HomeMy WebLinkAbout122 W 3rd St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
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Nt? 15501
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Port Angeles, Washlngton___..__.__.,__________________________________..______.____, 19_.______
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 granted to do electrical work as listed below,
Address ______L_~__?::..~___.__'i:.!..;J.;.:_:_.".:_:,...___...._____......__.__..___... Occupancy._.__:______~__.__________..____________..
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Owner ,.f.. :' AI. _. .__ Tenant______________________.....__...________________________________________
.../_y...h._._.unnn__h.~_nn___u;:::----nn.--nn--- __
Wiring Contractor ...________:__________________..._____________:___.__.__...____... By._____.__..____._________________________________..______.__._________
Light Outlets...................._....__...._.._.....
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Service, volts ..........:........::.....::..........:
No. wires n_...:................_n.....hh...
Receptacle Outlets..................._n.....m_
Dryer, KW un........................____._________
Size wirasunn..........:..................._..
Matn fuse .._;::.';C..r..L..:.~L.........._
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Enclosure h........:.~..........................
Range, KW hh._...u_........_
Water Heater:
KW..mm...m...m...__..mm.......
'I'..r;" ~)f?
Heal: KW.___.........:.::;;~_......:..-:......L......
Type of wiring:
Entrance Cable ......._......m......
Motors: size. volts and phase:
Rigid Conduit ...............................
Metalllc Tubing ...........................
CUrrent transformers:
No. & Sizem...__nn_m.mnmmm.m....
Ser. NO........._..h...n..__..h.__...n.....nn..
Ser. NO............n.._..............................
Ser. NO...hn............_._.........h_............
Total Load........m..................
Ser. No. .nn_h........._.._.h..h...nn....n.n
Remarks: __...____mmm..mm..m'__'__....m.:um.L~~...mm.m__'_.mm_mmnm_mmmm_mmmm_____...________________m___.____
Permit Fee
Treas. Receipt
NO._...m._______.__m__._.._
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B f.-I ." . I r . ~
y ____.________.f.__1_mnmmm_m_m________m__.:_._m.______
$---.------.---..--------.-----.------.
Type of Wiring:
Armored Cable ...m.....n__.h_..h.......
Non-Metallic .___.._....._..................._
Knob & Tube................................_
Rigid Conduit ..........................._...
Metallic Tubing .............___....__._...
Raceway .................._...._......_._...._
Circuits, Llght........m._._....h..................
Utility .h..........._...__.n......................
I-Ieat .........................__............_......
Range ..............................__.............
Water Heater ....h...._....................
Motor __._.......h_..........._......_...........
Dryer........_..........___...........................
Furnace .........................._......_...........
Total ............................_......._._
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NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be eon-
cealed 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
ELECTRICAL PERMIT
Address
N?
15501
Owner..............................................._......_......_.._...........................................................Tenant.............................__..._....__.._............___.........
Date..._......_.._.._.._.........._.__.___......_..h.....
Wiring Contractor....................................... ................................................__.................................By..........................._....................n..._.._.....
NOTICE-Current must not be turned on until Certlffcate of Inspection has been issued. If work Ii! to be con.
cealed due notice must be given the Inspector so that work may be inspected befo~e concealment.
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