HomeMy WebLinkAbout1303 C St - Building
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1108
FEE'FeCEIPT NUMBER
.CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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'1 30~ to", A4 .
TOTAL FEE -
I CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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Site Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
ELECTRICAL PERMIT ONLY
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I ,CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner 71J./1//l/1 JI (; 71 r:;D 7JI.
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Owner's Address
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Day Phone Installers Phone
APPlica!ion is hereby made for Permit to install Electrical Equipment,s follows'
i 7;veiuiA-:<< $fll.llta Co).iAjA(~~'...c.~ -!::ru..,... ."a;
-r;; lje6fo^-tJ'4-k- [/Ci.-4. (~~ IrJ 71VfA/I'-e., I::c,/,r..;
Lb/\ CI"-'f 70 u~ ROOm {oc.AnoloJr. I
AMP 240V
NUMBER PEA' 12QV 10 OR
CIRCUITS CIA 1 0 30
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PERMITS WITH WRONG Ao:41ES A'jE CANCrl k
Installation By 'd elt r Er. re.
Installers Address / '
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Wiring Method ,.-
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US, OF CIRCUIT
L1GHll-
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FEE
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
10
240V
100R
30
FEE
.
RANGEl
I
OVEN ~
SIGN
50 VOLTS
OR LESS
MOTOR
MOTOR
,- MOTOR .
-" , FIRE ALARMS ,
BURGLAR ALARM
MISC,
.
LIGHT',
CON\'~NIENCE
CONVENIENCE
APPlI1NCE
OISH~ASHER
DISPOSAL
.
WATE~ HEATER
LAUNq"V
DRYER!
FURNA,CE
GAS - OIL
FURNA~E
ELECTRIC
ElECT~IC HE!,T ..
ELECT~IC HEAT
A,C, U~'T
FEEDE~
SERV',,!,
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-
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
.50-~
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
A.W.G.
I SUB:TOTAL
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
.
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I certify that the work to be perf~~med under t~s ~er~it will be done by th~ installer and In conformance with the N.E.C. Electncal. co~e.
Date Ap~lIcation made &!J 0 / 1.t .19 By It'" 1'ffl
I I / CO'NTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Perrrl~sion is h~reby given tq do the above described work, according to the conditions hereon and according to the approved plans and
speciflc~tions pertaining thereto, subject to compliance with the Ordinances of the Clty,of Port Angeles.
/ Jo If {. '_ By - ~_ DI CTO OF IT LIGHT '.) -, 1 .
Date per~it Issued 61 'j I PLANS A ROVED
lif; 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 covenng or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
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WARINING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC P~INTERS. INC.
REPORT OF INSPECTOR
DATE OF VISIT MADe BY REMARKS
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[t. ~O 1(1,10 m~ O.K. TO CONNECT SERVICE
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
17008
Port Angeles, washlngton.m.m..f-..:::L:2:.m...mm...........n..... 1922
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do elec ical work as listed below.
Address n4it!!.;3.-:::.j3..~.~ n 'nm~ mm..nm.mnm___n ocCUpancy.k..mn.mn..______n___n
~:::~~~:=4d~:~::n.i~--~~::~~;::::::::::::::~.....~~:::::::::=:::::::::::::::::::::::::::::::::::::::
Light outlets............i.?...~....._.._..... Service, volts .,/.;J..c?/-~..f!..~ Type o! Wiring:
Receptacle outlets.....__.;?.........m....... No. wires .)!"m:1.i<~A""Arr/.nmn Armored Cable ...........m...m__m.___
D 8i 1 '../ "" /I':I!/. Non-Metallic .....mm____nm_______._____
::~ V eyer, ~W nmmnn.mm.m...nn.__nm ze w reSn mdj,m'fiiil/ .
./\/1 Range, KW 00000000.0000......0000..000000.' Main ruse .e.t~_j'm...n.......
Water Heater: ~ Enclosure m____m__................____._..___
KW.....hn:i~r!....--n......n.--_mn Type of wiring:
Heat: KW...:J!'l:.~.:.I?!f...I).____m_.... Entrance Cable ..____nm.........__.......
Motors: size, volts and phase:
RigId Conduit ....mn............mm....
Meta1l1c Tubing ......_.....nmmm____
Current transformers:
No. & Size......__............_n._n____..._____
Ser. NO.__......__nn.............nnn_n..._._...
Ser. NO...............hh.__.__n__................_.
Ser. NO....._...___h__nn.._............n__nn.n.
~
Knob & Tube.............m......__....m._
Rigid Condnlt .m.m.m.....n..n.____...
Meta1l1c Tubing .__m._.....n__._........
""~~:=E~
Range ___.._____...................................
::L
Water Heater _...._.........................
)t::~...:::~.:::..:::::::::::::::..::::::::::::::::~~
Furnace ..............__....._h......................
3{.
Total wad__n_...____......._nn___.. Ser. No. ....__.._..__nn_._.._...n_..........____.. Total ..........n~_nnn_n..n.__.........
:1emarks: n.m....nnm7a:!..L~.r:.n.~~.!.___m.n.__.c2..~.--n..--.nmmmmm..n....--
..__..._._.__.___~___._____~._..~u_~______________.___._________...._._______.____~__....__u_.____.._....._._~_.uu._.~__.______.____.._.._...________....._________~________
__......______.__.n.________m.____n....___m__.......___nm..__mn___.___..nmmnn___m.m__.n__..m__mnn__m~..---nm------------.nm---
:~.=t{~.~n..___mm__ ::~.~.~:n~.~.~.~~~.~..____.. By .j{.Lnm.~;'l.'~.~?~
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NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be eon-
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
ELECTRICAL PERMIT
N?
17008
Address....._....__.___.............._.____...............n.............__..._____.__......._.___.._.............___.._..........._._._.......Date..._....______.._.........._______...._......_.....___.
Owner_........_.____......_______..________........_..___.__._..._.._......._......_..._.________...._.____..___........___.....Tenant._._....._________.........._____________._....__.__________........
WiringConlractor.........._._______..........___.___...._____.__.._......_........_..______............_____.......h....___._.........By._...._..__.._._...................................___._____..
NOTICE-Current must not be turned on until Certlflcate of Inspection has been issued. It work Is to be con-
o")ed due notice must be given the Inspector so that work may he inspected before concealment.
1M Olympic Printers. Inc:_