HomeMy WebLinkAbout219 N Laurel St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
lilt{
, PERMIT NUMBER
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TOTAL FEE 1& 0'0 Co~M
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CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address :;A ( q Iv. LA:--' fl [ L
Owner _ J.: Iw'1. t7 '1) eLEcT AW~S;~j~SPO~r;::;"OF APPLICANT
Owner's Address
PERMITS WITH WRONG ~EjSES ARE ~CELLEh
Installation By c./~ /11, I"C: (fA. A Ie
Installers Address
Day Phone Installers Phone
Applicaton is hereby made for Permit to install Electrical Equipment as fcHows:
LfJ'.AVt. c.:, ILl) r t ! NS1'flr-tL- C1.-dc.., ~ I S (/0-/ 44
Wiring Method
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NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PEA 10 100A FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVlNIENCE MOTOR
CONVENIENCE MOTOR
APPLlJ NCE MOTOR
DISHY\. A.SHER FIAE ALAAMS
DISPO ;AL BURGLAR ALARM
RANG[ MISC.
OVEN
WATEI HEATER
LAUN[ RY
DRYEF REINSTALLATION LIGHT FIXTURE #
FuANI CE SUB TOTAL FEE
~)IL ENERGY FEE
FURNICE
~"C BASIC FEE
ELECT ~IC HEAT
- TOTAL FEE
ELECT ~IC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
-
A.C. U UT PHASE
AMP
FEEDE::t SIZE OF SERVICE ENTRANCE CONDUCTORS
-
SERVI( ;E AW.G.
1 SUB.TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certif} 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 A~ plication made
,19
By
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CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Pe! mission is hereby given to do the above described work, according to the conditions hereon and accord. 9 to the approved plans and
specifications pertaining theretO,z:SUbiect0to compliance with the Ordinances of h ;~~ An I~S
Date PErmit Issued 5/ L. 77 y
II ~LANS APPRO D
Notify epartment 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.
I WARNING I
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
01 YMPIC PRINTERS. INC
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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7/4-/11 A/-- .
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