HomeMy WebLinkAbout1404 Pacific Vista - Building
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FEE RECEIP: UMBER
CITX.OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER 1
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TOTAL FEE
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CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
pA-C/,"f!'f'VERM1
CUP. ~~SE ESTABLISHED UNDEA THIS PERMIT
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CORRECT ADDRESS IS RES QNSIBILITY OF APPU ANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner Installation By .M y Bill I:J Po.i If '-7711 Go
Owner'sAddress ,(.13, R. 6"N," 0fl t f11'1f~b / Installers Address P. (P. /J,di {,~ . ::rrJ'/~.f:-
Day Phone q S:l- 1-:1.., t!J C; ,Installers Phone '17'" - .3?t, q
App~ication is hereby made for Permlt to install Electrical Equipment as follows: ^f(ffll - Ift1/\A &
W4.$I/:
~iring Method
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NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 120V 100R FEE . USE OF CIRCUIT PEA 100A FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LiGHT 5QVOLTS.
OR LESS
CONVENIENCE . MOTOR .- ,
CONVENIENCE - MOTOR
APPLIANCE , . . MOTOR
DISHWASHER -, F!RE ALARMS - I. -
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER .. REINSTALLATION LIGHT FIXTURE #
FURNACE -. SUB TQ.TAL FEE
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT ..
TOTAL FEE'
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
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A.C. UNIT ~OO AMP ~ PHASE
FEEOER SIZE qF S~I}~CE E~TRANCE CONDUC:TORS
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SERVICE AW.G.
I SU-B- TOTAL' - SIZE OF-GROUNO.p.,! - SIZE OF ENTRANCE SWITCH 2()/1 A qP
Date Application made
MAY 2'7
19 '?~
ectricaJ Code.
I certify that the work to be performed under this permit wilt be done by the installer and in
CONTRACTOA OR OWNER (OR AUTHORIZED AGENT)
Permis~ion is hereby given to do the above desc;:rlbed work, according to the condi ons hereon and according to the apprpved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. ~ r' . .
, DI~ECT~OR OF TY'll~HT . "
By ~/r~C"'-L#
PLANS APPROVED ,-
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WARNING
Notify Department of City Light by Street Address and Permit Nurpber when ready for inspection. Work must not
be covered or current turned on b.efore 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 PRIN"'ERS, INC.
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DATE OF VJSIT
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I! I~t 17
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MADE BY
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REPORT OF INSPECTOR
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O.K. FOR COVERING
O.K. TO CO,,!NECT SERVICE
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FINAL. O.K.
REMARKS
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