HomeMy WebLinkAbout1029 W 6th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
TOTAL FEE
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LEGAL OCCUPANCY
TIME TO COMPLETE
NO. STORIES
Site Address
10 ::L- ELECTW PERMITlNL~OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
CORRECT ADDRESS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG AD
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Installation By
Installers Address
Owner
Owner's Address
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
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Wiring Method---b 111 A
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100A FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT ^ / 50 VOLTS
, I I I ( ,OR lESS
CONVeNieNCE /(f k~ rif I ILl {Ii F", 1/ ( if! ,M0TOR
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CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM . .
MISC. . i . . - \\ ~
RANGE .' - . . '. .' -
OVEN
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WATER HEATER
lAUNDRY
DRYER REINSTAllATION LIGHT FIXTURE #
FURNACE 7JJn tI tu F.(.i/ .bl I'" 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 d&~ AMP I PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE 9ft l/~ ~~ AW.G.
I SUB-TOTAL SIZE de GRoGND .H SIZE OF ENTRANCE SWITCH
I certify that the work to be pe~Jer this permit will be done by the installer and in' 7,ma e E.G. €Iectrical Gode.
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Date Application made , 1 By
/ PONTRACTOR 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 e City of Port Angel
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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 -
WARNING
WHITE. Original CANARY. Dupllcate PINK. Triplicate WHITE CARD. Inspector's Report
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DATE OF VISIT
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REPORT OF INSPECTOR
MADE BY
.. REMARKS
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IEllECTRICAllNSPECTION
WIRING REPORT
457-0411 Ex!. 158
. D:;zl z)' I PERMIT '{ V 1-- ';;>. INSPllr
OWN~RiCtJ7l~ c ~ ~ ( Cv~L
ADORE 5 I ~
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APPROVED NOT APPROVED
L.J ......./;!/Dr..R;.;D~TaH t;).............. 0
ft'......\'.... ROUGH IN/g'tjV~R ...,.,.....,.. 0
o .................. SERVICE .........,........ 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEED~~ ( IV (~( It 'J ~
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTE}:jS, INC. {206} 452-1381
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ElE,CIRICAL INSPECTION
. WIRING R'E'P.ORT
F '. .' !l57'0411E~f1'58"
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PERMIT 1/ INSPECTOR
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ADDRESS
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APPROVED NOT APPROVE
D ................... DITCH .............,......LJ
D .............. ROUGH IN/COVER.. ............ ~
D.................. SERVICE ..t)..JLJ...!,,,,,}.I.,,.,..lI./,"IB'.v, 14A..ii...
D .................... FINAL.... N~T. F".""./..f.rK--1I1J
CORRECTIONS NEEDED:
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OLYMPIC PAINTERS, INC. (206) 452.1381