HomeMy WebLinkAbout121 E Front St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE
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CG.NT. tiC. NO. TIME TO COMPLETE NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
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Owner 0....
PERMITS WITH WRONG A
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Installation By
. Installers Adaress
'X'( . CORRECt DO E 5 IS ~ESPO SIBI~L1TY~OF AP~L1C~N!
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Owner'sAddr~ss ;Ii) I 'V;;;:F~ p",,~
Day Phone '16' 7-- :-?~73 . . .
Applic~tion is her12by m~de for Permit to install .;lectrical.Equipment,as follows:
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. Installers Phone
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Wiring Method
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NUMBER AMP 240V NUMBER AMP . 120V 24QV .
USE OF CIRCUIT .PER 120V 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT . 50 VOLTS
OR LESS
CONVENIENCE MOTOR ,
CONVENIENCE -- MOTOR .
APPLIANCE . MOTOR .
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
,-
RANGE MISC.
OVEN
WATER HEATER
.. ..
LAUNDRY ,
I
DRYER - REINSTALLATION LIGHT FIXTURE #
FURNACE .. SUB TOTAL FEE
GAS - OIL-
FURNACE ENERGY FEE
ELECTRIC .. .. ,
BASIC FEE
ELECTRIC HEAT. TOTAL FEE . '.u~ .Q7>~
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER .-
, .. ..
A.C. UNIT .QAC AMP. / d PHASE .
,
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
.. . . 0//0
SERVICE A.W.G.
. , .. .. I SUB. TOTAL . . !;lOCI}
SIZE OF GROUND C SIZE OF ENTRANCE SWITCH
I certify that the work to be-pe;formed und~er this permit will be done by the installer and in conformance
Date Application made . r'':3:>:~RS ,19 By
Permission is hereby given to do the above described work, accordingto 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. ~
BY' 'fl' .' J ~:R O~ty ~;HT
Date Permit Issued .--- ~ 12-
/ ~ PLANS PPROVED' " ,.., . ,
7/1:; K'.J~-- 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
I Writing on Permit Placard. A.. Permits Phone: 457.0411 Ex!. 158.
WARNING. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
ith the N.~.C. Electrical Code.
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WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
OLYMPIC PRINTERS. INC.
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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7- (~45 -' \ 71/77 uTA J{ 7] 7~ t.~l'rrl.e... tv1 e Tei<.. -# 4t 22.
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O.K. FOR "COVERING -
7-/f{- 1''5- /it ::J7 .. O.K. TO CONNEC?\SERVICE
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"\ FINAL O.K. .... , ,
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