HomeMy WebLinkAbout120 W 5th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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FEE RECEIPT NUMBER
PERMIT NUMBER
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TOTAL FEE 3o~ /f?..<.- L
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES - LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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. CORRECT_ ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED r
Owner G oJ r L L1 .... d Installation By M (.1 " .v IV .. 415' l:: I.. ( f;q ; <-
Owner's Address / / f!i-' ~ -57J; Installers Address ::::Z.s!r '"'-' 9" "-
Day Phone Installers Phone '-tS 7 S H", 9" 9-
ApplicatIon is hereby made for Permit to install Electrical Equipment as follows: I. IIJ ~ IC2.. ~ A ..s e I S rt!".e oJ , <:.. ~
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Site Address
Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCun CIRCUITS PEA '0 100A FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BUAGLAA ALAAM
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 _'/ 0 t:> AMP / pi' PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE ~~ <Wt> /A, AW.G.
r SUB-TOTAL SIZE OF GAOUNO'9;T<lSI;E OF ENTAANCE 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 and
nformance with the N.E.C. Electrical Code.
CONTRACTOR 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 Ordif!ances of th City of Port Angeles.
JORO CI
By
PLANS AP OVE
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.
.
Date Permit issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
_YMPIC PRINTERS. INC.
DATE OF VISIT
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REPORT OF INSPECTOR
REMARKS
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