HomeMy WebLinkAbout101 E Railroad AVE CITY OF PORT ANGELES
FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT
TOTAL FEE flp , O
CONT.LIC.NO. TIME TO COMPLETE NO.STORIES LEGALOCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANC OR USE EST BLISHED UNDER THDOCIS PERMILL_ JZ�_teT ,b/ $ QRtt Rb;kV AVIL
Site Address LA c t�
COR ECT ADD S I R S NSIBILITY OF APPLICANT RMIT WITH WRO G ADDRESSE ARE CANCELLE
Owner Installation By
Owner's Address 0 Installers Address
Day Phone 6Y-1Installers Phone _
Application is hereby made for Per it to install Electrical Equipment as follows: / I'C,l1/
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 1 0 OR 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.
�f 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
1 certify that the work to be performed under this permit will be done by the installer and Anormance wit the N.E.C. Electrical Code.
Date Application made �� 7L"� 19 By
CONTRACT 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
At,/ 491e2
Date Permit Issued By
PLANS APPROVED
Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not
` ` o 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
DATE OF VISIT MADE BY REMARKS
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O.K.FOR COVERING
OXTO CONNECT SERVICE
FINALO.K.