HomeMy WebLinkAbout324 E 11th St - Building
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FEE RECEIPT NUMBER
" CITY OF PORT ANGELES,
'DEPARTMENT OF LIGHT'
APPLICATION AND ,ELECTRICAL PERMIT
A
//92-
PERMIT NUMBER
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TOTAL FEE
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CONT. Lie. NO.
, TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
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E~~TRI(;AL /R~LY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
CO~ CT ADDRESS IS RESPONSIBILITY OF APP~ICANT _ ~~RMITS WIT~ WRONG ADDRESSES A~.~ CANC~L9' .
KOS.5, Installation By {? oh 5 ~C
Installers Address
,
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Owner
-(Sob
Owner's Address
Day Phone 4:,) .-.f., r b 3.
Application is hereby made fa
-Installers Phone
nt as follows:
'1Jt.{
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 1'00R FEE' . USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT .. " 50 VOLTS . .
OR LESS
CONVENIENCE .. ' , MOTOR .. , ..
,
CONVENIENCE MOTOR ."
APPLIANCE , , ' , MOTOR ..
DISHWASHER " ' , , ., .. " FIRE ~LA~M.S
DISPOSAL BURGLAR ALARM
RANGE MISC,
OVEN J..k t- / " I/~ C>11J: ~
WATER HEATER
LAUNDRY . ", ,. ..
DRYER REINSTALLATION UGH",: 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 . PHASE
AMP
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS ,
.. . ,
SERVICE A.W.G.
.' I SUiHb'TAL .. ..
, SIZE OF GROUND SIZE OF ENTRANCE SWITCH
trical Code.
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permit will be done by the installer and in conforma
pate Application made
,
,19
By
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CONTRACTOR OR OWNER (OR A . HORIZED AGENT) .
Permission is hereby given to do ~h~ apove describe9 work, accor.ding to the c.ondition~ hereon and according to the approved plans and;
specifications pertaining thereto, subject to compliance with the Ordinance~ of the Ci~y: of Port Angeles. '
. , " ILJ)' L7 "~ : . '- DIRECTO F CITY LIGHT
Date Permit Issued I ~ (I
. - ~.. ":~" ..'\ ,
Notify Department of City Light by Street Address and Permi Number when ready for inspection. Work must not
be .c~vered or .current turned on before inspe~tion and O.K. for covering or servipe has been given by Inspector in
Wntlng 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
r11 V~APlr PQII\ITl=QC: Il\Ir
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REPORT Q.F INSPECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
~7~ 7A. {, - ,
12 I 1 FINAL O.K.
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