HomeMy WebLinkAbout532 W 12th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT N~BER
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TOTAL FEE
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Site Address
CONT. Lie. NO. TIME TO COMPLETE
NO. STORIES
ELECTRICAL RMJT DNL Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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IS AESPONSIBILlTY d'F AP L1CANT
Owner
Owner's Addre-ss
Day Phone .
Installation By
Installers Address ~.3, .;-.
Installers Phone ~!') 7
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A.!ication is hereby made for PAmit to instaJl.Ele~tric~1 Equipment.as follows: -v' --" ........."V.A.A.I
. ,I'JI ""~_A AM "'1./t/u7 ~' /Y~-L~--4 p .::?~ '-4d-<J c{ -LL VL -
/-~v-r.-U ~
~"A..<V'I/OflIA/ J / /I ) 'l
Wiring Method .Q\" ~
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AMP 24QV AMP 24QV 1/
USE OF CIRCUIT NUMBER PER . 120V 100R FEE USE OF CIRCUIT NUMBER PEA 120V 100R FEE .
CIRCUITS CIR 10 30 CIRCUITS CIR '0 30
LIGHT .1- ..- SIGN
LIGHT . . 50 VOLTS
OR LESS
CONVENIENCE 2.- . - 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 ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT I -
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT r9.ft1 A AMP / PHASE
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FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE ~//l ---- 2_//) A.W.G.
- I SUB-TOTAL SIZE OF ~OUNO---;iZ SIZE ~NTRANCE SWITCH ci( /11'1
IX/,Y
r t the w d n I III be done b h I lar an Il' i
I ce tlfy tha
ark to be performe u der th s permit w
Date Application made
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Y t e nstal d
. 19X<;C'B
. Electncal Code.
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CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
~ermisslon 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
By ~/~ g ~~/&G
PLANS APPAOVED . ..' .
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Date Permit Issued
WARNING
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 -
WHITE. Original CANAAY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PAINTERS, INC. _
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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16 -,1 -yV '1./ Ij,. O.K. FOR COVERING
If} -;1 -YV' Iu~ f/ O.K. TO CONNECT SERVICE
/ - "if- 'dQ' -/1/ li FINAL O.K.
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