HomeMy WebLinkAbout104 E 13th St - Building
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f=Ee RECEIPT NUMBER
CITY OF PORT ANl.:ofLES
. "'DEPARTMENT OF LIGHT
. .APPLICATION AND ELECTRICAL PERMIT
A
520
PERMIT NUMBER
.
. .. /[5;...
TOTAL FEE /t ofl-- ..
CaNT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT QNL Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
~O~ECT AO~RESS IS ~.'OJ>ISI. +8H..1TY~NT PEAMITS.~ITH WRON. G ~DRE~SES ARE CANCE:;EO_
Owner",^.v.--\:I:;;.\\~, (-___ Installation By \".;: e c V'I\( \-,"',
owner'~s~. L\7,,-\\.. . ~~. . Installers Address' \\):,r z. ~""'~.
Day Phone ...~ Installers Phone ~"1-;l,."l.1I~..
Applicatlonis hereby made for Permit t9 install Electrical Equipment as follows: ~ ,"^ t> \ 4.... ~ Ll'I \1'",,-
~"C~\'t
Wiring M.ethod
.
NUMBER AMP 12QV 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100A FEe
CIRCUITS CIR '0 30 CIRCUITS CIR '0 30
LIGHT SIGN
50 VOLTS --
LIGHT OR LESS
-- -- .
CONVENIENCE MOTOR
CONVENIENCE MOTOR --
APPLIANCE .. . MOTOA :
,
. ", . . ., '. ., ,FIR~ ALARMS ~.' ",.t
DISHWASHER .
DISPOSAL . . . ~YRGlAR ALARM <--l -'? (..hlJ .}c
-- .. .~ -- , .
RANGE '. MISC. .... '-"\\ \ ~~
- '~ -t , " \ -}-\.. .. .. .. 'c....
OVEN ,
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE - . SUB TOTAL FEE
GAS - Oil
FURNACE ENERGY FEE
ELECTRIC .. 77 ~~
BASIC FEE
ELECTRIC HEAT . . .. 1M ~
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB. TOTAL .. ..
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
- . - . - ~
1 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 '?//r ?b ,19 By
CONTRACTOR OR OWNER {OR AUTHORIZED AGENT)
Permission is here~y given to do the .aqove describ~d work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the it of Port Angeles.
. OIlIEC 0 ITV
WARNING
. 3/ /f/ f ~ .. ~C.NSAPP OVED . ... . .. .
totifY Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered or cl)rrent tlH!1ed 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 _
.
Date Permit Issued
WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
()I YMPIr. PRINTFR~ INr.
DATE OF VISIT
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-II 7
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MADE BY
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/I JJJ.- .
REPORT OF INSPECTOR
REMARKS
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O.K.'F;OR COVERING
O.K. TO CONNECT SERVICE
FIN.AlO.K,
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