HomeMy WebLinkAbout2005 W 16th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
0002'~3
PERMIT NUMBER
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TOTAL'FEE lti, 00 LECTSI340B
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 7.. 00 S- {AJ / (, -
COrRECT AOVAESS IS A16pONSIBILlTY OF APPLICANT PERMITS WITH WRONG ADDRESSES AR~ CANCELLED
Owner !1p.. r ./3 I ,/'" g"...", 11l~ ~ ' Installation By Electric Service Inc.
Owner'sAddress 7.t'?O..~ Uy ,It. ~ Installers Address 1168 11t. Pleasant Rd.
Day Phone. Installers Phone 457-5010
Application Is ~ereb
Wiring Method
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NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PER l00R FEE USE OF CIRCUIT PER , 00R 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 SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECT~IC HEAT TOTAL FEE It).o()
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER 1JOi}" V //J~ SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB. TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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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.
Date Application made '4 -/4- ,19tFr BY~ ~<;IA ~L- .
/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
specifications pertaining thereto, su:e~tO;::~7; with the O:~ina~ces ;t. the_ C'pI~ry~,
Date Permit Issued Ii ~
~ PLA S PROVED
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 _
WARNING
WHITE - Original CANARY - Duplicate PINK. Trlpllcate 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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t,/, _(!;" (j ) 9.K. FOR COVERING ,
I.t!- ()'-1)- 1'>- (1/ f 2, O.K. TO CONNECT SE~VICE I '. \
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- 1'5', "FINAL O.K.
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