HomeMy WebLinkAbout408 S M St - Building
-"- .
/tJo13
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
5'09
PERMIT NUMBER
.
1170 &0 Hill VttJE " . .' .\i1y.
zg3q>N.;~" . , 2- .c..\-:
TOTAL FEE , ." .. ,
I CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
..
!I
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 108 M
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner T//V1 Clot WEiL Installation By /IIlLVORSF).} 's ELECTRIC
OWner'ilAddress 1::J3,1:( /IV It? ~ Installers Address /42& 'W 1;74
Day Phone 4 bE. - :~ 2tJA- Installers Phone 4.s''7~ '7f!? t!J 3
Application is hereby made for Permit to Jnstall Electrical Equipment 85 follows:
Wiring Method ROME X.
.-
NUMBER AMP 120V 240V - NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 100A FEE .. USE OF CIRCUIT PER 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
llGHT 4 SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE 5" MOTOR
CONVENIENCE MOTOR
AP.PLlANCE 2- MOTOR
DISHWASHER I , FIRE ALARMS .
DISPOSAL 1 BURGLAR ALARM .
." ..
AANGE I MISC,
OVEN
WATER HEATER I
I -
LAUNDRY
DRYEFJ I REINSTALLATION LIGHT FIXTURE #
FURN"bCE SUB TOTAL FEE
GAS- IL
FURNACE I 2t7klV ENERGY FEE
ELECTfllC -
BASIC FEE
ELECTFtIC HEAT TOTAL FEE
ELECTFUC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UWT 219/9 AMP I ~' PHASE
FEEDER SIZE OF SERVICE ENTRANCE CON UCTORS
SERVICE , " .,. -1//J !-,!",cuU__
, .
I SUB-TOTAL (, SIZE OF ENTRANCE SWITCH 2 t? () ,
, SIZE OF GROUND
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. Electrical Code.
, 1>
Date Application made TA /1/ It> .19 ~ " By
I ONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
I
Pen'nission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specific~tlons pertaining thereto, .subJect to .compliance with the Ordinances of the City of Port Angeles. .~ } 4
DIRECTOR OF CITY liGHT ""I :: 'I
.
Date Permit Issued
By'"
PLANS APPROVED
'r~ /
-
WARNING
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 _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC ~RINTERS, INC.
DATE OF VISIT
MADE BY
, ,!I,h,
,--.
-n
IIQI{k",
I
.~
[II..) 'il.. ~
\ ~; .. L -::P .
d- 'I "10J&'t fA./1
I I
REPORT OF INSPECTOR
REMARKS
t"'- cI.." l'iL, 7.1! ~ /
.
..
z
Cl
~
<I:
:E
!!1
:r
I-
Z
W
.,
I-
o
Z
o
C
11)",0 L Do ."'~ ~ lu.,.,^- A)
7'
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K. G 4Jt)l-c, C
/M.,t ~,
uf}
.