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HomeMy WebLinkAbout1129 Caroline ST CITY OF,P, ANGELES Y, DEPARTMENT OF LIGHT A . FEE RECEIPT UMBER PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE ©D CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY `� /ELE'CTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address .1/2 % ( /l (i&C- f}l: 01t//� l C0RREC,1,4DDRESS IS RESPONSIBILITY OF APPLICANT 'PFI�ITS WITFWRONG AD, SSES ARE CANCELLED Owner , i E r'Li���f � Installation By Owner's Address �WZ22 -� -L5 ( 126 L e.. Installers Address Day Phone 4'S 7 — . 6.3Installers Phone Application is here/by made for Pe _11C2/rmit to install Electrical Equipment as follows: .cJ.r Wiring Method NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 10 1 0 OR FEE USE OF CIRCUIT CIRCUITS PER 10 1008 FEE CIR 30 CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE# FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. 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. Date Application made �0 1g� By CONTRACTOR OR OWNER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OF CITY LIGHT Date Permit Issued By PLANS APPROVED A/iQ/e/0 Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work 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 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER— WHITE-Original CANARY-Duplicate PINK-Triplicate WHITE CARD-Inspector's Report OLYMPIC PRINTERS,INC. REPORT OF INSPECTOR ;> 1 DATE OF VISIT MADE BY REMARKS z cc Q H z W H� 3 0 z 0 0 O.K. G A lb if o FINAL O.K. ��