HomeMy WebLinkAbout1203 E 2nd St - Building
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CITY,OF PORT. ANGELES
. DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE'
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CONT. Lie. NO.
TIMETO COMPLETE
NO. STORIES
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LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address / :z 0 ".3 /-- '.:;:! ,IV d
CORRECT ADDRESS IS AESPONSIBILlTY OF APPLICANT PERM.ITS WITH WRONG A;W55SE~AE CANCELLED
Owner .L <e' Eo -z;:? ""- L, :\.. f Installation By ~ L..t.. ~.A/ ~ /'--' r.s r~ c
Owner's Address /JZO 3' /- a ^-'A Installers Address ;::J3R LA..! '??11
Day Phone ~s-:7 "/.9? 9 Installers Phone "'-..,..;.:-7. ~-?,. R 9
Application is hereby m~de for Permit to install Electrical Equipment as follows:
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vyiring Method '
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NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 120V 10QR FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIR 10 30
LIGHT . SIGN
lIG'HT 50 VOLTS
OR LESS
CONVENIENCE . MOTOR
CONVENIENCE MOTOR
APPLIANCE . MOTOR
DISHWASHER FIRE ALARMS -
DISPOSAL BURGLAR ALARM
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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 I SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE I 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 a
Date Application made ..// V/? ~<'t' ,19 "ir"?
~ r - . . CONTRACTOR 0 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 ~ereto, SUb!' ; to compliance with the O:ylnance~ of th ity ~I PO~T~~CI
Date Permit Issued ItltJ 7
"( PLANSAPP E", ) I V'-""., \ ,', :?\ iI'
Notify Department of City Ught by Street Address and PerrnirN'umber when ready for in~pection. W8rk must not
be covered or current turned on bef.ore 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.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARO _ Inspector's Report
OlYMP.IC PRINTERS, INC.
REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
, O.K. TO CONNECT SERVICE
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