HomeMy WebLinkAbout2141 W 6th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
- DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
7 ?'Rf NUMBER
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-TOTAL FEE jf,Of) t'"La.
,. CaNT. Lie: NO. TIMETO COMP,LETEj ~NO:STqRIES . LEGAL OCCUPANCY
Site Address
ELECTRICAL PEb QNL Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,
,;2/ Ct-/'CT ADDR!::'S RESPONS~TY OF APPLICANT . -.
"-
Owner
Owner's Address
~PERMIT5 WITH WR~NG AjDRESSee;ARE CANCELLED ~
Installation By Ii"i f If r f( 'ic I(
Installers Address .
Day Phone Installers Phone
Application's hereby made for Permit to install Electrical Equipment as follows:
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Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER leOR FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR '0 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 -c- ..
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE I. 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
permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
.
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission Is hereby given to do the above described work, according to the con.ditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
01 TO C
g!1 r /1 h. ~CANSA ROVED -. ..
Notify Department of City Light by Street Address and Permit Number when ready r 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 SE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
DATE OF VISIT
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MADE BY
REPORT OF INSPECTOR
REMARKS
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
~O.K.
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