HomeMy WebLinkAbout113 E 1st St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
.APPLlCATION AND ELECTRICAL PERMIT
A
000313
PERMIT NUMBER
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TOTAL FEE
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'~CONT. L1~. ~o..
TI~ETOC9MP.LETE
.Nq. STORIES
LEGAL OCCUPANCY
Site Address
Owner Installation By,
Owner's Addre;~~ S A'JH~: . Installers Address
Day Phone # ,< 7 . ~ a ~5"" Installers Phone
Application is hereby made for Permit.to install Electrical Equipment as follows:.
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Wiring Method 1'/ fe
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NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 10QR FEE
CI~CUITS CIR '" 30 CIRCUITS CIR '0 30
LIGHT ;.- 1,0 y- II f. ()4/ 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
EL~CT~IC HEAT TOTAL FEE "'t. po
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER I .30 V lIP. Pt:> SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
- I SUB-TOTAL ~',"o /' SlZ~F ENTRANCE SWITCH -"
SIZE OF GROUND I certify that ihe work to be performed under this permit will be done by the installer and ir '/onfor~ with the N~I(c;t;J!"90de,
DateAPPlicationm~d~ t,;:.- 10 ,19 Y)'- By .... ./ "/i. , LI/ )
C06f"RACTOR OR OWNER (OR"t'UTHORIZEO AGENT)
Permission i.s 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 t.he City of Port Angeles. r ~._. '-
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DIRECTO OF CIT\f LIGHT ' -
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Date Permit Issued
By
PLANS A
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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
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WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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t,;.tI-ts J O.K. FOR COVERING
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) O,K. T<1. CP...N~E~TjS...ERVICE
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