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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt.>
16801
Port Angeles. washlngton.ooo3__::oooooo_.~__L_ooo_......__..ooo.__ooo____, 19.2...9
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address if-n.l.IJJ.:;.::::;01~~..--m--:.:.. .l~.:__m__________m...__ OccupancY__.('~-'-mmm__.._.__mm____
Owner _~...i.__ _ . mm .__.__.. TenanL._.__.__ooo__m___mm_m__m___m.___ooo___n__ooo__m__m..
Wiring Contractor n.'"2':l'k_____ __ __000 _m_ m . .E:..._ By.___________mm__m__m_m_m___mn__m_______m__nn____
LIght Outlets.mmm.....m..........____n_.....
) ;;J. C - :l- 'I 0
Service, volts ......_mmm.....__.....___n......
No. wires _.__~_......h.............h.....
Size wires./.fI;ffi..~
7.(.,/ O:.+--
Main fuse ....__./....O..________....m........
Receptacle Outlets....___.hnm................
Dryer, KW n.uuu___._......h.____________n_____
Range, KW ___,____..____......___
Water Heater:
Enclosure ...___um_h...mm......
KW.__nnnnnnmnmmnm..mnmnn..
Heat KW....3.3.njs...0.!...~m.....n.
Type of wiring:
Entrance Cable _......hmm...___........
Motors: size, volts and phase:
Rigid Conduit .....................
Meta11lc Tubing .___nm......n
Current transformers:
No. & Size.....__.....________........__.........
Ser. No...............................................
Ser. No..............................................
Ser. No. .............................................
Type of WIring:
Armored Cable m......m..................
Non-Metallic .......m.....n_.........m...
Knob & Tube..............__................~
RIgid Conduit .......m...m_..............
Metallic TUhlng ...........................
Raceway ...............................__..._
Circuits, Light.......................................
Utillty................_.....................m.m
I-Ieat ......................................._......
Range .............................................
Water Heater ...............................
Motor .............................................
Dryer ..................................................
Furnace .........................'_......_...........
:'~:~;~~~'="~~~~-~;~~~.
Permit Fee
Treas. Receipt
NO.____oooooo____m___________
ByU,L:ooo~________ooo__
$..._____000__000_____________._______.
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16801
Address......................................__................................................................................................Date..._......_.._.._.._.........._......._......_.........
Owner ..................................._.........._......_......_.._................................................... ....... Tenant........................................................_..........
Wiring Contractor....................h.................................................................................__................. By..............................................................
NOTICE-Current must not be turned on unt1l Certitlcate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
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Olympic Printers, Inc.
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