HomeMy WebLinkAbout1017 S Laurel St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
.APPLlCATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE
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CO NT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT.
Owner's Address
OayPhone 7~ ;;7/,;20 . Installers Phone
Application is hereby made for Permit to install Electrical Equipment as fol!ows:
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PERMIT.S WITH WRO~ORESSES ARE C~ELLEO ~ ~
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Owner
vyiring Method
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NUMBER AMP 120V 240V ... NUMBER A~P_ _. 120V 24QV
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 , CIR 30
LIGHT ~ 7-'" SIGN I
50 VOLTS - .
LIGHT OR LESS
~ .- MOTOR .
CONVENIENCE 2..0
CONVENIENCE MOTOR ..
APPLIANCE 4' 2--0 .. MOTOR
DISHWASHE;R J FIRE ALARMS .
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DISPOSAL I zP BURGLAR ALARM
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RANGE / L-!-fJ MISC.
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OVEN
WATER HEATER I ~O
LAUNDRY / ]...0
DRYER: T ~O - REINSTALLATION LIGHT FIXTURE # ...
FURNACE SUB TOTAL FEE ,
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT ..-3 '}.." -
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER.
A.C. UNIT .3n iJ AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
2QO- ,.
SERVICE A.W.G.
. I SUB:TOTAL -
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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I WARNING I
I certify that the work to be performed under this pe(mit will be done by the installer and in co Code.
Date APPlicati~n ~ade H '2:,1 P/A :j, . . ,19 F5y By -. ~
. ..' CONTRACTOR OR WNER (OR AU OAlZE6 AGENT) .
Permission is hereby g en to do the abo described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subjec-t to compliance with the Ordinanc~s of the City of Port Angele~..' . 'l' t- ". -S', c
. DIRECTO'jP;C1T,r ,~IGHT '. .',
By ~-/~ ~~ -r-fP
PLANS APPROVED - - . --. ~
Notify Department of City light by Street Address and PermitNumber 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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD -Inspector's Aeport
OLYMPIC PAINTE.RS_ INC
DATE OF VISIT
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MADE BY
REPORT OF INSPECTOR
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
REMARKS
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