HomeMy WebLinkAbout2535 W 15th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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S-!4Mra.BER
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TOTAL FEE
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CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PEAMIT ONLY NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT
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CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PEAMITS WITH WRONG ADDRESSES ARE CANCELLED
OwnBr .RI C 1I/l1<?:> ~() vJEL0 Installation By #/1L/J~R5€;</:S c/ .Eci7<?/C
Owner's Address ;.'J 35 f/J Esr /5"771 Installers Address /4;;?1P N / / 77f'
Day Phone ~~rJ - $";i'~L1 Installers Phone -r's7- /:s?OJ
Application is hereby made for Permit to install Electrical Equipment as follows: SERVICE Cr//7/\l,<p
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Site Address
Wiring Method ~/?,.!Zy
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NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLiANCE MOTOR
DISHWASHER FIAE ALAAMS
DISPOSAL BUAGLAA ALAAM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENEAG Y FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT ~V;--
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BAEAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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.
Date Application made
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,19 8';';
By
CONTRACTOR OR 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
speciLcations pertaining thereto, sUbject to compliance with the Ordinances of the Ci y of Port Angeles.
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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 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 Permit Issued
.
By
PLANS AP
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
()I YMPIC-: PI=IINTFI=I~ INC-:
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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~COVERING
{ ftJl~(ft IV IJ--' O.K. TO CONNECT SERVICE
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