HomeMy WebLinkAbout121 E Railroad AVE I ( 10 CITY OF PORT ANGELES
FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT
TOTAL FEE
CONT.LIC.NO. TIMETO COMPLETE NO.STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ON Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address l N CO 2
CORRECT ADDRESS IS RESPONSIBILITY OF PPLICANT PERM ITS WITH WR DIUG_A9QPDRE SSES AFE CANCELLE
Owner Installation By FJ_
Owner's Address Installers Address
Day Phone 111110 Installers Phone 2—
Application is hereby made.for'Permit to install Electrical Equipment as-follows:
Za Ad w .
Wiring Method
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT 99CUITS PER 10 1 O OR FEE USE OF CIRCUIT CIRCUITS PER 1 O 1 O OR FEE
CIR/ 3 O CIR 30
LIGHT l - O o S ``2Ul /,�/ S �p+
LIGHT too 0 / GQV S eA
CONVENIEN - M10 SV� ££ OTOR C �-
CONVENIENC O M S✓� MOTOR I f C400
APPLIANCE Jj�j 94 £' MOTOR
DISHWASHEFIRE ALARMS
DISPOSAL A) S S BURGLAR ALARM
RANGE SP f2Ts MISC.
OVEN
WATER HEAT
LAUNDRY by
DRYER REINSTALLATION LIGHT FIXTURE#
FURNACE SUB TOTAL FEE
GAS-OIL
FURNACE ENERGYFEE
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
SERVICE A.W.G.
SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be perform d un er this permit will be done by the installer and in co o an with the N.E.C. Electrical Code.
Date Application made a v ,19 By
CON ACTOR OR OWNER(OR AUTHORIZED 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 An le
IR TO O CITY LIGHT
/j/ By—
Date Permit Issued PLPL
ANSPP veD
`,, otify 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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O.K.FOR COVERING
1 ' ^ O.K.TO CONNECT SERVICE
L V n FINAL O.K. ��