HomeMy WebLinkAbout1721 W 15th St - Building
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537
FEE AECEI'PT NUMBER
CITY OF .PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE
/6rOO
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Site Address
CONT. Lie. NO. TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
~~ NO OCCUPANCY OR USE eSTABLISHED UNDER THIS PERMIT
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Owner
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Install~tionBY ,)'1 {BIll b :tCl. t:.t;'1~ I c..-
-Installers Address r, 0, (, I;, J 0 Y c: J-;
Installers Phone . q"2 '11- :;;. Z G 'f .;
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 CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT SIGN
LIGHT 50 VOLTS <"'. I
OR LESS
CONVENIENCE M~""" \,
CONVENIENCE ~~~;.. '-c.
'.. ,
APPLIANCE ~( .. .
- \.,)1 (", :>A;;" ,
DISHWASHER ,,\ \~ \ \FiAE ALAAMS
DISPOSAL I \\' I)) ,\ ~) V BURGLAR ALARM
RANGE ~\' :'\ ,\ l\ MISC.
OVEN ~~ ,'i X\ ,V
WATER HEATER \' \~.
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FE'E ,
FURNACE
GAS - OIL
FURNACE . ENERGY FEE
'ELECTRIC .. .
BASIC FEE
ELECTRIC HEAT /~,OO
TOTAL FEE
ELECTRIC HEAT ,
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP -"J' PHASE
,
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
- -f>.w.G.
SERVICE
'1 SUB-TOTAL SIZE OF GROUND SIZE OF ENTAANCE-6\II-.;;lT
I certify that the work to be perfor:;znder this permii will be done by the ins!aller and in ~,I,trn;f;1rectr~cal Code.
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Date Application made '. . , 19 By ~ ''- . ., '.
. ,C,NTRACTOR OA~~ER (OR AUTHORIZED AGENT)
Permission Is hereby given to do the above described work, according to the conditions ~~~~ ding to the'approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of t~of Port n I~ 4
. 'h ClR TO 0 ITY LIGHT H
) r A ~J //1
Date Permit Issued By lA' j/~ VAl'.4-
, PLA;t.:'ROVE5 ""Z. l.fl
Notify Department of City Light by Street Add ess and Permit Number hen ready for inspection. Work must not
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I WARNING
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 CAAD - Inspector's Aeport
OLYMP.IC PAINTERS, I~C.
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
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REMARKS
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O.K. FOR COVERING
O.K. TO C.ONNECT_SERVICE
\ ". FINALO~~.'
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