HomeMy WebLinkAbout331 E 8th St - Building
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FEE R EIPT NUMBER
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CITY OF ,PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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TOTAL FEE
1 CONT. Lie. ~o. TIME TO COMPLETE NO. STORIES LE~L OCCUPANCY
" _ ,ELECTRICAL PERMIT ONLY / NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Site Address ' 3 ;3 i' ~: \? ' . ' , ,
\J )i:CO,RRECT ADDRESS,IS RESPONSIBILITY OF "APPUCANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
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Owner __ ',,/ '-tlnstal'lation BY' .') ,Q/ ~ .
Owner's Address I L/ '}.() A' C--"-,-vrt-.", Installers Address 1,42.0.....s C. k. (-.I-<--r
Day Phone W 517...3'(,B9 . InstaliersPhone 1fF:7-3(,6'P'
Application is hereby made for Permit to install Electrical Equipment as follows:
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5:r~r/!: [y"l /I e.,1f ( Wiring Method IX-
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NUMBER . AMP 120V 240V NUMBER, AMP 120V 24QV /
USE OF CIRCUIT PER 100R FEE - USE'OF CIRCUIT PER 100R FEE
CIRCUITS CIA '0 30 CIRCUITS CIA '0 30
LIGHT I I 4- SIGN
. , -,- '50 VOLTS
LIGHT OR LESS
CONVENIENCE -, J . -, j' "-' MOTOR
CONVENIENCE 7 MOTOR
APPLIANCE - . MOTOR
DISHWASHER .. .. FIRE ALARMS
DISPOSAL , BURGLAR ALARM
RANGE L / '7' MISC.
OVEN .
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE # .
FURNACE SUB TOTAL FEE . ,
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELEC.TRIC.HEAT 7 .' ../. ~
TOTAL FEE
ELECTRIC HEAT SIZE OF SERV,CE SWITCH OR CIRCUIT BREAKER
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A.C. UNIT AMP PHASE
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FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
T SUB.TOTAL "'L 1'1 SIZE OF GROUND SIZE OF ENTRANCE SWITCH
- , ermit will b~one b
I certif that the work to be erformed under this the installer and in conformance with the N.E.C. Electrical Code.
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Date Application made
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Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission.is hereby giyen 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 of the City of Port Angeles.
. DIRECTOR OF CITY LIGHT .
By ~:dd1 .u~~
PLAt'1S APPROVED . . '. .' ~ '
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.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
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REPORT OF INSPECTOR
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DATEOFVISIT MADE BY REMARKS
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O.K. FOF!COVERING
~""..~;: (.-6.,K. TO CONNECT SERVICE
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