HomeMy WebLinkAbout922 1/2 W 10th St - Building
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01'93
FEE RECEIPT NUMBER
, CITY OF PORT.ANGELES
. DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
00040j
PERMIT NUMBER
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TOTAL FEE'
CONT.lIe. NO TIME TO COMPLETE NO. STORIES LEGAlQCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 9.2;2.L. Ix/' /0 /i- --
. . COR?CT ADDRESS IS RESPONSIBILITY OF APPLIC,ANT PERMITS WITH WRONG !:O~ESSEJ ARE C~NCELL~D ,
Owner / L ;-;J1..'-/54'1S.-'R Installation By /JV(< ~d/A/Pl4/:; E/;,-"?;;r".c'
Owner's Address '>7.-:zr; ,It/ E..2Y77. s-r t1t#.C...."i:.-lnstallerS Address ;.:2 30 V1/ 2'/~ .
Day Phone /-.4<S-~.- 709S- InstallersPhone7'~'7 5~R-9.'
Application is hereby made for Permit to install Electrical EquiPrT:18':1t as follows.:
Wiring Methqd
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NUMBER AMP 120V 240V NUMBER ,AMP 120V 240V
USE OF CIRCUIT PEA 10-0A FEE USE OF CIRCUIT PEA , 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
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CONVENIENCE MOTOR
CONVENIENCE -- - - . MOTOR
APPLIANCE _ .. .. MOTOR ,
DISHWASHER FI RE ALARMS . - - -
DISPOSAL BURGLAR ALARM
RANGE , MISC.
-
OVEN
WATER HEATER
LAUNDRY - ..
DRYER .. REINSTALLATION LIGHT FIXTURE # . -
FURNACE sua TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC . .-
;;?D 3Z)u. BASIC FEE
ELECTRIC HEAT .:2 ~:;:: ~ . ::2( ;00
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR, ZUIT BREAKER -
A.C. UNIT /00 AMP /, 6 .._ PHASE.
FEEDER SIZE OF SERVICE ENTRANCE CONDUC.TORS
SERVICE / 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'
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,19 :?..s- By
Electrical Code.
Date Application made
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CONTRACTOR R OWNER (OR AUTHORIZED AGENT)
. Permis.sion is hereby givenJo do the above_describec;l work, according toJhe conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinance~ of the City. of Port Angeles. .
- -. - ~ZR ~R ?j7CITY LIGHT, ,_
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Date Permit Issued .. ~c:.~ t;~RtvED . '. "_' __
~,. /'} ~ rr--Notlfy Department of City light by Street Address and PermIt Number when ready for inspectIon. Work must not,
r;- be covered or cl,Jrrent turned on before Inspection and O.K. for covering or service has been given by Inspector in
- I. 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
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
<(r>tJ~Y) 7/u Nt> E' fJ.5 /0 /7' "tle S-<t!e TK <>c"r- ,p~~je ~ IT
S"el( v, C ( If> If tV ~ t-
O.K. FOR COVERING
gr. 70- ff'~ '1f~4 O.K. TO CONNECT SERVICE
V-I).g{ 'l1/~ FINAL O.K.
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