HomeMy WebLinkAbout1320 S I St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000011
PERMIT NUMBER
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TOTAL FEE
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CONT. L!9. NO.
ELECTRICAL PERMIT ONLY
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TIMETO COMPLETE
NO; STORIES
LEGAL OCCUPANCY
Site ~Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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1\ CORRECT ADDR S5 IS RESPQ SIBllITY OF APPLICANT PERMITS WITH WR G ADDRESSES ARE CANCELLED
O';;n';r' . tt/ a VI \ A? Gu" .J-r.-00 n v--.. Installation By CJ /.i'./ ,1'7", r ...:. .4JJ 1/1
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Owner's Address' . ., ""'{')..... InstalleisAddress _ 2.<'!'.L'. - -'"
DayPhone. L/S-7- O/C,c, Installers Phone 4/.5'7-(?/6c'
Application is hereby made for Permit to install Electrical Equipment as fo!lows: rp( 1....\- e I Pr .J-r l e..a...1
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. Wiring Method
NUMBER AMP 120V 240V NUMBER AMP 120V 240V/
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA '" 30 CIRCUITS CIA 10 30
LIGHT ...--- . ~ SIGN
LIGHT - - 50 VOLTS
OR LESS
CONVENIENCE ..- ., MOTOR
~
CONVENIENCE MOTOR
APPLIANCE - MOTOR
DISHWASHER - FlAE ALAAMS -
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY I.
DRYER REINSTAllATION L1GH~ FIXTURE #
FURNACE - SUB TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC - .
"...-/ BASIC FEE
ELECTRIC HEAT --- 7 S &:<;T
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKEA
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A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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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
Date Application made
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,19~BY
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Date Permit Issued
CONTRACTOR OR OWNER (OR TORI 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
By ~07A'-~ E~p.V'.f-
PLANS APPROVED ' .
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.
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
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i;};--:;j f V tJ~- /u O.K. FOR COVERING
I I O.K. TO CONNECT SERVICE
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT ISSUED: 11/19/2002 PERMIT NO 791
OWNER/APPLICANT PROPERTY LOCATION
VETRANS ADMINISTRATION 1320 I ST S
915 2ND AVE. Lot: E2 LT 19 & ALL LT 20
SEATTLE, WA 98174 Block: 402 r~ Long Legal
206/220-6216 Subdivision: TPA
T: S: Parcel No: 063000040290000
CONTRACTOR ARCHITECT
SHAMP ELECTRICAL CONTRACTING IN N/A
P.O. BOX 383
Port Angeles, WA 98362~0000 , 98360-0000
360/452-1689 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: ALTER SERVICE
Occupancy Group: Zoning Use:
Electrical Heat:
~ ] Baseboard 0 KW r
· Riser ,! Underground Service
· Furnace 0 KW Overhead Service Voltage: 120,240
~] Heat Pump 0 KW [ TempService Phase: 1
-~ Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES
CHANGE PANEL FROM INSIDE TO NEMA 3R OUTSIDE PANEL.
RECEIPT # 9921
FEES ASSESSMENT Service: $64.90
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $64.90
AMOUNT PAID: $64.90
BALANCE DUE $0.00
(?OMMENTS/ACT]ON NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT I$ INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLAHS AT JOB SITE
DITCH
ROUGH-IN / COVER
SERVICE
GENERAL COMMENTS: