HomeMy WebLinkAbout1408 W 10th St - Building
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FERZIPTN MBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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TOTAL FEE'
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CONT. Lie. NO.
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TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site AddrBss (5
Owner E'~ ;'-CO;E~T AOORESS~'S RESP NSI~ILITY O';PL:CANT Installation By
Owner's Addr s . or /0 (' 6-- Installers Address
Oay Phone " :/ . . I - Installers Phone
Application tS ereby made for Permit to Install Electncal Equipment as follows:
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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USE OF CIRCUIT
Wiring Method 1i'~.1
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AMP 240V
PER 120V 10 OR FEE.
CIA 10 30
. USE OFCIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
'0
240V
100R
30
FEE
NUMBER
CIRCUITS
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
SIGN
50 VOLTS
OR LESS
MOTOR
MOTOR
MOTOR
FIRE ALARMS
BURGLAR ALARM
MISC.
,
'6
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
cJ-ltJ AMP' J
'. SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
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Date Permit Issued
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I SUB, TOTAL SIZE" GROi'ND ffiI' SIZE OF ENTRANCE SWIT~H jOtJ 1f,..1J
I certify that the work to be performed under this permit will be done by the installe~ and in ~ance ~h thJe N.E.C. Electrical C~e.
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Date Application made F I/ITV w ,19 R'..:J By : . ,
- . ' ( ) ONTRACTOR OR OWNER (OR AUTHO~IZED AGENT)
:ermi.ssion is hereby given to do t~e above de~~ribed ~ork, accor~lng to the conditio~ereon andaccordi~'H9 the approved plans and
specifications pertaining thereto, subject to compliance With the Ordmances of the City of Port Angeles.' 'C'
DIR TOR OF CITY LIGHT
I~ /s- h~ ~rA:SAP RoVEO"" ~\ .
Notify Department o.f City Light by Street Address and ermit Number when ready for"inspectlon. Work must not
be covered or current turned on before inspection and .K. for covering or service has been given by Inspector in
'Writing on Permit Placard. A.' Permi",Phone: 457'9411 Ex!. 158.
SERVICE
A.W.G.
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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DATE OF VISIT
MADE BY
REMARKS
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/I-t 7))- 1/ ':3 , O.K. FOR COVERING
(/'6-'1' Iy ~ / O.K: T.O CpNNECT SERVICE
file/fit, IA 'V- ) , , ,
FINAL. O.K. ... ,
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