HomeMy WebLinkAbout1333 E 5th St - Building
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ffe RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF'LIGHT
APPLICATION AND ELECTRICAL PERM!T
A / ~~lUMBER
.
TOTAL FEE
30. eo
flAl vaE'
293 AI
CONT. Lie. NO.
/
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHIW UNDER THIS PERMIT
Site Address l?~_:::JJt8ST 5t/f 'S'T
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner !UJI'3 IIlc;"'S
Owner's Address 23 2. ( A. j
Day Phone .1./':;;-7 - 0 ;(, -Z- q
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Application is hereby made for Permit to install Electrical Equipment as follows:
At:J..-
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PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By ;11/' VaRSEAJ's ELfECTR/C-
Installers Address /'9El,. W ;1 ~
Installers Phone 4S'? -78 tJ3
Jj{W /16I1J!.
Wiring Method Rp/14J;.X,
.
NUMBER AMP 240V - NUMBER AMP 120V 240V
USE OF CIRCUIT PER 12QV 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT 4- SIGN
LIGHT - - 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER I -- - FIRE ALARMS .
--
DISPOSAL I BURGLAR ALARM
-
RANGE I MISC.
, '
OVEN
WATER HEATER I
LAUNDRY I
DRYER' t . REINSTALLATION LIGHT FIXTURE #
FURNACE I 10 :rJ 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 2CJtJ AMP /tJ'i' PHASE
,
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE 4/" , 4-10 ' ::Un -4L AW.G,
I SUB-TOTAL SIZE OF GROU:D #4- SIZ{ OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
JULY E4-
,19 6'?
By
... . QNTRACTOR OR OWNER (OR AUTHORIZED AGENT)
f. '. . ,. . , .". . . .' ...'.
. Permission is here.by given to do the ~bove desc~ibed.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.._ ,
By L/J?~2:;:Z:GHT A
PLANS APPROVED " . cs.
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.
Da;ze;~T;7
WARNING
, .
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turne_d 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 WHITE CARD. Inspector's Report
nl YMPIf:: PrlINTFR.c: INf::
DATE OF VISIT
I ,
6,-/9/'/7
2 ';;;J??
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MADE BY
REPORT OF INSPECTOR
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
REMARKS
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