HomeMy WebLinkAbout2720 S Laurel St - Building
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FE:=: RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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1~M~EA
.. J TOTAL FEE
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CONT.lIe. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL Oc'CUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 7:Lo 50
CORRECT ADDRESS' RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG
Owner ~; I"fl 6rt S I.' Installation By
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Owner's Address ,I,? 3.,- IV" - Installers Address
Day Phone. l./~.7- 9.;l'ir-:l Installers Phone
Application is hereby made I.or Permit to install Electrical Equipment as follows: ~
1<.7:1'''I/(;/[''''U ~/f 44Q...--h,d SFelllC" t. Poh. ilf(~,..cJ- U b. '{?,....,....
)li:;-+'fp/t. -/o-/([ tM-f r ..uf:.... jJ[.j~/ ,fJOol.} S"c"{llrlWi"i"gMethod ("'-----
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NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT . 50 VOLTS
OR LESS
CONVENIENCE 9N :n.... l o' I r "il u" (f" ,A...GI MOTOR
CONVENIENCE C'Dt 11,7, :t-.Iu'~ "}S; .. [11 MOTOR
APPLIANCE 0' 1- -:r. ....J.... A..../~ I", MOTOR
DISHWASHER FIRE ALARMS
-
DISPOSAL BURGLAR ALARM
RANGE MISC,
OVEN
WATER HEATER
LAUNDRY
'DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE - , sue 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 p'HASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
. .
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE swnCH
.
Date Permit Issued
this permit will be done by the installer and In conformance with the N.E.C, Electrical Code.'
Byhb.
.
. CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
.Permission is hereby given to do.the abov~ described work, according to the c nditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of he City of rt An les.
~ 4/ fj. ~CAN APPAOVED _, .IRECT F C , . . ,
tot~ Department 01. 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 covenng or service has been given by Inspector in
Writin'g on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
,19
Date Application made
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK TripHcate WHITE CARD - Inspector's Report
OLYMPIC PRINTERS, INC.
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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