HomeMy WebLinkAbout1137 Grant Ave - Building
/5D7-
CITY OF PORT ANGELES '.
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERM!T
A
71/
PERMITNUM8ER
FEE RE:CEIPT NUMBER
.'
48
,. '" tr.s.
. ,.
50~~ .. . ..
TOTAL FEE . .. -
\ CONT. Lie. NO. T!MET6~OMPlETE NO. STaAl ES . LEGAL OCCUPANCY
..
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
/I ?, 1 Gte A'tY '/ '
CORRECT ADDAESS IS RESPONSIBILITY OF APPLICANT
Ow'ner' ~l~U(?' ., E.ft LWf',J
'JiS-7'- 0 S~ I
"
"," r.
Site Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
In5tall.~ti~n By
Installers' Address
"Installers Phone
~UlN E./C
Owner's Address
'.
fA..,M
W!ring Meth~d
"..-----
'.~
NUMBER AMP 120V 240V NUMBER AMP 120V. 240V u
USE OF CIRCUIT PER 100R FEE . USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
.. 50 VOLTS .
LIGHT OR LESS
CONVENIENCE MOTOR ,.
CONVENIENCE. MOTOR ..
APPLIANCE .. " ,. MOTOR
DISHWJ\SHER . fiRE ALARMS . -
DISPOSAL BURGLAR ALARM
..
RANGE , ,f,V'( MISC,
OVEN ~ I I r .J ----
WATER HEATER ,J'll IV' ~
/ . .
LAUNDRY
DRYER ./ ,. REINSTALLATION LIGHT FIXTURE # -
FURNACE " . SUB ~OT AL 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 i
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
. .
SERVICE . AW.G.
I SUB. TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
,19
I. certify that the work to. be perfarme under th'is perm'it will be dane by the installer and in canformance wit
.
ACTOR OR OWNER (aR AUTHORIZED AGENT)
Permissian is hereby given to. de the abeve, d~scribed work, C!ccarding to. t~e c.onditiens herean and accardin 0. the appraved plans and
~peciflcatlons pertaining thereto, subject to compliance with the Ordinances of th City. ~~ Angeles.
'. YTO C
Date Permit Issued 1/; ! / I J '~C.NS ~ ROVED " "
toti~ Del.rtment of City Light by Street Address and Permit Number when ready for inS ection. Work must not
be cavere9 er current turrJed an beJore.inspectlan and O.K,Jor covering or s,ervice has been gi,ven by Inspector in.
Writing an Permit Placard, A, - Permits Phane: 457-0411 Ext. 158,
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
~
WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD, Inspector's Report
OLYMPIC PRINTERS, INC.
DATE OF VISIT
41;{;./1% I
!
i .
?_ ..".!7-1
I':~. . tF f
,I ,
MADE BY
~.
;jJJ
REPORT OF INSPECTOR
A ~ REMARKS
-- ~~t'f.'; ()1.A.....,nA _.- ,0 ,.. _ .0 ..."J, UJ.ft .,
7':;E. ,.~.1 ~ /9,;7';', /~ ~,' l~~/<Id'{')
C-v-tla-) ::c. - r:1...;;;;; ~ ...(1 C. f./ A' .,>-,., ~ .,
1i.7IJ "tilT ,H' '., O?;..~." /J/'- ) f'. t; - .JJ
~. I /" 7~ . f.-t .f) /1 ~, ,AJ.:uP -LA.:
- tll;;', r tl..... ,t>" f F I' M A h, ~() A. / #- f
,.., -', f I
'7
,
"
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
z
C;
a;
<C
:E
!a
:r
~
z
w
~
[.'
~
o
z
o
c
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt!
16988
- ^-jI
Port Angeles, washlngtonmm~.=e?:.f........_____m...m..___....., 19~.__.
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 gra~d to dO electrical work as listed below.
Address /L-l.:Z~J:t.~",,:jf..m~:nnnnnnn.nn_n. Occupancy.,.4~J~~..__m.____mm____.n
Owner lP:1&~~.~."~~mn_n.. Tenantm...____..m.m___......m.___mm_______._m__...m...m.___
Wiring Contractor __Cl~_~.__m____.__mmnnn_n___.__. By_.mmn.._.__m____mm____._______.m.m_.._..mm.m....
1.16/.)~6
serv~c:.. ;:::: ::~~~:::~~~~~~~:~~:~~~::~~:::::
. #t/~
Size Wlres..'l.h..-;;.-;,-:;4......-..
Main fuse ...~..............mm.........
S
Enclosure ._.m__m..__.........._....._..
LIght OutletB..n................___............_.._..
Receptacle Outlets...__....__m............__...
Dryer, KW uun._.nnn..___._______..__.____._._.
Range, KW..._.___._._._______________._._____
Water Heater:
Heal~:~)..]:~$;;;:"".8..~:-:
Motors: size. volts and phase:
",
Type of wiring:
Entrance Cable ..__m......_._...........__
RigId Condu,it ,.;.~_::........
Metallic Tubing ..._....._..............m
Current transformers:
No. & Size.......................................
Ser. No.__...__._..._...................__...__.___...
Ser. No. ........._............._...._........____....
Ser. No.....___................_......_.___..____.....
Type of WIring:
Armored Cable ..__........._..__._....m._
Non.Metallic .................................
Knob & Tube........___.._.................._
RIgid Conduit ...............................
Metallic Tubing .....mm.m..._.____._.
Raceway _......................_......___._
Circuits, Light..................................__..
Utllity....._____......................._...........
IIeat .._.....___.___........_..._.__...._.._.._
Range ._____...............______..................
Water Heater ................._.............
Motor ..._......_.._.........__..._____...........
Dryer __.....____.........._.....__.._.............__
Furnace ________._...............'_......____.__.....
Total Load.._...._......._....__....... Ser, No............_.............________....__...... Total .._....____.h_........................
Remarks: ________..C.~'f':ggL..fLn-r~.e.~,."-.~?;;lmmmmmmmmn--.m.mmmmmm...--'000__
nm._mmmmm_mm_____mm.mm__m.mmmmmmm.m._m.____._m.___m___._nmn._m.______._____~-------. ..____m..mmmmmm......
Permit Fee Treas. Receipt /1/< ~ ..~ ~
. ':If. ,T: ;, G.C ~~
$___.___._____.000000000___000___.000.. NO..__..m__....___.___....___ By ____~---.__.L.L__ 000000000__ mm.m.m______~~U
V .
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be eon.
cenled 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
. '~.",t
\
"
~-.,
-.~-.......
'.
",
'.
".
--
ELECTRICAL PERMIT
N?
16988
Address.___________.._________...._.._...._..__._.......__;......._..........._......_....__.........__........______...______....._.._.._......Date..._......____..__._.........._......_....____....._
'.
Owner._...__.____....._______.__...................._......_:::~.__._...__._..........__....__....................____....._.._.Tenant....._...._._._......._......................._...._.._.._____..____
WIrIng Contractor.........___...L...............___......~'.L~:.................................................___..........'..... By,.,..:...................................._......._..__......_
NOTICE-Current must not; be turned on' until Certificate of Inspection has..1ieen issued. If work Is to be con-
cealed due notice .must be given the Inspector so that work may be inspected before concealment. .
.'. . -~. -,~.- " ......-.
J ~ '~,..... \...
.. 1M Olympic Printers, Inc. ..... \
\
j
.
"-