HomeMy WebLinkAbout318 S Eunice St - Building
58~
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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FEE Rf;CEIPT NUMBER
PERMIT NUMBER
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TOTAL FEE / b C?E- I ~ \~Q
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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ELECTRICAL PERMIT ONLY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Site Addiess -.; I 8 E U N I C E-
. . 'r CORRECT ADDR~ESPONS!BIUTY Db APPLICANT.
Owner ..:.J:> E:L 'M l>. tI.... a ~f:-gsr-
Owner's Address
Day Phone G LW tJ I
Application is hereby mJM IoTPlitrZt
, rYles, WI
Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Pin).5rc.u!<.lTt1
"'f'S'7.. - 9182--
Wiring Met~od
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NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 100A FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONvENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS r , ~A/'i. ~ /(~
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DISPOSAL BURGLAR ALARM
RANG~ MISC.
OVEN
WATER'HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE .. SUB TOTAL FEE
GAS. Oil
FURNACE ENERGY FEE
ELECTRIC .
BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
1 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 -;;-/ZI/Y! ,19 ByX .
, / I I . 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, subject to compliance with the o:r~~::J;:~it3~?2z LI~
Date Permit issued ~ /z.- I I.ff, PLANSAP(,,~ ~>,~ ;
Notify Department of City light by Street Address and P.ermit Number when ready for inspection. Work must not
be cover~d or current turned on before inspection and OX. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. j
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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