HomeMy WebLinkAbout1612 W 13th St - Building
F.LiZ ~MBER
CITY OF PORT ANGELES
DEPARTMENT OF L1G'HT
APPLICATION AND ELECTRICAL PERMIT
A
/02-2-
PERMIT NUMBER
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TOTAL FEE / & z::-- C;P/tl' dls ..
CaNT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
SIBILlTY OF APPLICANT
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PE~MITS ~ITH WRONG ';Jtr..SfjES ARE izNCEL~ED ut d
Installation By ( t.lfv C. . . ff
Installers Address
Owner
Owner's Address
D~y Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
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Wiring Method
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NUMBER AMP .120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100A FEE I - USE"OF CIRCUIT PER 100R FEE
CIRCUITS 'CIR 10 30 CIRCUITS CIA 10 30
LIGHT SIGN ,
LIGHT . 50 VOLTS
OR LESS
CONVENIENCE MOTOA .
CONVENIENCE. MOTOR I
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY .
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOT.AL FEE
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC .
BASIC FEE
E~ECTR1C HEAT _ . . . TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHAS~
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
. I 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.
Date Application made
,19
By
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CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
PermissJon is hereby givef).to do t~e above described work, according to the conditions hereon and according to. the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances 0 t e CIty of P~~TW~p~T
. .. / . f~Er0~YLIGHT
Date Permit Issued t~ 17 By G-- . )c>
PI PLANS PRO ED
Notlf Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered or curr~nt turned on before inspection and O.K. for covering gf 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 -
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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/110 O.K. TO CONNECT SERVICE
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