HomeMy WebLinkAbout715 E 5th St - Building
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FEE REC IPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERM,IT
A
7tj5
PERMIT NUMBER
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TOTAL FEE
30.0V'
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CONT. LIe. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
~ERMIT~WITH WRON'hAj\DREr,es ARE CANCE~l~D - r f -..
Owner Installation By [.!J.1..!'oJ AI ~ ,,",.s L.:. 'P L I <l( , <-
Owner's Address '> ".s- r . r T1. Installers Address :::z."3 y LL.J <if'T 1,. . .
Day Phone. Installers Phone ~'.s-? SL Er-=- . A . .
Appli.cationis hereby made for Permit to inst!,1I Electrical Equipment as follows: .' .:J . 0 A ,vl/, <:, 1<:";' L. A ~
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Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V -
USE OF CIRCUIT PER 100A FEE USE'OF CIRCUIT PER - leOR FEE
CIRCUITS 10 CIRCUITS 10
CIR 30 , CIR 30
LIGHT SIGN I
LIGHT . ,so VOW
OR LES I
CONVENIENCE - MOToriJIY - ,
,
CONVENIENCE - I )<9';-Il"R
APPLIANCE '/, J MOTOR
DISHWASHER ,,, I 7F FIRE ALARMS -
DISPOSAL ,k I BURGLAR ALARM
,
RANGE MISC.
OVEN ,
WATER HEATER
LAUNDRY
DRYER .. - . "". . REINSTALLATION LIGHT FIXTURE # .
FURNACE - SUB TOTAL.FEE
GAS-OIL
FURNACE ENERGY FEE
ELECTRIC
BASIC FEE 1
ELECTRIC HEAT . ..
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
- -
A.C. UNIT .::? ~ C; AMP / PHASE
FEEDER SIZE OF SERVICE ENTRA!,CE CONDUCTORS
SERVICE ~;0 '7'~ 2.h, A.W.G.
. I SUB-TOTAL SIZE oj;' GROUND ~ ~O'"
SIZE OF ENTRANCE SWITCH
..
Date Application made
J!"'t
.:71
-,19 08
I certify that the work to be performed u.nder thts pennlt wi'lI be done by the Installer and 'In
By
.
CONTRACTOR OR OWNER (OR-AUTHORIZED AGENT)
Permission Is hereby given to do the above described '!i!,rk, !lccordiQg 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,
. .'. D~IRECTO OF.<::lnLlGHT
Date Permit Issued By ~ - ~f7
PLANS PPROVED - '
e:2' .,., ~ ~Jt' Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
OJ ~ tr / be covered or current turned on before Inspection and O.K. for covering orservice 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 CARD - Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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