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HomeMy WebLinkAbout2421 W 18th St - Building !/0Z FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A Rc:,o PERMIT NUMBER . TOTAL FEE Z foQ9. CONT. Lie. NO. TIME TQGQMPLETE NO. SlORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT SiteAddressZAZ-J W. /817-/ 6.. P. A, CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED T<t::JP-:>6J2T k.!?,OIUM Owner's Address SA. M e. 457- 0523 Installation By Installers Address OWH~ ~AME; :5AME:. GI K2 CLtI T tJ, SE.P€RA~ Owner f1/l G T6~ TO 'SHOp Wiring Method . NUMBER AMP 12QV 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PEA 10 100A FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE CIA 30 CIA 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAA ALARM RANGE MISC. OVEN WAlE ~ HEATER LAUN:JRY ORYE~ REINSTAllATION LIGHT FIXTURE # FURN ACE 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 FEECER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A,W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH Date Application made I cert fy that the work to be performed under this permit will be done by the installer and in conformance with the N. 14~ v\DV ,1960 By al Code. 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 ~ WARNING By ..atJ~ PLA~EO 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 - '. Date Permit Issued WHITE. Original CANARY. AU plicate PINK. Triplicate WHITE CARD. Inspector's Report ~. ........'" Dc".JTi::J:l9; INC - REPORT OF INSPECTOR DATE OFVISIT MADE BY REMARKS .-/ L k1J.vt~.o IMHI 01 rOL ON r'fLl.. A-I.. Tit........""no -.J . t..- ~ i) tJU 0 >Ttt-t-f .I. OIU ~~ Co"'DtJl r- . 7. It:: OJ JJu 0 7)~k. 6...y I 1M) ;.)0 J )I1A:.r IAJ,/'u C,. 1lJ-L. . ~ :) 1>~,,", J Nfv-N.M-. 1'o\t... - lh ~~,t. ~l' 1'1 I'A/I.-t.(..~ . . , , L.- (,.U II(. i- Itv tJ~r {AJJ 1'4<.ltO . . - . . . . . . - , .. . - ., . . . . .L VStlUI(.l e~o,Vf.r'r ./ , .Qd( raFl<J.()...nll~""~ I If / 4-1'11 AJl,-f-' O.K. TO CONNECT SERVICE I '/ ml"' ":"_ .~){O UD , I . z CI a:: <I: :::!! !!1 ::t: I- Z W -- l- e z e c . ) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 18032 Port Angeles, washlngton.m~:m:=-........~..._t:____m.mm_.._m., 19__~.Y In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trjcal equIpment ln, on, or about any buildIng or other structure In the City of Port Angeles, per- missIon Is he~bY gj':;ri to d~ ewcaj w;p as listed below. ,ii} ~ Addres~-yj"__~_~~"~'='j;__~__:_?ij;;'::;;;jJ;:;;_m__mm.m_ Occupancy________._.m..____._____.___..__mm.____.. ~:::~~~'h:~~~-:a:id~~=~::;;;--::::::::~~::,}?=~~;:::::::::::::...:::_~::::::::::=::::::::::::::::::::::::::::::::::::::: v !/. II /j,t!/el-<:0 T . Light Outlets...................._m......._.._..... Service, volts .....my............................. ype of Wiring. '1 No wIres "..:J Armored Cable ................__.........__. . .m.mm...m....m...7. ........ij ')#-J: -!: ':r-f( Size wires...~_c___....q...!..___.......__. 0 L"7'~- MaIn luse ......_.__.:___.________....__......... Receptacle Outlets............................... Dryer, KW..u....un........____....____._________ Range, KW hhm_h..nnmmnu___mmm Water Heater: Enclosure ._..__unn_....__......___........... KW.._______..______.__. Type of wiring: Entrance Cable ..___mmm............... Heat: KW...............n...............m..mu.. Motors: size, volts and phase: Rigid ConduJt .h...........m MetalUc Tubing ................mmm.. Current transformers: No. & Size....................................... Ser. No.............................................. Ser. No. ............................................. Ser. No............................................... Non.Metallic m.m.......................... Knob & Tube...................___m......._ RIgid Conduit ................___.___........ MetalUc TUbing ..n....................... Raceway ........................................_ Circuits. Light....................................... Vtmt). .....______............_......._____...._... Heat ......................................._.._.. Range ............................................. Water Heater ............................... Motor ...d.....................__......._........... Dryer .................................................. Furnace .........................._................... Total Load............................. Ser. NO...n............._.........._.............. Total....................................... Remarks: .../.fl"'-~.L~__.j___If<hb.~4L..._,-:.I:::.!..~~_____~ . ". ................................................................................................-.-......-.-..'--'-..-..-.-.'--'."'.---..-.-.......-.-..--.-..-...--..._-...... _._..u. ........n.nn__.__n._...._....n.nn.nn....n...._..___.....__...n.nndhnh..n__.nU...u_.unuh...n.unu..nnnnUn..n_.n.___.nnn.___.n.n_ Permit Fee . / ~ '-.....c? tf $.._._..__..:..~mm.m-m. Treas. ReceIpt NO.[!.0...~_:?_m____. By....~~__.L~~~ h . /' NOTICE-Current Inllst not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION i:)..J ~. / _.~ J2-r-~~ . &ffl !to ~ 'p ~ELECTRICAL PERMIT Address.....d, __s!...d.!..:::::::......WL..=:...../....L.......................m.................. Date__.h__e!:._.=._.i?..f~.r2.. Owner 2.1..a2:;;1~:::~,q~~.... Tenant.......-WZJ..--=7~---~-----.. wirl:~;I~=:;~~;.~~:;d:.~:.:fr:.~~~~:~:;;;..~.~~;~;::;:'.:~..;::~::;;~:..~= :~~..;::~~~: '~;'h~:'~~~ cealed due noUce must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. N~ 18032