HomeMy WebLinkAbout1723 W 15th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
.APPLlCATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
~ FEEREC~'PTN~MBER
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TOTAL FEE
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30" ,,?
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CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OC.cUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address I 'J s) :J. tU. 1.51- II P IJ ;
. CORRECT AODR~SS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ". It ~ ~"'/~;~tI& ~~~ Installation By JA'II3/1? b J"~J.&L-Ylh L-
Owner's ~dd(eSs ? 2 .' ~ ' PiJ, 'Instaliers Address Po C). 13 ()" 6 (, :rd Y,-,z.; lJ.I/I..5I/.
Day Phone l/ ~ 2 - 1'2 '1 ~ " InstaliersPhone q 2 g -. '?? t, q ,
Appiication i~ hereby made for Permit to Instali Electrical Equipment as follows: c.." M f> ~ Ere.... H'U)~
Wiring Method }( M -13
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
. USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT .5 /j V SIGN
LIGHT . - . - 50 VOLTS
OR lESS
MOTOR ..
CONVENIENCE
CONVENIENCE MOTOR -
APPLIANCE '1 '70 .J/' MOTOR
.DISHWASHER . .. I 10 V FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE J sO ,/ MISC.
OVEN RJ. r II- 2- I...:! ,/
WATER HEATER J .3(> t/ 1:;.4r".... ,/2 I 2d ./
LAUNDRY i 20 V
DRYER I 3cJ I/" REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE -
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC .
,,/ BASIC FEE
ELECTRIC HEAT '1 "7CJ ::":dy' (';) 0
TOTAL FEE
ELECTRIC HEAT J 30 ;/'" SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT '1>fJO AMP / pi PHASE
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FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE " (J'), t/ q)/ ""4 . ~. A.W.G.
I SUB-TOTAL ;,z~ OF GROlfN~t.#4 SIZE OF ENTRANCE SWITCH .~, Juv1
. t?ate Permit Issued
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I WARNING I
I certify that the work tobe performed under"this permit will be done by the installer and in con rmance Wit~th.e N.E.C. ~.Ie Ical Code.
Date Application made N I)/)'ii. /$ ,19 <<( By D
;6.CTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions er nand according to the approved plans and
specifications pertaining thereto~ subject to compliance with the Ordinances of the City of Port Angeles~ .
..--;->. DIRECTOR OF CIT~ LIGHT, _ ,""
By -'/::;J1",~t'./)_t!'v-;~1'/; j!n' :'..
PLANS APPROVED .. - .\ ,: \ r', ....~.\ -', ..... ~
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Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not'
be cov~red or current turoed 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. Orj~lnal CANARY. Duplicate PINK" Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
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REPORT OF-INSPECTOR
DATEOFVISIT MADE BY REMARKS
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LJ ~1 IA5- --JJ1 O.K. FOR COVERING .'
_.~ 71 /R,- 74J, O,K. TO CONNECT SERVICE
~(117Ht; , Jf, ///1 FINAL O.K.
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ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY:
Date Roc.:
Permit#: -:7/C:::~
Date Approved: ~ 2:
Os'" bsued: 1'1/7/ 'tWO
The Electrical Permit Application musl bejUled oul completely.
Please type or print in ink. Uyou bave any questions, please call (360) 417-4735
Fax number: (360) 417-4711
Applicant and/or Agent:-5TR II i IS EJeCM.j{'~Phone: tf.s-Z -"Ilo<jFax. # '1S7-~1o 9tF
Property. Owner:
Address:
Phone:
City:
License #:
City:
Exp:
Zip:
Phone:
Zip:
Contractor
Address:
Credit Card Holder Name: ~C; IR~ 1 T ~ E-./ GC.'Ir< iL /
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Billing Address: P. O. .8 Ox .:2. 91,/
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( b-O'€-I)
ZONING
Subdivision:
TYPE OF WORK:
o Residential 0 Multi-family 0 Commercial 0 Mobile Home
Electrical Permit fees, are based on WAC 296-46-910
BRIEF DESCRIPTION OF THE PROJECT:
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Wi/!..E ~E-
Electrical Heat Load Additions
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
KW
KW
:KW
_'KW
o Riser
o Overbead Service
o Temp Service
o Underground Service
Comments:
Voltage:
Phase: 0 1 0 3
Service Size:_
Feeder Size:
/ ".",by certlflthall haw n:ad and examined Ihb appllea/lan an4/ma
Jor this ~Imlr. I und.~ra1fd If Is nor rhe Clry'l'egal rupolUlblll/y ~ Mre
rerponslblllry /0 ,de/ermine 'oIirarpermllt an: reglllred and fa Db/at 'lIr:h.
PW-IIDU) [f0Y3/.00)
I /fIlI and eamef, and I am aufhorlJ,d ra apply
J'frmlfl are N'lu/relf; (1,../I1QlfII/he applican/~
Date: bf <.f 100