HomeMy WebLinkAbout1219 W 10th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT.
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PERMIT NUMBER
FEE AECEIPT NUMBER
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TOTAL FEE ..J '.
CaNT. Lie. NO. ~'1IME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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ELECTRICAL PERMIT ONL y~ NO OCCUPANCY OR USE ESTABLISHED UNDE.R THIS PERMIT
Site Address / 2..J<~) \AI.' fa T/-I 'S T. "
01?-.. . c?,~m~C~DRESS IS RESPONSIBILITY OF. APPLICANT . PERMITS WITH'WRONG ADDRESSES ARE CANceLLED
Owner ..b!KUc;r, eR-Kc:.H€L( el2- Installation By oW l\Je.R.
Owner'sAddress U.s',c:,c..,. ('PUFID'FJ.ICF, Installers Address "s/cME
Day Phone 45-:::. ~ 23-1-2. Installers Phone SA<Y.t::
Application is herepy made for Permit to install Electrical Equipment as fOllow'fOA5e::l-'V t~ Tb
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Wiring Method
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NUMBEA AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT - 50 VOLTS
OR LESS
CONVENIENCE - MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWA!?HE~ - FIRE ALARMS
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.
-1 SUB-TOTAL -
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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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:
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CONTRACTOR OR OWNER (OR AUTHORIZEO AGENT)
Permission is hereby given to 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
'DEc.
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Date Application made
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_ PLANS APPROVED ~,; ; . I
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
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
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Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE - Original CANARY. Ouplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OFINSPECTOR
DATE OF VISIT MADE BY ~ REMARKS
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9.K. FOR COVERING
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FINAL O.K.
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