HomeMy WebLinkAbout518 E 11th St - Building
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CITY OF,PORT ANGELES,
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
FEE RECEIPT NUMBER
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TOTAL FEE /6 tJ-O '/5\Jk'> cav.
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CaNT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY
Site Address
ELECTRICAL PERMI~Y
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
CORR cr ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner p;cr:v, m1 EL (
Owner's Address &17'11 t;
Day Phone
Application is herebY,made for Permi~ to install Electrical E
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PERMITS WITH WRONG ADD
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Installation By
Installers Address
Installers Phone
nt as follows:
Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIACUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT ' - 50 VOLTS -
OR LESS
CONVENIENCE -- MOTOR
CONVENIENCE - - MOTOR
APPLIANCE - MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM ,
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY -,_. -
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE . ,..." SUB TOTAL FEE
GAS - OIL
FURNACE / J .~ -I '),{ ). ) ENERGY FEE
ELECTRIC
. ( H-" ~ '" BASIC FEE
ELECTRIC HEAT ,
TOTAL FEE
ELECTRIC HEAT "- SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
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A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
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SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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er this permit will be done by ttie installer and iri conformance with' the N.E.C. Electrical Code.
. - ,19 By 1S.t9h .-
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CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
_ Permission is hereby given to do t~e above described Vfork, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinance~ of the City of Port Angeles.
~ . DIREC R OF CITY LIGHT
Date Permillssued g 61f7 ~CANS APPROVED ') .----',,,.~,, '\'~, .,' -,
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Notify Department of City Light by Street Address and,Permit Number when ready for inspection. Work:must not
be covered or currenttur.ned on before insP8.ction and O.K~for'covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. . -
Date Application made
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Dupllcate PINK - Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
REMARKS
O,K, FOR COVERING
.tUC-tO CONNECT SERVICE
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