HomeMy WebLinkAbout215 W 15th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A 000275
PERMIT NUMBER
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TOTAL FEE 56, 00 lIit).....t' /fs-c ~ / Ho I'I! ~
CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
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PERMITS WITH WAONG ADDRESSES ARE CANCELLED
Installation By 1(<!.L~NAlA^,/r CLec.-r
Installers Address 12.) 'if tV ~ r.<
Installers Phone l/ \"":7 - ') I? J S-
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Owner
Owner's Address :::! I. ~- LA..--" I.s- Tl,
Day Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
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Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V' 240V
USE OF CIRCUIT PER 100R 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 ALARMS
DISPOSAL BURGLAR ALARM .-
.
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUEt TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT ~&, /)0
TOTAL FEE :
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT aZOO AMP / PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
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SERVICE AW.G.
I SUB-TOTAL '?'~, oe SIZE OF"'{,ROUND. N SIZE ~ ENTRANCE SWITCH :'76,.,
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Date Permit Issued
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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.
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. CONTAACTO R 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.
By 1Z.re7j3~.
PLANS paVE '.... _ ... '\ '.. ,- "
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.
Date Application made
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WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
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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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O.K. FOR COVERING
s- 'l-~5'" . ,-1. 1/ LY . O.K. TO CONNECT SERVICE
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