HomeMy WebLinkAbout805 E 8th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMEN....-oF LIGHT .
AP~L1CATlON AND EL~RICAL PERMIT
A
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TOTAL FEE 30~ .. .~MNI
CONT.lIe. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address ?J 0 ~ .f.:g R f1J . .. .
R CORRE~ ~~RESS IS RESP9NSIBIUTY OF APPLICANT
Owner () f,l AJ CJt-O vJ )-/
. P'RMITS WITH WRO~ES 7' CANCELLED. ( ~
Installation By t L-f' 9 ErIe
Installers Address - -.
Owner's Address
Day Phone Installers Phone
Application is hereby made for Permit to install ElectrIcal EqujPment as follows:
. !/oCH P AJ.J ~L 177J r/ .-:-. ~1Y1 Pu n
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-rJ/--1(t, s: IL fl...t----tJ"".,. "" (:) Cf-'FafL. Wiring Method
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NUMBER AMP 120V. 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER f00R FEE USE OF'CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT t:'/ II \\:h I ~ ~D /? 50 VOLTS
OR LESS
CONVENIENCE .5~ RN/( I u... ,p. ., MOTOR
CONVENIENCE MOTOR
APPLIANCE .. . MOTOR
DISHWASHER FIRE ALARMS .
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER I
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.G. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.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.
Date Application made
, 19
By
.
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is h~reby 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 of he ,City of Port Angeles.
CTO OF I
J./ z/f1 By " :'\' .
Y PLANS PRO D \. ".,'. \ n_ \..) . \". ..
Notify Department of City Light by Street Address and Permit Number when ready fC;r inspection. WC;rk must)not
be coyered 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: ~57.0411 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 ~!'JSPECTOR
DATE OF VISIT MADE BY REMARKS
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