HomeMy WebLinkAbout710 S Laurel St - Building
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FEE AE EIPT NUMBER
,CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000325
PERMIT NUMBER
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
. 110 . S, L\vl-e.)' .,'-
.' . CORRECT ADD ESS IS . PO~SIBILlTY OF APPLlC~NT : PERMITS WITH WRO~G ADDRESSES ~~~_~~NC~L.LE? . _ /_
O;"'ner '. de,. Installation By. __,.J~Jt'rJ"',(" " 'Wrv\cpTyx._Il..y(
o';'.n'er's Address . .... Installers Addr~~~ ,. fi ", 10' F- Ill, .
Day Pho~e Installer~ Phone Lt "1,-,'3 f;'1
Application is hereby made for Permit to install Electncal Equipment as follows:
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TOTAL FEE
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Site Address
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CONT. Lie. NO.
TIMETOCOMPLETE
, NO. S_T~RIES
LEGAL OCCUPANCY
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.Wiring Method
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USE bF CIRCUIT NUMBER AMP 12QV 240V NUMBER AMP 120V 240V
PER 10QR FEE USE OF CIRCUIT PER 100R FEE
I CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT '2 IS- V SIGN
L1GHT'1 - 50 VOLTS
OR LESS
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CONVENIENCE MOTOR
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CONVENIENCE MOTOR
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APPLI~NCE 'J :20 V MOTOR
DISHW~SHER .. FIRE ALARMS
DISpOfAL BURGLAR ALARM
RANG~ \ 15"0 V MISC.
OVEN
WATE' HEATER \ 30 V
LAUN[ RY' \ '70 V
DRYER I 30 V REINSTALLATION LIGHT FIXTURE # Jl.
FURN! CE SUB TOTAL FEE
GAS- IL
FURN CE ENERGY FEE
ELECT Ie -
'10 S,r-/(. Vv BASIC FEE
ELECT Ie HEAT .'l 50.""''''
TOTAL FEE
ELECT IC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
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AC.UNIT 'JOG AMP I PHASE
FEEDE I< SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVI E I j.,00 V- 30,CP --zj '" AI- AW.G.
I I SUB-TOTAL 30."" ILl SIZE O~ ENTRANCE SWITCH 0.111']
I SIZE OF GROUND
I_certifj that the work to b~ performed und~r this permit will be done b_Y the installer and in conf
OateA plication made J\l\1"/ 'JD ,19 ~5 By .c
I' CONTRACTOR OR OWNER (OR AUT RIZED AGENT)
peJmiSSlon IS hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
speclfi atlons pertaining thereto, subject to compliance With the Ordinances of the City of Port Angeles.
, . DI EC R OF CITY LIGHT .
'. o,ate_pp1rm()'t IS~.U::C- ~CAN ~ " - _:. '
- D...) 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
I I Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
. WA~NING PERMIT PlACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER-
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OLYMPIJ PRINTERS. INC.
Electrical Code.
WHITE. Original
CANARY. Duplicate
PINK. Trlplicate
WHITE CARD. Inspector's Report
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0:: {)~Ii.GIIV"
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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All? fA T If 1I.i/" NO~ "-.
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6- lOr 3Y -?1f2 O.K. FOR COVERING ~ee A8ce/<-
? );ir If) 7J!l..J> O.K. TO CONNECT SERVICE
FINAL O.K.
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