HomeMy WebLinkAbout1626 Owen Ave - Building
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533
FEE R :CEIPTNUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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TCTAL FEE /0,00
CONT. L1C. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
PERMITS WITH WRONG ADDAESSES ARE CANCELLED
Owner _ Installation By
Owner's \ddress I c;. z ~ O<-v ~ h 4 v-{' Installers Address
Day Pho: . 4 5' 7 "7 y'i; / Installers Phone
Applicat )n is hereby made for Permit to install Electrical Equipment as follows: ~t7 -d t!/:>../
~ )( 251 ';1'" y", 7" 7-0 co C/"
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Wiring Method
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NUMBER AMP 120V ' 240V NUMBER AMP 120V 240V
USE :)F CIRCUIT PEA 100R. FEE ilJSE OF CIRCUIT PER 100R FEE
CIRCUITS CIA '" 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVE \IIENCE MOTOR
CONVE \lIENCE MOTOR
APPLlP \ICE MOTOR
OrSHW .SHER FIRE ALARMS
DISPDtA,l BURGLAR ALARM
RANGE MISC.
OVEN
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WATER HEATER
LAUNO lY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNA' ;E SUB TOTAL FEE
GAS-elL ,
FURNAC~ '.' ENERGY FEE
ELEcn -
BASIC FEE
ELECTF:IC HEAT
TOTAL FEE
ELECTP.IC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKEA
A.C. UN:T /-,0 AMP PHASE
Fi;ED~A SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVIC::: A.W.G.
T SUB-TOTAL SIZE OF GROUND SIZ..E. OF ENTRANCE SWITCH
I certify that the work to be per.formed under this permit will be done by the installer and in conf\'1''!t~ ~l-, Electrical Code,
Date Application made (</~id/ / f' , 1~ r By , . ~
CONTRACTOR OR OWNER (OR AufHORIZED'AGENT)
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Permission is hereby given to do the above described work, according to the conditi'ons hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECT' OF CITY LIGHT
Date Per nil Issued "~C.NSAPP~A"--/.,~ ~'I
~II &/f?~ Notify Department of City Light by Street Address and Permit Number Wh~~ ready for inspection. Work must not
be covered or current turned on beiore inspection and O.K. tor 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 I ~INTERS, INC.
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
O.K. TO CO.~~ECT SERVICE
--;1->.1/12, , ' FINAL O.K. I
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
16549
Port Angeles, washlngton.....__..f[...:Z-...........................__..__.... 19./.T
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 granz do electrical work as listed below.
Address .__ib.m~~.n....mmm.7.rf?.~~~.mmmm--m. Occupancyn__71-l..!t!_...J.___m__hn__.nm__.
O~er _.__~.""'.~.~j?~~~c:t$~~ant..----.m.m.mm-.....--n---..m..m--.m-----....._h..m.m
Wmng Contractor _.___v__.....__._m..__...mm.___.'__..__.~n_____mm By.____.m..m__mm________nmmn.mm__m__m.._..m...__
/~ /;1 ~ /:; Y6 i' -,
Light Outlets....................nu.m____.._..... Service, volts ....m_.......,.._.................. Type of Wiring:
Receptacle Out1ets...._,~'g............... No. wires ..0..3.............._77........ Armored Cable .............mh.........._
KW? 81 i 4(/ff d'JV Non.Metallic ...........00._..................
Dryer, ...nn..............__......_...u___..__ ze w resnn_.._...............,.........._..
Range, KW__________/~__________._____..... Main lnse __!Q..--(,1.12/t'.____.....
.s
Enclosure __..___mn.___mnnn____m.......
Water Heater: 5', . /.
KW.___.___...___.Z.._____________________"..
Heat: KW........./O....llll..:..........
Type of wIring:
Entrance Cable n................m..
Motors: Bize, Vw phaBe: "
::::::::::::j~:::~:~:::::::::::::::::
Rigid Conduit __....__.......................
MetalUc Tubing .._.h_....m__...........
Current transformers:
No. & Size........................h.............
Ser. NO.n_hn.n..................._..h............
----.--.--------..................-.;....-..-.........-...
Ser. No. .......00___...........00___00...._.0000__...
.:."
Ser. No.......___.._.................................
Knob & Tube_mm_..................._..._
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""Rigid Condnil _________................._..
Metallic Tubing ..........._.m...........
Raceway ........._._..................___._
,g
Circuits, Llght......._.................n._....._..
UtilitY....__..~...__......................
t:
::ge --:::::~:~:::~::~::::::~::::::~:~~~:~~
'''"
Water Heater .~...........____m._.....
Motor ........................._...._..__..._......
Dryer --.-...8:........----...............-....--
Furnace .. .......................'_......_.._. ......
~()
Total ........:__...__.......................
r Total :Load.n_n__nn................. Ser. NO._.n__h........._..........................
, . ~_._. ~J9
Rcmarks:...::::<4J,f.d..,~j::::::m.C~~~./mm..m.mm.mm.m__mm____..m..mm__n...___..(___:__........._________.___
_;~;;;,;~--;~~---.---.m--n.-n.-....___~~~~~.n;~~~;~~.---n-----n------.---.---__n.~.~-7JYhm~------.Lm-----..---..
$..4L?._O'________________. No.._________________________ By n..__~_rlS-..___.:___i.&___~J.~__~,..~.~~...L....
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be eon.
ce3led 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
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Address.......___._............__......................._______.........__.____..__._........................................._................Date..._......_.._.__.._..........____..._......_....___..
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Owner.__................................_......_.._......_......__.____...........................___________.__________.._.__.Tenant....._._.__________.......:..................................__.~_..
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WJrlngContractor.........._...______._......_.....................____.._______..........._.___..___..._______.._........................By..__.__......................................................_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be COD-
cec.led'due notice must be given the Inspector so that work may be inspected before concealment.
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1M Olympic Printers, Inc.