HomeMy WebLinkAbout617 Whidby Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
...57 r
PERMIT NUMBER
I
T TAL FEE -
I
I ELECTRICAL PERMIT ONLY
Site Ad ess G \l I..A) I"~ ,C:j l-,:" \'\ ,,' "-
qORAfC2:. ADDR~S IS. RESPONSIBILITY ?F.APPlICANT . PERMITS WITH WRONG A~DD__ RESS 5 ARE CANCELLED
Owner ~<-\~,.. (,. ~\:,,,,c.. InstallaHonBy ~
Owner' Address S'\I'-""l1l..:.. Installers Address '
Day Ph ne '1 S 1- '"I 'I (;7 . .' . . Installers Phone
Applica ~on is hereby made for Permit to install Electrical Equipment as follows:
I .. . .. - -
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I
I NUMBER
US I OF CIRCUIT CIRCUITS
UGH I
L1GH r
1--,
'CON fNIENCE
1--.
~ f.NIENCE
APPL/ f-NCE
~ f:ASHER
~15AL
RAN( ~
OvEN I
- ,
WAlE}' HEATER
LAUN hAY
I
DRYE!
FiJiiN ~CE
GAS. OIL
FURN CE
ElEC JRIC
ELEC IRIC HEAT
ElEC IR.le HEAT
A.C.l ~'T
FEED !R
/ b 03l-
P~.
TIME TO COMPLETE
NO. STORIES
CONT. Lie. NO,
LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Wiring Met~od
AMP
PER
CIR
240V
100R
30
AMP
PER
CIR
240V
100R
30
120V
10
NUMBER
CIRCUITS
120V
10
USE OF CIRCUIT
FEE
FEE
SIGN
50 VOLTS
OR LESS
MOTOR
MOTOR
.MOTOR
FIRE ALARMS
BURGLAR ALARM
MISC.
REINSTALLATION LIGHT FIXTURE #
SUB :rOT AL FEE
-.
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
SERV bE
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II
1< et,{' ~ J ;;;u:o 4--''''1)
I SUB- TCrrAL )'
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
I fL- 'e-
AW.G.
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
I certif
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.
f86-~ JIll k,.,,-
Date A 'plication made
~A^)
19 H"
By
'2.0
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
I P mission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
speclfltations pertaming thereto, subject to compliance With the Ordmances of the City of Port Angeles
- ---7'" /LECTO"~F CITY LIGHT ' .
Ilz(/' ;ft .. By "'h,b .
I c.r PLANS APPROVED / . .: I t
Notify Department of City Light by Street Address and Pen;,it Number when ready for inspection. W~rk must-'not.
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 Ex!. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
Date P (mlt Issued
r; 'RNING I
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OL YMPI PRINTERS. INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
I ~"LI'X~ ~ FINAL O.K.
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