HomeMy WebLinkAbout1623 W 15th St - Building
15'3)
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/CJ 57
PERMIT NUMBER
FEE RECEIPT NUMBER
~~
...-
~~o R€S -
TOTAL FEE '--.
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ,
ELECTRICAL PERMIT QNL Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
/&;'20 N
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
. DAVe. L-tE
4-z:z. E.. L-ofe~
-1-'37- 8")"")0
I ~ , I ~ / S TH
~
Day Phone
Appl[catio.n is hereby made for ~ermit to install Electri~al Equipment as follows:
Zoo AMp.
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
. ">Ie" 4=" , /l
Installation By ,-' F"~e Ie l_oM.\",AU ~
Installers Address -P.O. 1?ox. 14-7 l. 1'. A .
Installers Phone 457- 11 ZO
. er~'DvJCE. Me;!..) Co,k)Sr.
Owner
Owner's Address.
Wiring Method
'.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PER 10'0 100R FEE USE OF CIRCUIT CIRCUITS PER 10'0 100R FEE
CIR 30'0 CIR 30'0
LIGHT SIGN
LIGHT - .. 50 VOLTS
OR LESS
CONVENIENCE .. MOTOR .
CONVENIENCE -. MOTOR
APPLIANCE MOTOR -
DISHWASHER .. .. FIRE AL"RMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRy d. -c-
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 AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
.. .
SERVICE AW.G.
., I SUB-TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
,1987
I certify that' the work to be' performed under this permit will be done by the installer and in co
Da'teAPPli~atiOn made 3> - 1.-1
By
CONTA TOR OR OWNER (OR AUTHORIZED AGENT)
~ermission is hereby given to do th~ a~_ove 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
'i
B~
PLANS APPROVED
.
Date Permit Issued
WARNING
. . _ a
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current,turned 9n 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 PtACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPiC PRINTERS. INC.