HomeMy WebLinkAbout1706 Butler St - Building
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~,EE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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. PER IT NUMBER
: TOTAL FEE
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TIMETO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
CONT. lie. NO.
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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I COAAECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES AAE CANCE"ED .
Owner S AAAf Installation By -;r-1UL'1 g/ D D L'7-
Owne('s Address Installers Address
Day p~one 15 7 ~ 97 'f 3 Installers Phone () I" _,
Application is hereby made for Permit to install Electrical Equipment as follows: . I #'~ ~
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USE OF CIRCUIT
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Site ~ddress
Wiring Method
U+ OF CIRCUIT
LIGHT
LIGHT
,
AMP
PER
CIR
240V
100R
30
AMP
PER
CIR
240V
100A
30
NUMBER
CIRCUITS
120V
10
NUMBER
CIRCUITS
120V
10
FEE
FEE
SIGN
50 VOLTS
OR LESS
MOTOR
'1IOTOR .
~ OTOR
CONVENIENCE
I
CONvENIENCE
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II
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BURGLAR ALARM
MISC.
APPLltNCE
OISH>'!ASHER
DISPO~AL
RANG~
OVEN:
WATEA\HEATER
LAUNOAY
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FIRE ALARMS
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BASIC FEE
REINSTALLATION LIGHT FIXTURE #
DRYER
FURNAtpE
GAS - OIL
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ELECTRIC HEAT
ELECTR~C HEAT
A,C. UNit
FEEDER 1
SERVICE I
,
\ I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify t~at the work to be performed under this permit will be done by the installer and in co~formance with the N.E.C. Electrical Code.
1-.
Date Application made ,19 By .
\ . ;. ,. . _ . CONTRACTOR OR.OWNER (OR AUTHORIZED AC;;ENT)
Permission is h.ereby given to d.o the aboye described work, according to the conditions hereon and,according to the approved plans and
speciflcatlbns pertaining thereto, subject to compliance With the Ordinances of the City of Port Angeles. J
\ -. _ - . . _ _ _.. _ ~CrOF CI_ IGHT
Date Permi\ Issued 2.! i (91
\ 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.
SUB TOTAL FEE
ENERGY FEE
.
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
AW.G.
.,
WARNING
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OLYMPIC PRIN1ERS, INC.
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PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
CANARY. Duplicate
WHITE. Original
PJNK. Triplicate
WHITE CARD. Inspector's Report
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REPORT OF INSPECTOR
DATE OF VISIT
MADE BY
REMARKS
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'1i1tJ /81 1(. O.K. FOR COVERING
4/f 17 /1ft, r I - I i f I I I
O.K. TO CONNECT SERVICE r!\-V~. \ \.Jr' '.
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FINAL O.K.
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