HomeMy WebLinkAbout608 W 3rd St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/D7'~
/ PERM T NUMBER
.
TOTAL FEE /6, /t d'{)~
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
Owner
Owner's Address
Installers Address
("v
Day Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
Wiring Method
.
NUMBER AMP - 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 100R FEE - USE OF CIRCUIT PEA 100A FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIAE ALAAMS
DISPOSAL ) BURGLAR ALARM
RANGE I MISC.
OVEN /' ^
WATER HEATER I \
LAUNDRY / 1/ ,
DRYER 1/ REINSTALLATION LIGHT FIXTURE #
FURNACE !/ j 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 SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
5fR..) ~
,191!J7
ctrical Code.
I certify that the work to be performed under this permit will be done by the installer and in c
By
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.
. 2::;'TYLIGHT
By YJ;eu/ '4
PLANS APPROVED
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WARNING
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 _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHilE CARD -Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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, I O.K. FOR COVERING
+-. 11 /11 ilj~ (t..- O.K: TO CONNECT SERVICE
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