HomeMy WebLinkAbout229 W 2nd St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT'
APPLICATION AND ELECTRICAL PERMIT
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PERMI NUMBER
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TOTAL FEE
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ELECTRICAL PERMIT QNL Y
Site Address .2 lA./ ~4
:... / CORRECT ADDRESS IS RESPONSIBILITY OF APPLI
Owner Ph, -c <,,",i'., FRA 2'-lf('
Owner's Address ::?.;? 9' j,4,./'=<' -- Installers Address
Day Phone Installers Phone
Applicati~n is hereby made for Permit to i~stall Electrical Equipment as follows:
Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP .120V . 240V
USE OF CIRCUIT 'PER 100A FEE USE OF CIRCUIT PER ;00R FEE
CIRCUITS CIR '0 30 CIRCUITS CIR '0 30
LIGHT SIGN
LIGHT 50 VOLTS
OR lESS
CONVENIENCE - MOTOR
CONVENIENCE . MOTOR
.APPLIANCE . - MOTOR
DISHWASH~~ . 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 /00 AMP I PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUC,TORS
SERVICE ~ ~ A.W.G.
I SUB-TOTAL SIZE OF GROUND ~ SIZE OF ENTRANCE SWITCH
. Date Application made
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I certify that the work to be performed under this permit will be done by the installer an
By
CONTRACTOR OR NER (OR AUTHORIZED'AGENT)
~ermlssion is hereby given to do th~ above described work, according to the conditions hereon and according to the approved plans and
specifications pertainin;ri;tSUbiej; ;omPllance With the Ordinances of the City of P Ert ~n:~~s:, ; LIGHT d . ':~, ~ I
. Date Permit Issued I ~ / t b I :. . .
Notify Department of City Light by Street Address and Permi umber when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. f r 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 -
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WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
no "UOlr.P!:II!I.ITI:!:lt::,.INI:
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
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'O.K. TO CONNECT SERVICE
FINAL O.K.
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REMARKS
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