HomeMy WebLinkAbout1143 Campbell Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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A000039
PERMIT NUMBER
FEE RECEIPT NUMBER
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TOTAL FEE
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LEGALOCCUPANqV \_
Site Address
CONT. Lie. NO.
TIME TO CO!JIPLETE
NO; ST~RIES
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Owner
ERMlrs WITH WRONG A~DRESSES ARE CANCELL:://<
Installation By (!k IMM
Installers Address
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PPli~n is hereby made for Permit to insta Electrical Equipment as fOII?~... I -
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Wiring Method /
AMP 240V AMP 240V /
USE OF CIRCUIT NUMBER PER 12QV 100R FEE USE OF CIRCUIT NUMBER PER 120V 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT I y' '--I- SIGN
50 VOLTS -
LIGHT OR LESS
CONVENIENCE I - Zf -
MOTOR
CONVENIENCE MOTOR
APPLI.A..NCE . MOTOR -
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
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RANGE MISC.
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OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE sue TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE I
ELECTRIC BASIC FEE
ELECTRIC HEAT :L ~ ' .....- (/l
TOTAL FEE
ELECTRIC HEAT T
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER ..
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
1 SUB-TOTAL 77~ SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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it will be done by the installer and in con for ance with the N.E.C. Electrical Code.
Date Application made , 194 By
Permission is hereby given to do the abov escribed work, according to the conditions reon and ac
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTOR OF C TV. LIGHT
Date Permit Issued
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WARNING
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
OLYMPIC PRINTERS, INC.
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS -
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'?-31,8'i . ~'1/U O.K. FOR COVERING
~ \ , O.K. TO CONNECT SERVICE
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