HomeMy WebLinkAbout806 E 8th St - Building
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IFE'E RECEIPT NUMBER
CITY OF !,ORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT.
A
712-
PERMIT NUMBER
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, TOTAL FEE
CONT. LIe. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Site Address V r RA.JJ CIS !J O(p E.' g7k ' .
CORREC A9DRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ~d R.~..J LA Ico . Installation By OC Vll1llc'
Owner's Address -UEfvlt.-l C II AJ I C Installers Address
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
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 ~II r /1 t ,19 By ~htJ
I . ( CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
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Permission is her~by giv~n to do the abovE!.de~cribed work, according to the conditions hereon and accordil)g to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of. the City of Port Angel s.
" IRECTO "';CITY LIGHT ..
)/If/f1_ "~CANS.PPED :" _
Notify Department of City Ught by Street Address'and Permit Number when ready for inspection. Work must not
be covered or current turned on be!ore 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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USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
FEE"
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~)... 10'
120V
10
240V
100A.
30
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE
APPLIANCE
DISHWASHER
DISPOSAL
. RANGE
OVEN
WATER HEATER
lAUNDRY
DRYER
FURNACE
GAS - Oil
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
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1 SUB-TOTAL
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Date Permit Issued
WARNING
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Wiring Method
USE OF CIRCUIT
AMP
NUMBER - PER
ClRCUITS CIA
120V
10
240V
100R FEE
30
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.sq,.<'OL TS
LESS
/MOTOR -
MOTOR
MOTOR
FIRE ALARMS
BURGLAR ALARM
MISC.
REINSTALLATION LIGHT FIXTURE #
~UB TOTAL FEE
ENERGY FEE
BASIC FEE
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TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
A.W.G.
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS,tNC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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. .' O.K. FOR COVERING
d.lrq IAt, I\~~ . O.K. TO CONNECT SERVICE
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FINAL O.K.
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