HomeMy WebLinkAbout3622 Meadow Cir - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION A"ND E;.ECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE - __ "I
CONT.lIC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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Site Address
ELECTRICAL PERMIT ONLY
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)*,O~~SS IS RESPONSIBILITY OF APPLICANT
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Owner
CORR
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Owner's Address
Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
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Day.phone. Installers Phone
Application is hereby made for Permit to install Electrical Equipment as folh?ws: ~__
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Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER. 10 100R FEE' USE OF CIRCUIT CIRCUITS PER '0 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 'so VOLTS
OR lESS
CONVENIENCE -:- MOTOR -
CONVENIENCE MOTOR
APPLIANCE MOTOR _ ,
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DISHWASHER - FIRE,AlARMS
DISPOSAL BURGLAR ALARM
RANGE MISC,
OVEN
WATER HEATER
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LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE # 0
FURNACE SUB.TOTAL 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
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
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SERVICE AW.G,
-r SUB-TOTAL' SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify.that the work to be performed under this permit will be done by the installer a~d .in conformance with the N.E.C. El~ctrical Code.
Date Application made
,19
By
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CONTRACTOR OR. OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do tDE! above described work, according to the conditions hereon and according to the approved plans and
specificatIons pertaining thereto, subject to compliance with the Ordinances f he City of Port Angeles.
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Date Permit Issued "3/( '3/77 Y
~otifY Department of City Light by Stree;~:dr::: a;~Dpermll Number when ready for InSpeCflon, Work must not
be covered or current turned on beforeJnspection and O.K. for covering.or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158,
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WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK Triplicate WHITE CARD . Inspector's Repor\
OLYMPIC PRINTERS, INC.
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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'l.,1 1"'\' [lQ;~ ~t r O.K. FOR COVERING
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313 m1 , II !VI FINAL O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15271
Port Angeles. washlngton....J(;:."'.~m...:3..____....__..........___..._.. 19..2.'1
In accordance with the City Ordinance to regulate the 1nstallation. 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 electrical work as listed below.
Address ..3__6..d::.:b..__.__.~~J.--.{~~~._ Occupancy.__..._._____~__~.::"'_.._______....___....
~:::~.~:~:~~:::::t~~~=~~:~~:;::::::::::::::......:::::::::::::::::::::::::::::::::::::::::::::::::::::
Light OUt1ets________...~---Q-........... Service, volts n____..______.....................__.. Type of Wiring:
Receptacle Outlets_..~~..._....._.... No. wires m.........__.......m...__.......... Armored Cable m.....__.. .....___m.....
/ Non.Metallic ..._........_ _._.....m......
Dryer, KWJu...__._m_L_'2_.______n_______._____ Size wires.....m..m.....__...___.....m..___
'2-
Range, KW ___n.__.Im....... Main fuse ...... ....m..m.........____....m
Knob & Tube..nm___m.......___..mm.__
Rigid Conduit ....mm....m........___m
Water Heater:
Heat~::;::::::.:..1:~f~2..:;;;::.1J f
Enclosure _mm...m....__..m.
Type of wiring-:
Entrance Cable n.....hmnnn___mmn
Metallic Tubing no...m......
Ser. No. nu_____on..n"___"__"__n'n_''''nnn
Raceway .....___..___.._..._..___.....n._______.
-,
Circuits, Light.m......n..~m.n.m...._...
Utility...................7.....................
Heat _m...m._...__I.___~~:':_.......m__mnn
Range _____._____._______._:!=_:=:______________
Water Heater ....m.~..n....nmn
Motor .....................1......................
:2-
Dryer..-------.-..-----.-..............................
Motors: size, volts and phase:
Rigid Conduit __._m____mnmm__m___.
Metallic Tubing _m.....___m.m________
Current transformers:
No. & Size_n_n____.____._...n___nnn..nn..
Ser. NO.__.nn....nn____n__nn__n............___
........._hhnnn.__nn.nnnn_nn._____nn_n___. Ser. NO......._.......n__n__.nn...__...._...._n Furnace .-.......................'__..m......
Total Load.._mn.....m_____mm.. Ser. NO.n_.__m___......__nnnnnmnm....... Total ..........d-mn+__mm____
Remarks: __mn___2-:1.L:.~L~)m..uu..(~~_f!..):..._::_l_~::.~:_~.-.~::L;(~.:~~1.:-:~_=:._._m.__...Uhn__..,.____.__m_mm___uuhmuu
:.~.~~~3:.~~tQ.ummmu. ~~~.~.~:._~~.~~~~~_m_m By _L:L~,;,.,'---__..,..;:~.d:u_L,~.J..r3=~
NOTICE-Current must not, be turned on until Certificate of Inspection has been issued. If work Is to be con.
~ealed 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
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ELECTRICAL PERMIT
N?
15271
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Date called for-.\~sp~Cjio2,,,...=:;L,,,...:,.-:5...,::;.~~,.~.....L_LdLL:\,.(2......................./....-:;...:::::.....~...-=..7...':i...
~::;~:~::~~:t:~2?.~::~~~~~:...:::::::::::::.:::...:::::::..::.::::::::::::.::.::::::~:.Q::~:.:::~::::::=
Total Load ..n..d.....n........._......._...................___n_____n___
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1M 3-72 Olympic Printers, Inc.