCUIT CIRCUITS PE-R 10 100R FEE
CIA 30 CIA 30
LIGHT 5,- - SIGN
'LIGHT ... 50 VOLTS .
OR lESS
CONVENIENCE :.3 --- . MOTOR
CONVENIENCE - MOTOR
APPLIANCE .3 --- MOTOR
DISHW,l\SHER FIRE ALARMS . ,
DISPOSAL BURGLAR ALARM
-
RANGE I - MISC.
OVEN I ---
WATER HEATER i --
,LAUNDI=tY ~ ....--
DRYER REINSTAllATION LIGHT FIXTURE #
FURNAi:::E SUB TOTAL FEE
GAS-o.IL
FURNACE ~"A 'I., ) ENERGY FEE
ELECTFlIC ' BASIC FEE
ELECTFlIC HEAT .'
TOTAL FEE
ELECTFIIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT '3 ).0 AMP I , PHASE
FEEDEFI SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
.. . I SUB.TOTAL .
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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Date Application made
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I certify that the work to be performed under this permit will be done by the installer and in
/O-;?7 - ,19# B.
.E.C. Electrical Code.
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Date Pel'mit Issued
CONTRACTOR OR OWNER {OR AUTHORIZED AGENT)
. PermJssioCl is_hereby given to do the _abov~ described work, according to the conditions hereon and according to the approved.plans and
s'pecific.ations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. . '. . . \.
. DIRECTOR OF CITY LIGHT ' ,
By ~~~ c:. ~#~.e.-
PLANS APPROVED .
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current tu~ned 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.
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WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD _ Inspector's Report
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PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
OLYMPIC PAINTERS, INC.
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REIPORTOF IN~PECTOR
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DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
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FEE RE;CEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
PERMIT NUMBER
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. ~dg~mLHlt S e. ab~( ~ ~
TOTAL FEE ~' . /5-,. tJd
- .. CONT. LIe. NO". 'tT1ME,TO CqMPLETE N9~ STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address /(.;;;<.<( W. /~rt .
~ ~ORRECT AODA~SS IS RESPONSIBILITY OF APPLlCAN,T
Owner 4/IEN_ D. C!1!!,/S7/~N5EN
Owner's Address /J. D " )( ~9" c.
.y:~7- c; 1'35'
PERMITS WITH WRONG ADDAESSES ARE CANCELLED
Installation By
Installers Address'
Day Phone Installers Phone
Application is hereby made.for~Permit to install Electrical Equipment ,!S follows: 7.6-"":J;);?R.AR 1
yviring Method
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIA
FEE
240V
100A
3"
120V
,,,
UGHT
UGHT -
CONVE:NIENCE
CONVENIENCE -
APPlIi\NCE .
DtSHWASHE~
DISPOSAL
. RANGE::
OVEN
WATEfl HEATER
LAUNDRY
DRYEFI
FURNACE
GAS-OIL
FURNACE
ELECTRIC .
ELECTRIC HE.AT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
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I SUB-TOTAL
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIA
FEE
240V
100R
3"
120V
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SIGN
50 VOLTS
OR LESS
MOTOR
MOTOR
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MOTOR
FI'J>
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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.
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
I certitl' that the work to be performed unde~his permit will be done by the insteller and in conformanc~h the .~.c. ,!'I~rical ~de..
Date Application made :]"'-\\...( ...).:::, J~ ,191<; Y. BY~~,~ ,-
. 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.
DIRECTOR OF CITY LIGHT
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Date P(lrmit Issued
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Notify Department of City Light by Street Ad ess and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspe tion 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 _
I WARNING
OLYMPIC PRINTERS. INC.
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
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DATEOFVISIT MADE BY REMARKS ,
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7 - J-b-jIl ~ O.K. TO CONNECT SERVICE
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FINAL O.K. -,
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REPORT OF INSPECTOR
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