HomeMy WebLinkAbout528 W 7th St - Building
/10 '2--/
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
1012--
A
PERMIT NUMBER
.
TOTAL FEE 3D rE--- I< ~'\- .
CONT. lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
W. -17h
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
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Site Address
5'ZB
gob
Owner
Owner's Address
PERMITS WITH WRON"l1~DA.ESSEl ~~E ?AN~L1E~ '_' I
Installation By l::f!'!-'llfl-; fr-L<; ( 'Dt , c....
'Installers Address -
Day Phone Installers Phone.
Application is hereby made for Permit to inst~11 !=Iectrical Equipment as follows:
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Wiring Method
USE OF CIRCUIT
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE-
APPLIANCE
DISHWASHER
DISPOSAL
. RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER '
FURNACE
GAS - OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.C.UNIT
FEEDER
SERVICE
NUMBER
CIRCUITS
AMP
PEA
CIA
AMP
PEA
CIA
. FEE
240V
100A
30
240V
100A.
30
-.-,1'10
I" "
. ~EMBEA
USE OF CIRrUIT ) c/~~u~s
SIGN /lV" I
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~ FIRE ALARMS
--
120V
10
120V
10
FEE
I
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f\r "
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BURGLAR ALARM
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MISC.
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SUB TOTAL FEE
ENERGY FEE
1
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE ,
AW.G.
I SUB-- TOTAL
SIZE OF GROUND
SIZE 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.
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 0 th City of Port Angeles. .. ' . "/ ~ ~
. I ECT OF " .
" .
. }>"f' ,
Date Application made
.
Date Permit Issued
WARNING
OLYMPIC PRINTERS, INC.
,19
By
-,
By
PLANS P D
. -
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 WHITE CARD -Inspector's Report
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
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REMARKS
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