HomeMy WebLinkAbout1825 W 10th St - Building
S01
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE /~
GONT. Lie. NO, TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Sile Address /82'7 W. 10"11-1
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner Al-Fe~? ?AV~K
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Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
OWNBR
Owner's Address
Day Phone
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pp Ica Ion IS ere y ma e or arml o inS a ec rI qUi pm n , )
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fW.-J..\ ....., Wiring Method
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AMP t~:l 7 AMP 240V
USE OF CIRCUIT NUMBER PEA 120V :/(,;E USE OF CIRCUIT NUMBER PEA 120V 100R FEE
CIRCUITS CIA 10A CIRCUITS CIA 10 30
LIGHT , /1 / SIGN
LIGHT -V U /' // 50 VOLTS
OR LESS
CONVENIENCE / V/ MOTOR
CONVENIENCE G MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAA 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 BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
'11 . I II EI t 'cal E
Installers Phone
e tasfollows' ADD
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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 Application made
Cr z- 8&
,19 8& By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby 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 the City of Port Angeles.
DIRECTOR OF CITY LIGHT
WARNING
BYW~
PLANS 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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
. Date Permil Issued
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
OATEOFV~SIT 7J/f REMARKS
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~ 111{!n O.K. FOR COVERING
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FINAL O.K.
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