HomeMy WebLinkAbout925 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 NUMBEA
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TOTAL FEE
j(;,r60
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CONT. L1G. NO.
TIME TO COMPLETE
NO. STOAIES
LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
Owner
Owner's Address
Installation By
Installers Address
Day Phone Installers
Appli, atio~ is hereby made tor Permit to install ~Iec~ Equipment as follows:
- W. /f.ud-l- - W
Wiring Method
.
NUMBEA AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 ~IRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE V /l MOTOR
DISHWASHER / ) '/ F!RE ALARMS .
DISPOSAL / / BUAGLAA ALAAM
RANGE I / ... Ni lrV "- MISC.
OVEN )( 'j If'
WATER HEATER K "-'
LAUNDRY \
DRYER . . REINSTALLATION LIGHT FIXTURE #
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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~m~ N.~ . Elect"cal Code.
Date Application made ~ ,1~ By ',.
r CONTRACfOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby g~~he above described work, according to the-condltlons hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles'l ~~~ ' .
. . "._. ~IRECTOR'O,?fJY LIGHT ',. P'
.. D~ate IPer'irmIt/ISS~Uepd ~c.NSA7lJ()/ J1 ~~
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
I I 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
DATE OF VISIT
MADE BY
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REPORT OF INSPECTOR
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O.K. FOR COVERING
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FINAL O.K.
REMARKS
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