HomeMy WebLinkAbout1735 W 15th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES ',. '
DEPARTM'ENT OF LIGHT'
APPLICATION AND ELECTRICAL PERMIT
A
j'7-'/
PERMIT NUMBER
.
, .. .JAY8/:IJ~11 "
TOTAL FEE a.()t 00. .' ~
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
Site Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT
---
CORRECT ADDRESS IS RESPONSIBILITY OF APPlICAN PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owne; /. .13,R. 'CtlAL<;/'Ai'c.7i..,J Installation By .JAYI3i1lD &J./E.",iIUc-
Owner's Address ;?~ I/) 7;.( Ii/A I Pt1/rr Alii C,1.6..5 Installers Address [>, t1.' [>,d'lt c,t, J~'Ic-e.) tJ.l4sl/:'lrs
Oay Phone t.j.t' A-,ll '2. 2-. Installers Phone q2.IJ.- .'II) 6 '/ .
Applicationj~ h~~eby made for Permit to install Electrical Equipmetlt as t.allows: .A 0" AM P d& /J. < ~A i/lc.,z
c:.. A /T~~ i '7. K. '''''" DH,:jlthHHr./L I A Ah'e, / /..f/~T~"_ #/t,,!I/Z./L, DA '/IZIZ. ,- ;:fA 1",,'.>,-12 J
'711r-4,r C-i/J..,. /1,75. ptlA. Nt:j1./ Ill;. </Od.N<.#' Wiring Method IIIN'1-B
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NUMBER AMP 120V. ~~V NUMBER AMP 120V 240V
USE OF CIRCUlr PER OR FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT -( ,.: H.JJ/J SIGN
. 50 VOLTS . .
LIGHT OR LESS
.. MOTOR . .
CONVENIENCE
.CONVENIENCE - MOTOR '.
A~PlIANCE /tH, . 2' AP I..M" MOTOR
DISHWASHER " . ?t> J 70fil FIRE ALARMS
DISPOSAL' BURGLAR ALARM 1
RANGE I -~'p ANd MISC.
.
OVEN ,;IAc;nr..-1L J :)tJ I Aeol
. 'Udtl 13 A. TII !, ,~
WATER HEATER j 10 ? i Zt'if
LAUNDRY .. '20 J 17c tl I.u.....-,.-. .., , .
/
DRYER i ,,/1 i"~v REINSTALLATION LIGHT FIXTURE # .
FURNACE - SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC .
BASIC FEE
ELECTRIC HEAT .2 -:10" A 'lIt! .. .
... TOTAL FEE
ELECTRIC HEAT I . 1.111 JI'IJJtl SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT 'letJ AMP III PHASE
.
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
.. ;l tlI A L/;;' /.I/" =<'h AL
SERVICE I AW.G.
. I SUB.TOTAL .. SIZ~ O~ cfuou'No'Jr.'-;t", ~ tF ENTRAN';E SWI~CH'.:l Od AA P.
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. lectrical Code.
Date Application made
MAY
9
,19 S."
NTRACTOR OR OWNER (O.R AUTHORIZED AGENT)
PermisSion is hereby given to do the above described work, according to the conditio reon and according to the approved plans and
specifications p~ertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. ".) _ _ \.'
, . . ." ~IZ~IT;Y,.LIGHT \.
Date Permit I~sued --- ~&NS APPROVED ' t- ~7. -.: . ~ ~ . .
. S;??y 9;/9 J-:S NotIfy Department of City light by Street Address and Permit Numberwhen read; for inspectIon. Work must not
be covered or current turned on before Inspection and O.K. for~coverlng or service has been given by Inspector In
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
~
OLYMPIC PRINTERS, INC.
...
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
, . .. . . .
$-1[/- to> /) 1/-2 O.K. FOR COVERING
S-/if-t'S /Ii ry.JJ O.K. TO CONNECT SERVICE
/0- '1- <(S- IJlli FINAL O.K.
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT'
APPLICATION AND ELECTRICAL PERMIT
A
000235
PERMIT f'!UMBER
. TOTAL FEE
j.,b
~,e
6'1.w/let\
o tvI e.
Site Address
CONT. Lie. NO. TIMETO COMPLETE NO. STORIES lEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT l7 3..s-
6' 7-'
N5IBM.ITY OF APPLICANT PERMITS WITH WONG AD RESSES ARE CANCELLED
Installation By
Installers Address
Owner
Owner's Address lc..,..-.
If- t::;z...::.- /OZ;: :z..-.
Day Phone Installers Phone
Appllcat.ion 15 hereby made}or_P~rmit to in~taIJ_E.lectrical Equipment as follows: reM f D
F'oweR.,
Wiring Method
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
10
240V
100R
30
FEE
USE OF C"IACUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
10
240V
100A
30
FEE
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE
APPLIANCE. , ,
D!SHWASHER
OI~POSAL
. RANGE
OVEN
WATER HEATER
.
. .
SIGN
50 VOLTS
OR LESS
MOTOR" . .
DRYER
FURNACE
GAS-- OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
.
'"
~'
~\\\~~S<Y
0.\.'; ~
A\~ \\\ \)
/')',0\~V
"\\ \0
\) v
..A.l'
MOTOR ~ "
MO~~ \VA\ \)
~E:,\> ,,,-v
A ARM
LAUNDRY
REINSTALLATION LIGHT FIXTURE #
SUB :rOT AL FEE
ELECTRIC HEAT
ENERGY FEE
BASIC FEE
TOTAL FEE ::J-..L.o-o
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A,C. UNIT
FEEDER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
SERVICE ' / eN! ()o 5e ((V/(,(" :1.t. 00 ~ AWG.
- -.. SUB-TOTAL .u~ OD SIZE OF GROUND SIZE OF ENTRA~Cf SJrtH
I' certify that the w~rk to be performe,~ under this permit will be done by the installer end in 'rE r w~(i,0".c' Electrical Code.
Date Application made 3/2 7 ,1gZ'5 By .A --
. . . - C~TRACTOR OR OWNe! (OR AUTHORIZED AGENT)
Permission is ~ereby 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. I
/ L 'r- '-!-<(r- . BY' /i1~. /' T~CITY LIGHT;
., PLA~ .~,
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Date Permit Issued
- r
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 _
WHITE - OrigInal CANARY - Duplicate PINK. TrIplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTEAS.INC.
:.;1'
REPORT OF INSPECTOR
.~\\\)
DATE OF VISIT MADE BY REMARKS
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'I-cr- n-\ O.K. FOR COVERING '.
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'(- 1- <(/> ?,If/jI,)j, "
O.K. TO CONNECT SERVICE "
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11/-_ r- 5':> I) , '9 FINAL O.K. " \ \ \
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