HomeMy WebLinkAbout210 E Front St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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FEE RECEIPT NUMBER
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TOTAL FEE :j <f ..
CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address c;;2 /0 - E ;:="e:O,uT ..::;;T
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner G",-//' "'TA~~'<:-Pr.?/;';<: Installation By ,L/F/4TN ~-S/6A../ ~"J.
O~ner'sAddress ;:> O. ~X" .;:z~";A'l "7 .. -<;;..rTr' ~ -Installers Address //ALJ~ AJE //? 7?1 k-:~",....d
Day.Phone ~.:< </ S9LJ 0 .98/.2'1. installers Phone c;,2~ _-;'/.-'J~
Application is herebY_l"Dade}or Permit to install Electri<;:al Equip!llent as follows: "7% ~~ - L-L,d>
A~/y:.r ~/?-to/~J:" ~ Rri ,..,J?<p,:,r -~/T~/1 ~/) LL.J-<-r
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Wiring Method
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NUMBER, AMP 120V 24QV NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN / 3.S V
LIGHT . 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE - .. MOTOR . ..
DISHWASHER - FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION L1GHT'FIXTURE #
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.
I 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 anznfo:mance with the N.E,C. Electrical Code.
Date Application made /7 ,19 JS By nJ/~ ::;!,. ~ _ L
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is here 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 Angeles.. .
DIRE ;rOR OF CITY LIGHT
WARNING
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07/9)' . . ~CANSAPPROVED . .. ~:_ . .'
Notify Department of City Light by Street Address and PermIt Number when ready for Inspection. Work must not
be covered or current turned o_n 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 _
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Date Permit Issued
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
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REPORT OF INSPEC.TOR
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DATE OF VISIT MADE BY REMARKS
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'O.K. FOR COVERING
1- 11- 'n-- >- Ij(f 9 O.K. TO CONNECT. SERVICE
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