HomeMy WebLinkAbout413 C St - Building
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FEE RECEIPT NUMBER
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TOTAL FEE "'''20 00
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-' CONT.lIe. NO, TIMETO COMPLETE NO. STORIES
\ ~ I ,'" ,f~lE~TRICAL PER!'-1IT ONLY .~~~ O~CUPANCY OR Ur~.~ ~S~~BLlSHEO UNDER THIS PERMIT
Site Address i-( (-1 . ('~ ,S"'!"
I ~ CORRECT ADDRESS IS ~~SPONSIBILlTY 9F APPllCA~T J PEAMITS WITH WR9NGAOp~ESSES ARE CANCELLED
ownJr" /........N[) (.oN5r12.Uc-lION In~tallationBY ACY!16 "r<:,t-t;:c.r/c
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Owner's Address P. fL . Installers Address PO 13tl><' I b f) 3
DaiPpone L/ 5'.;). - 03 '1(". , Installers Phone t..., .3 - S? ,IJ''/ :- "
Application is hereby made for Permit to install Electrical Equipment as follows: 20 0 .AJ'V\ P OH.
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CITY OF PORT ANGELES.
DEPARTMENT OF LIGHT
APPLICATION AND. ELECTRICAL PERMIT
A,.jOD
PERMIT NUMBER
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i NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
U~E OF CIRCUIT PEA 10Q1l" FEE USE OF CIRCUIT PEA l0QR FEE -
CIRCUITS CiA 10 .-;;e CIRCUITS CiA 10 30
UGH! 5" ,/ SIGN
LIGHT '50 VOL T5
OR LESS
CONVENIENCE . MOTOR
CONVENIENCE MOTOR
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APPLIANCE 1- ./ .. MOTOR
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, FIRE ALARMS
DISHWASHER - . . -
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I BURGLAR ALARM
DISPO~AL
RANG~ / ,/ MISC.
OVEN I
I V'
WATER HEATER /
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LAUNDRY / ,j ;F
DAYEAI I ./ REINSTALLATION LIGHT FIXTURE #
FURNACE S.UB TOTAL FEE
GAS-OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELE9TR\C HEAT 3 s/ TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AC. UNIT :l. b c) ( ,
AMP ~ PHASE
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FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
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SERVICE / AW.G.
I SUB-TOTAL 10.00 SIZE OF GROUNrfI' I..i .
SIZE OF ENTRANCE SWITCH
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I certify th'at 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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co ACTOR OR OWNER (OR AUTHORIZED AGENT)
Permi~;:;ion.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.
. " '~IRECT~ OF, CITY LIGHT
~~NSAPP:tf~1 ~o<U7' '.,& '_'
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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By
19 .5'.r
.9Pte Permit' Issued
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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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~- I). . ffs " , '11f.(..i' ... O.K. TO C<?N~ECT SERVICE
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