HomeMy WebLinkAbout309 S Francis St - Building
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FEE RECEIPT NUMBER
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< < Crl'YOF:,PORT ANGELES,
, DEPARTMEi-j-r'OF LIGHT
APPLICATION ,AND ELECTRICAL PERMIT
A '/06 :7
PERMIT NUMBER
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TOTAL FEE ,30, cx:J
;.. ..,\,\.,' . ,)CONT.Lic.'NO>,,' '.TIMETOS;OM':'LETE',\\ NO;STQRIES l.i_LEGALOCCU'PANCY
. \ . ," ELECTRICAL PERMIT ONlY''- NO OCCUPANCY-OR USE ESTABLISHED UNDER THIS PERMIT
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Site Address '30 q .... '5' ,"-';': F ,""f;! ''"'\ C i1s"'" ":):-'!'\',-o' . :~) : J: ",.>
- "",, CORRECT. AODRESSdSRESPONSIBILlT,Y OF APPLICANT' \ PERMITSW1TH.WRONG ADDRESSES ARE CANCELLED .
Owner ,To'h VI .' H'e\'\'~~",'" '\ " '<I~stall~tion'B~ 13" \I W",bbe",. :fa!'.. He. 1"'<1"
Owner's Address 30 q S. ~.(refl.-\ c. 'I'S .,. In'~t~:I~~s\Ad~r~~s -3 () ~ S 'P'VG\ ""~ ; .5
Day Phone Lf >1 ~ 5' Go;t:1 Installers Phone "'., 7 - 5' to;l. :t
Application is hereby made for Permit to _i_nstall Electrical Equipment as follows:
~~ <-1(241// if '7?l/0d
~!r~ng Method
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AMP 240V NUMBER AMP 120V 240V --'FEE
USE OF CIRCUIT NUMBER PER 120V 100R' FEE USE OF CIRCUIT "PER;' 10GR
CIRCUITS CIRCUITS 10
CIR 10 30 ',CIA 30
LIGHT SIGN
LIGHT SaVOl TS
OR LESS ',i"
CONVENIENCE .' '" MOTOR .' ':-.
CONVENIENCE MOTOR . ,
APPLIANCE MOTOR , . 1"",.
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM ,
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY 'H
,
DRYEFJ REINSTAllATION LIGHT FIXTURE'If" ,
FUANA':::E SUB TOTAL FEE ,"
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT ",
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AC, UNIT ,'-" .' ,
AMp: >,. PHASE
FEEDER SIZE OF SERVICE ~t'I;:rRANCE: CONDUQTORS
, ,
SERVICE . , AW.G.
I SUB' TOTAL '. ., , ","-'
SIZE OF GROUND srZ'E OF ENTRANCE SWITCH ,
Daie Application made
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,19~7
I certify that the work to be performed under this permit will be done by the installer and in
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CONTRAC!PR OR .oWN'ER (OR A~THORIZED AGENT)
Permission is hereby given to do the above _des.cribed work,.accordLng tOJhe ,gonditio 5 hereon a-f")~d'C!cco~ding to the~approved plans and
specifications pertaining thereto, subject to compliance with the Ordinanc.e,~})! t~~ 9~ty, o.f Port Angele~.._,,- , :
: ' , ' DIRECTO~,~~ L~?HT
. . BY'"~./.:z~,d'.p \ I '\"
Date Permit ISSU;C; PLANS APPROVED' ~"" .J,", '. \~<\' ..' ~_,' \ \" \.' ....
cr/3/ r'7 Notify Department of City Light by Stre,et Addr.ess and Pe~mit Numb~rw~~n'~r,e~d~""f;r inspec,~io~. Work~mu~~ not
be co~ered or current turne9 on before Insp'.es;tlon and 0)<'. fo~ covering gr !?8:r"ICe has b~E?r] given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158, -, ';..
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER .:
WHITE - Original CANARY - Duplicate
PINK. Triplicate WHITE CARD - Inspector>~':Report>: .
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DATE OF VISIT
MADE BY
REPORT OF INSPECTOR ~
REMARKS
X ~ORT 4"v;
O~Q",
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ELECTRICAL INSPECTiON
WiRiNG REPORT
457-0411 Ex!. 158
DAT~ 7. f 7 f"E/O c; 0
OWN ICO TRArTaR ( L
"~~\'lI..Ltlci I W~n-rV
.A.DDRESS L
~y 6, /7'u1"4! /5
o
APPROVED NOT APPROVED
ts. . . . . . . . . . . . . . . . . . .. DITCH .............,..... 0 .
o ...,........., ROUGH IN/COVER.,.. ... . ... ... 0
A . . . . . . . . , . . . . . . . .. SERVICE ,................. 0
ri . . . . . . . . . . . . . . . . . . . . FINAL. . . , . . . . . . . . , . . . . . .. 0
CORRECTIONS NEEDED:
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS. INC. (206) 452.1361
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