HomeMy WebLinkAbout1136 W 4th St - Building
I t;'79
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT'OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
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PERMIT NUMBER
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TOTAL FEE
.....-:-:
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CONT. Lie. NO.
TIME TO COMPLETE NO. STORIES
LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Adciress
PERMITS WITH WRONG A
IC
Owner
Owner's Address
Day Phone
APPlication~B:~de.for pe~ to ins
Installation By
Installers Address
Installers Phone
ment as follows:
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Wi~ing Method
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NUMBER AMP .120V 240V NUMBEA AMP 120V 240V
'USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR , 30
LIGHT SIGN
LIGHT ., 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLlANCE~ " MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER ,
LAUNDRY
DAYER REINSTALLATION LIGHT 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
'.
SERVICE A.W.G.
- I SUB~ TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
Date Permit Issued
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
DateApplication made ,19 -s;t1.t j) , , . ,
. CONTRACTOR OR OWNER (OR A~THORIZED AGENT)
Permissio.fl is hereby given to do the above d_escribed work, ~ccording to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of t e City of Port Angele .J ' . i f
' . IRE R 0 rrv LIGHT
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f V!_~,~ I . # I; Pc:. S APP VED '.
Notify D partment 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 WH1TE CARD. Inspector's Report
f"ll VtulDlr. PI'lIIl.lTI=R<:' 11I.Ir.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
.
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fD 1,O\Q\t ~~ O.K. FOR COVERING
\ O.K. TO CONNECT SERVICE
FINAL O.K.
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