HomeMy WebLinkAbout530 W 15th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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FEE RECEIPT NUMBER
A
00030,1
PERMIT NUMBER
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JiO, <>0 p:l<!.~fn3'1oI31 ( -z:;7 H.oNJ€
TOTAL FEE
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT Q!tlfl NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address , "'3D LU /tJ~
!J CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner f3 ~ i1 Y / "?JJo f 7 k u. ., Instaliation By f;: L.ee-II(.' c S'el(. Vt ce IN C-
Owner's Address Installers Address If (1f /II( r I" L e-II 5 A /<fir If [)
DayPhone (Jdu [(Nr1l!.d tl:f7- br;-I..s' Installers Phone i-fs7-S0(O
r f(otY!e tfS7- 6S7
Application is hereby made for Permit to inst II Electrical Equipment as follows:
1(1t1'/?e t. ('DO j( lfs-7- '!:t.fSr;-
Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER '0 100R FEE USE OF CIRCUIT CIRCUITS PER '0 112JDR 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 #
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 -1. CD AMP I PHASE
FEEDER ^' SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE '}-JJO 50 A.W.G.
I SUB-TOTAL iO"'-- SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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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.
,19<{s-' By~ftf ~'1A e A .-/
CONTRACTOR OR OWNER (OR AUTHOAjZ~ENT)
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. .
. DIR~R OF CITY LIGHT
~CANSAP22<< .~~
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 Ex!. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
Date Application made
s,-- 30
Date Permit Issued
S-]o-t(5
WARNING I
WHilE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
OLYMPIC PAINTERS, INC.
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REPORT OF INSPECTOR
OATEOFVI$lT MADE BY REMARKS
)_]0-$') /?/f7J S 16/'ICtJ 6y /ytJr CN'tJc/ rf-j I/o N f'
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s- ;1- 8') /!lid' O.K. FOR COVERING
s- ;1- rJ 1(/~ O.K. TO CONNECT SERVICE
{r ( - (5" 1/~ FINA.L O.K.
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