HomeMy WebLinkAbout1507 S O St - Building
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'FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
776
PERMIT NUMBER
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TOTAL FEE 3D /.r:zcL
CONT.lIe. NO. TIMETDCQMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
f? 5'( 15'01 f.o"
CORRECT ADDRESS IS AESPONSIBILlTY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED _ ~
Owner Installation By . fl.'\.( (" -IV A ^'" f C ./--~c;;;P / C
Owner's Address Installers Address 2":( B- i..-<./ 9" (I,
Day Phone Installers Phone .:.rS- 7 fa g Y .
Application is her.eby made for Permit to install Electrical Equipment as follows: <""I"""',..yo v it: ~ ::: "\? /'J1t'.J ,/1; / kl! N'1;-
Site Address
Wiring Method ?~~ r- ~""'t"?
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NUMBER AMP 12QV 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER , 00R 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 I'~E OF. ~p SWITCH OR CIRCUIT BREAKER
A.C. UNIT . t-y'O, L;0 b AMP :2 tD G PHASE
FEEDER , f SitE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
1 SUB-TOTAL SIZE OF GROUND /. SIZE OF ENTRANCE SWITCH -? ~
Date Application made
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I certify that the work to be performed under this permit will be done by the installer and'
.
CONTRACTOR R OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do 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.
. .. D~IREC R OF CITY LIGHT
Date Permit Issued y ~ - --~~
',' ~LAN~~- A.
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be cove~ed 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.
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
REMARKS
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