HomeMy WebLinkAbout434 Whidby Ave - Building
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FEE F.I. i ECEIPT NUMBER
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PERMIT NUMBEA
" CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
! I /b~ R~ S.
rrAl FEE . .
CONT.lIe. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
Owner
Owner'~ Address
Day Ph~ne Installers Phone
Applica1ion IS hereby made for Permit to install Electrical Equipment as follows:
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Wir2ng Method
NUMBER AMP 120V . 240V NUMBER AMP 120V 24QV
US OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER l00R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT: SIGN ;
L1GHTI - - . , 50 VOL IS
OR LESS
CONvI NIENCE .. ... MOTOR .
CONV NIENCE .. MOTOR
APPLIANCE MOTOR
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DIS,!" ASHER FI RE AL~RMS
OISPO AL BURGLAR ALARM
RANG MISC.
OVEN
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WATE HEATER
LAUN('RY .
DAVE - REINSTALLATION LIGHT FIXTURE # . .
FURN~ CE . . . .. SUB TOTAL FEE
GAS- IL ,
FUR~! CE ENERGY FEE
ELECT IC .
BASIC FEE
ELECT Ie HEAT
TOTAL FEE
ELECT(lIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT, BREAKER
A.C. U~IT AMP PHASE
FEEDEF1 SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVIC E , AW.G.
I SUB-TOTAL .-
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify . .
that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
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Date Ap lication made ,19 By :
- . .. - CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
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"" V"D'''''~''''~IT'''DQ I~I""
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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