HomeMy WebLinkAbout425 E Front St - Building
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FEE AECEIPT NUMBEA
cln OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND .ELECTRICAL PERMIT
A
118
PERMIT NUMBER
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TOTAL FEE. 3o~
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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ELECTRicAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address :f: 25""' E Ft2-tJ fJ-r
caRRE T ADORES; IS REspaNSIBlLlr?aF ;PPlICANT PERMITS WITH WRONG ADJrESSES A"f CANCELLED
Owner Mp,rJ Installation By ~?lEr f{Fe
Owner's Address ~^^ 5 Installers Address __
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Day Phone T S' 7 ~ . 2-1.-- Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
))fW ;2.D0 A-Pl/ SU!f//C E. Of--J C. To M. 't.. T'E-R.
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Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER '0 100A 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 ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT .
TOTAL FEE "
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CiRCUIT BREAKER
A.C. UNIT AMP PHASE
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FEEDER SIZE OF SERVICE ENTRANCE CONDUorORS
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SERVICE , "A.Vj,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,
Date Application made
,19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according (0 the conditions hereon and according to the approved plans and
specifications 'pertaining thereto, subject to compliance with the Ordinances of th City of Port Angeles.
, "ECTOR 0 . I~Y. LIGHT
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By
PLANS PPRO ED
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.'
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Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD . Inspector's Report
REPORT OF INSPE:CTOR
DATE OF VISIT MADE BY REMARKS
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./1 11 trXr! :._;..~-
1!t./f1 / fA f7 O.K. TO CONNECT SERVICE
, ~O.K.
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