HomeMy WebLinkAbout821 S Peabody St - Building
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FEE ~ECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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T9TAL FEE
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\pONT, LIe. NO. NO. STORIES
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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co R Cr ADDAESS IS RESPONSIB lilY OF APPlIC NT PERMITS WITH WRONG ADDRESSES ARE C~CELLED /
Owner; C'~ ~ G~l1A(!o.-"'" '1 Installation By A'1:J"'- es: r-:/c.Z(:"
Owner'~Address VL-{ S17PC P.ut-/O" t., Installers Address E:..1.:c.I'E::-",,-~-t-I<:+-
Day Phqne '7:'77 - (J 7 q L V Installers Phone y ~2::92....b,cf
Applica1ion is hereby made for Permit to install Electric.al Equipmen! as follows: r c.. It] fa _c e.. ~ U_iI'--All,..-(J:.-
LEGAL OCCUPANCY
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Wiring Method
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NUMBER AMP 120V . 240V NUMBER AMP 120V 240V
u,$ OF CIACUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 10QR FEE
CIA 30 CIA 30
lIGH~ SIGN
lIGH~ 50 VOLTS
OR LESS
CONV~NIENCE . . MOTOR
CON,*N1ENCE MOTOR
APPlI~NCE . MOTOR
DISHIjiASHEA '. FIAE ALAAMS
DISPqSAL BURGLAR ALARM
AANdE MISC. .
OVENI
WATEF HEATEA
lAUNbRY
DAYE~ REINSTAllATION LIGHT FIXTURE #
FUAN~CE SUB.TOTAl FEE ,
GAS - Oil
FUA~tfE ENERGy FEE
ElEC RIC BASIC FEE
ELECtRIC HEAT TOTAL FEE ')(; r~
ELECTRIC HEAT - SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. WNIT J(')() AMP J (/ PHASE
FEED~A ,
SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE. ;iF / II..L AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH /d)
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I certitrf that the work to be performed under this permit will be done by the installer and in conforman
Date ~pplication made 1//;,151",,-<> , 19 By
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Electrical Code.
CONTRACTOR OR OWNER ( AUTHORIZED AGENT)
Pttrmission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specif~cations pertaining thereto, subject to compliance with the Ordinances of the,City of Port Angeles./ 1, .' ,.' \ ~ -' \ '
. , '. DIRECTOR OF CITY LIGHT .'
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. Date P~rmit Issued
By
PLANS APPROVED
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WtRNING
Notify Department of City Light by Street Address and Permit Number when ready for inspection, Work must n
be covered 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
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REPORT OF INSPECTOR
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DATE OF vlsrr ~j t ~ ; . " MADE BY REMARKS
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/1- "/- </';- '71/ .,g . O.K. FOR COVERING ..
(/~<t- ~j- 11 f.-2, O.K. TO CONNECT SERVICE
II-S - G) 'll!'2J FINAL O.K.
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