HomeMy WebLinkAbout415 C St - Building
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-CITY OF PORT ANGELES
. DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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FE IRECEleT NUMBER
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T[OTALFEE ?/\ G)O
c:/V. CONT. Lie. NO. TIMETO COMPLETE NO. STORIES
j ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
SiteAdress .415 12" sr' \C..."I.,..., .
. CORRECT ADDHESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner j..l-{.AJ D Cc~v'<;-Iq',,;c-fl/.)/I/ Installation By /-lC4"~ ~Lr.ECTt::!.1 C
Owner 5 Address' . fA. Installers Address Po &vy /&1.)3
Day Ph10ne <f s'? . O~ ~ /.p Installers Phone to 0;- 3- S'tJ'S"'J
APPliC~tiOn is hereby made for Permit to install Electrical Equipment as follows: ;)tJO A..I"'n i" 0 H .
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Pt:;RMIT NUMBER
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LEGAL OCCUPANCY
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Wiring Met~od
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I NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
I CIA 10 30 CIR 30
LIGHT b 0/ SIGN
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LiG~T 50 Vet TS
OR lESS
CONVENIENCE MOTOR
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CON~ENIENCE. MOTOR
APP~lANCE . . 'l. V - MOTOR
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DISHWASHER FIRE ALARMS
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, BURGLAR ALARM
DISPOSAL
, . I ,/ MISC.
RANGE
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OVEN
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WAT'ER HEATER 1 j
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lAUtoIDRY
DRYER I ./ REINSTAllATION LIGHT FIXTURE #
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FUR~ACE . SUB TOTAL FEE .
GAS - Oil
FURNACE 3. ~ ENERGY FEE
ELECTRIC. - BASIC FEE
ELEcrTRIQ HEAT ... ./
.. TOTAL FEE I
ElEltTRIC HEAT - SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
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.. ;). () 0 /6
A.C.UNIT AMP PHASE
FEElOER ,
SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE 'I/b A.W.G.
J - I .SUB- TOTAL 3r>, ~cJ SIZ~ O'F GAOUNO:# l/
SIZE OF ENTRANCE SWITCH
I cert'fY that the work to be performed under th~s permit ~i.II' be done by the installer and in conformance with the N.E.C. Electrical Code.
Date r"pplication made '3 -!: - . ,19 :!f~~ By 'loL ~"'<--'l'-
._ CON"TOR OR OWNER {OR AUTHORIZED AGENT)
Permi.ssion is hereby given to dlo 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. '\' . ., '
01 CTOR OF CITY LIGHT .' .
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Date ermlt Issued PLANS APPROVED _' . . .
{' ~ '~/8..s;""'-NotifY Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
. y/ ~ / C , be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
, I Writing on Permit Placard. A.. Permits Phone: 457.0411 Ex\. 158.
Vo(ARNING. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK _ SEE OVER _
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WHITE. Original
CANARY. Duplicate
PINK. Triplicate
WHITE CARD. Inspector's Report
OLYMpIC PRINTERS, INC.
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
REMARKS
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
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