HomeMy WebLinkAbout1325 E Front St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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8 {RL NUMBER
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TOTAL FEE
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TIME TO COMPLET~
NO.S10R\ES
.lEGAlOCCUP.b,NCY.
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address :5 2 -f-lt.AvV I -d--
CORRECT ADDRESS I~ IR~SPONSIBtUTY OF APPLICANT
Owner ~ Ie Ak [/J tfVtr'7
Owner's Address
PERMITS ITH WRONG ADDRESSES ARE CANCELLED
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Installers Address
Day Phone 4 )t.... J b L { Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
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Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 - CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOA
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
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.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 con1ormance
Date Application made
,19
By
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C TRAC R OR OWNER (O UTHORIZED AGENT)
Permission is hereby given to do the above described w.ork, according to the conditions hereon and according to the approved plans and
speci1ications pertaining thereto, subject to compliance with the Ordinances 01 the ity of Port Angeles.
By ~T;(:JITY IGHT
Date Permit Issued II /; ;/1 C PLANS APPROVED
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. 10r covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone; 457-0411 Ext. 158,
PERMIT PLACARD MUST BE KEPT POSTED DN THE WORK - SEE OVER _
WARNING
WHITE. Original CANARY. DlJplicale PINK. Triplicate WHITE CARD. Inspector's Report
DATE OF VISIT
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REPORT OF'INSPECTOR
REMARKS
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O.K. FOR COVERING
OX TO CON~ECT SERVICE
FINAL O.K: \
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