Loading...
HomeMy WebLinkAbout1303 C St - Building " 1108 FEE'FeCEIPT NUMBER .CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A hh~ PERMIT NUMBER . '1 30~ to", A4 . TOTAL FEE - I CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY I' Site Address NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ELECTRICAL PERMIT ONLY /JO 3' C" I ,CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT Owner 71J./1//l/1 JI (; 71 r:;D 7JI. I , Owner's Address I 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 sr PERMITS WITH WRONG Ao:41ES A'jE CANCrl k Installation By 'd elt r Er. re. Installers Address / ' ( M. 7fJ "I---b , Wiring Method ,.- Ct!. US, OF CIRCUIT L1GHll- I 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',,!, , - 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 . . I .. - 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. I I 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 - -.< , . , , ,- I- ; , , " J. " .; , - . , -, , , , " , .' I , -, " , " \ > \ . - . .1, tr.tt ren 86.["1..... [t. ~O 1(1,10 m~ O.K. TO CONNECT SERVICE . . z c:J a: c( ::!! !!1 J: I- Z W l- . I- o Z o c . 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.'~.~?~ ,,- 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:_