HomeMy WebLinkAbout311 W 10th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
AP.PLlCATION AND ELECTRICAL PERMIT
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I PERMIT NUM EA
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TOTAL FEE
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CONT. LIC. NO.
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Site Address
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TtMETOCOMPLETE
NO. STORIES
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PEAMIT
LV.
Owner
Owner's Address .3 / I VI/
Day Phone . Installers Phone
Application is hereby "lade for Permit to install E!ectrical Equipment as follows: :?C C
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PEAMITS WITH WRONG ADDRES~~RE ~ANCELLED
Installation By /Zf(' __ OM"J.//V,4A/ ~.:s
Installers Address ,27 '< fr ~ 9"i'Ji
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Wiri~g Method
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NUMBER AMP 12QV -. 240V NUMBER AMP 120V - 240V
USE OF CIRCUIT - CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT . -. 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE . MOTOR .
DISHWA~ER .. FIRE ALARMS -- .
DISPOSAL BURGLAR ALARM
RANGE MISC_
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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 CIRC'-1!REAKER
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A.C. UNIT PHASE
400 AMP /
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
. 4~ 1// ft
SERVICE AW.G.
I SUB. TOTAL . ~ J.. "7~~,/")
SIZE OF GROUN~4'SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the Installer an
Date Application mad~ J2" <' /,c. ,19 8..3
CONTRAC OR OWNER (OR AUTHORIZED AGENT)
Perf!1lssion is !1~reby given t9 do the above described 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.
DIRECTOR OF CITY LIGHT
WARNING I
By~
_ . PLtflS APPROVED
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be cqvered 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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
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Date Permit Issued
WHITE. Original CANARY-- Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
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FINAl. O.K. ,
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