HomeMy WebLinkAbout216 W 9th St - Building
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~E~~BER
CITY.OF PORT ANGELES
. DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A 00 7d
PERMIT NUMBER
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'TOTAL FEE
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CONT. Lie. NO.
TIMETOCOMPLETE
NO. STORIES
Site Address
ELECTRI~AL PERMIT ONLYA!..)lO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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J // ~ ,__ C?;CT ADi)IS RESP~/}~JITY OF APPLICANT . PERMITS WITH WRONG _~;ESSES ARE CANCELLED p? f.,? ,
wner . .,..., Installation By 1 -" L"'~. -. -
, .. Installers Address ,]I ~:J!d f J..
wner's Address
ay Phone Installers Phone ,_ p, 18 _41c}-~ /
PPI~~n is ht:'reby [T1ad_e for Permit ~o install Electrical Equipment as follows: /// ~/'A"j~' /' /L- .--y,,,, . J-"
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Wiring Method) . /h.-2,,-,,,. ,
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R l FEE
CIA 30 CIA 30
LIGHT I ,/' SIGN
LIGHT 'r 50 VOLTS
OR LESS
CONVENIENCE . . ---- MOTOR
CONVENIENCE . I - r- MOTOR
APPLIANCE . MOTOR
DISHWASH~R _ .-,' 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, BREKKER
A.C. UNIT AMP // PHASE
FEEDER SIZE OF SERVI~NTRANCE CONDUCTORS
SERVICE / A.W.G.
. .. 1 SUB-TOTAL V/ f'2 .. SIZE OF GROur(()'
SIZE OF ENTRANCE SWITCH
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.
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 Applicalion made / () - ~- ,'9~' By
.
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
P,?rmlsslon is hereby glv.er"! t9 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 ~~~2t" 4 (?~~I!e/
PlANS.,(PPROVED - lor. . '. .
. - -'.
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or qurrent 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.Ortglnal CANARY - Duplicate PINK - TrIplicate WHITE CARD. Inspector's Report
nl VlADI(" DRII\lTi=R~ IN("
REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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\~ 1\1 I 10..\\~J O.K. FOR COVERING
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\ '\..-/' O.K. TO CONNECT SERVICE
4~1 r~~_1) ''7l/-2 FINAL O.K.~
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