HomeMy WebLinkAbout506 W 12th St - Building
1056
FEE RECEIPT NUMBER
. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
545
PERMIT NUMBER
.
TOTAL FEE
CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
FA.
500 \At rz i1-J 7r:
, CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner \^./ILA;iAM He;ND!:;.R.'SON' ..
Owner's Address "'AM~
4">Z-"30)23
6WI N{., :5E:RvICl:'::-
"'~ Cll?n /1"'16,
B.NTl<' At'I(JO-;-
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By ANt,< I S I ./vII:
l~staller"Address /5f.o I 0E::-~H. P A .
,
Installers Phone 452- - &, 753
Nf::;.Wf30X (7...00A J::QDt./l
'TO H8w UXA71DN ADoIN6
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I C0nA )
1\Af 0
Day Phone
Application is hereby made for permit to install Electrical Equipment as follows:
Wiring Method
,
. NUMBER AMP 120V 240V NUMBER AMP 120V' 24QV
USE OF CIRCUIT PER 100R FEE USE OF CIRcufT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE - MOTOR.
DISHWASHER - - -. 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
. J/~(;;O I?I""
SERVICE A.w.G.
I SUB-TOTAL df~ SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
I certify that the ~ork to b.e perfor~ed under thi~ permit will be done by the Installer and in conforma~ce with the ~'l'~C' Electrical Code.
Date Application made MARC-I-I 7 .19Rw By IA.IlL ~ C-v, N~/___
CONTRACTOR OR OWNER (OR AUTHORIZED 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. . I..
DIRECTOR OF CITY LIGHT
Date Permit Issued
. .
By1:RM.
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WARNING
_ PLANS APPROVED ... , "- . \
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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
()I YMPI/"'; &:IRINTI"R_C:; IN/"';
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
,. . . . .
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" O.K. FOR COVERING
1~Jlf U. ' /, IIM./ '1 O.K. TO CONNECT SERVICE
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FINAL O.K.
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