HomeMy WebLinkAbout924 E 9th 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 )b~
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
21- [, f3""7'"'l.\
CT ADDRESS 15 RESPONSIBILITY OF APPLICANT
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
PERMITS WITH WRONG A
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Owner
Owner's Address
Installation By
Installers Address
Day Phone Installers Phone
Application is hereby made for ~ermit to install Electrical Equipment as follows:
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Wiring Metho~
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AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER - PER 120V 100A FEE' USE OF CIRCUit PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT - 50 VOLTS
OR LESS
A I,e. ,,- A.JoViJ U'i-O MOTOR -
CONVENIENCE
CONVENIENCE J- ~w iL- L . trl - <i ~;roty _ 0,.) E. ,/00- rL
APPLIANCE I- .;;, F, -r II fell ~. JA. MOT2!j A~ A-<; 'i hll ^'-.,J.
D.ISHWASHER F~RE ALARMS t- -
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 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
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
.19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the a.bove described work, ~ccording to the conditions hereon and according to the approved plans and
speCificationSppertainingrthereto. subject to compliance with the Ordinance. . the City ~I Port TAn el .
Date Permit It.- e/7 ~ 1 ~!A ROVED
. Notify Department of City light by Street Address and Permit Number when ready for Inspection. Work must not
be cov~red or current turned on before inspection and O.K. for covering.or service has been given by Inspector in
II 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 WHITE CARD. Inspector's Report
nl vuolr PRII\ITI"I:lC: Il\Ir
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
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ild 1'17 II I <- O.K. TO,CONNECT S~RVICE
I ~. FINAl. O.K.
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