HomeMy WebLinkAbout1128 E 2nd St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
CONT. Lie: NO.
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NO.. STORIES
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TOTAL FEE
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LEGAL OCCUPANCY
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II ;l.. rCT~~ P~M;;;Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
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II'Ll? e 7. 711,:;11
Self; rCf?
Owner
Owner's Address
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
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WiringMetho~8 <of PiPe'
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NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PER . .100R FEE USE OF CIRCUIT PER 10QA FEE
CIRCUITS CIR '0 30 CIRCUITS CIR 10 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
ELEG.TRIC HEAT . TOTAL FEE "'? (). (>0
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT 7196 AMP I {/ PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE V ~ClC 1lO.~ A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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I certify that the work to be performed under this permit will be done by the installer and ~mance with the N.E.C. Electrical Code.
.. ____. $7
DateApplicationmade ,1('-.....7--:?J~ ,19&"'3 By /L97I1Vt~.R./t.___
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CONTRACTOR 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:'., .: '~\ t .,. :, <( .\
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Date Permit Issued ~c..N:{,"~~EO ",' ~ , ' ,
~- ., ;2 ,.... r..s- Notify Department of City Light by Street Addre~s and Perm.it Number when ready ;or 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
I 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.
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REPORT OF INSPECTOR
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DATE OF VISIT
MADE BY
REMARKS
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O.K. FOR COVERING
:-.7- O.K~TOCONNE~TSERVICE
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