HomeMy WebLinkAbout1118 S Laurel St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE / ~ ee-, /Ih,
CONT. lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Sile Address , I I 8 L Av P-Iirt
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
_ PERMITS WITH WRONG _AD~SE~ ABlE CANCELLED
Installation By . 1 t t,. [' C. t
-Installers Address .
L-~IL
Owner
Owner's Address
Day Phone Installers Phone
Application is here~y made for Permit to inst~ll Electric~! E.quipment as follows:
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. Wiring Method
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NUMBER AMP 120V 240V _ NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100A - FEE USE OF CIRCUIT' "PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN ,
LIGHT " . 50 VOLTS .. ,
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE .' MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY .
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS-OIL .
FURNACE ENERGY FEE
ELECTRIC BASIC FEE ,
ELECTRIC HEAT
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
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)
Permission is h!3reby given to do the above described w.ork, 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 Angele' t-.~ I, \" \ .......
., IRECTO 0 ,~ .'
Date Permillssued 1(2 711 7 ~CANS A:R EO .
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turne9 on before !nspection and O.K. tqr covenng or service has been given by Inspector \n
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
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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-S71-7/01 ~/ .'/.- O.K. FOR COVERING
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