HomeMy WebLinkAbout633 E Park Ave - Building
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00031G
CITY OF PORT A~GELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
FEE ECEIPT NUMBER
PERMIT NUMBER
T<!JTAL FEE
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CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
! , CORRECT ADDRESS I RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner .; ...<; 1\... F Fe.L Installation By rV\. I" ",/VA",' S E IL'l 7:;, ;~
Owner's'Address t..3 ~ PARK. II oJ&. Installers Address ~~>> I".J ri'"T~
Day Phore Installers Phone o.j.S ~ ~ t.. "'9'
Application is hereby made for Permit to install Electrical Equipment as follows:
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Wiring Method I( OM e;('
l NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT' SIGN
LIGHT I 50 VOL 15
OR LESS
CONVEINIENCE MOTOR
CONVEi'JIENCE MOTOR -
APPLlAFCE . . MOTOR
DISHW~SHER FIRE ALARMS -
DISPO~AL BUAGLAA ALAAM
RANGE MISC.
OVEN
WATEAIHEATER
LAUND!\V
DRYER REINSTALLATION LIGHT FIXTURE #
FUAN~ sue TOTAL FEE .
GAS-Ol
FUANA~~ ~ ~ 71 /(4/ ENERGY FEE
ElECTR C BASIC FEE
ELECTR!C HEAT
I TOTAL FEE ,?O. 00
ELECTAfC HEAT
. , SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNI~ 'J" 1'\ AMP / tf PHASE
FEEDER I ,
SIZE OF SERVICE ENTRANCE CONDUCTORS
SEAVlce y 1,0<0 - Jp,cP -Y'h ~~ /~
A.W.G.
i I SUB-TOTAL 110. ca SIZE OF GROUND U , ~DD
SIZE OF ENTRANCE SWITCH
I certify tat the work to be pertormed under this permit will be done by the Installer and In contormance with the N.E.C. Electrical Code.
Date Apppcatlon made 'f", '" e. I.J. ,19 !'.S- By ~ ~~ ~
I CONTRACTOR R OWNER (OR AUTHORIZED AGENT)
Per"llssion is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specificapons pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
By ~ 7~CI.TYLIGHT .-. ,-~
PLAN~VED ~
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be cov~red 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.
Date Perorit Issued
(-Il-rj
WARtllNG
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC P~INTERS, INC.
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DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
REMARKS
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O.K. FOR COVERING
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~~O.K. TO qOt!NEC! ~EFlVrCE
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FINAL O.K. \~
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