HomeMy WebLinkAbout1938 W 5th 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 /(;;22- -
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address /0)38 W. t::5,H -;ST.
-:L2 , CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WA.?NG ADDRESSES AR~ CANCELLED
Owner .L-JeerH7I e _ S..,.-e.-EAt-A Installation By C'?\AI ^-rE:R-
Owner's Address . ~/tM e:-- Installers Address > ",/-MF
Day Phone 457-R:z,Z(rJ Installers Phone '~e
Application is hereby made for Permit to install Electrical Equipment as follows: Z c..1R.C.ul is ADD '3 pu ~AC:::;./
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7_ LIGHT OUTLEr::' MnVF,. CVTi PT BoxeS
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Wiring Method
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NUMBER AMP 120V-- 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA '0 10QR FEE USE OF CIRCUIT GIRCUITS PEA '0 100R FEE
CIA 30 CIA 30
LIGHT SIGN
LIGHT - 50 VOLTS
OR LESS
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CONVENIENCE MOTOR
CONVENIENCE MOTOR "
APPLIANCE MOTOR
DISHWASHER FIRE AlARt.-tS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
lAUNDRY -
DRYER 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 BREAKEA
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
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.
Date Application made
,,- z,.7
,19 t!3~
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby.glven to 90 the ab.ove ~escribed 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. j '~_,,,\ .. \. I' ~ _\ .
DIRECTOR OF CITY LIGHT )
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PLANS APPROVED
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
Writing on Permit Placard. A,. Permits Phone: 457-0411 Ext. 158.
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Date Permit Issued
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
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WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
OL YMPJC PRINTERS, INC.
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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(Oo(S -'{:) /)/ .f'L' , ,
O.K. FOR COVERING
If- 13- ~) 1I/.J O.K. TO CONNECT SERVICE
11- 13 'b"'- 1!,P . ' .
- FINAL O.K.
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