HomeMy WebLinkAbout207 S Lincoln St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000395
PERMIT NUMBER
caNT. LIC. NO.
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- TOTAL FEE
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.2-~5ol
TIME TO COMPLETE
NO. STORIES
LEGALQCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED ,
Owner ~'T-I 9iZ P,J4.- Install~tionBY tJt--IMf";c- 6~ecrf'l~
Owner's'Address Installers Address ~c91 .;If;{) , 1..-1 oJ e.o I-N
Day Phone Installers Phone ?-/ t;:,-7 - S; ~O::,
Application is hereby made for Permit to install Electrical Equipment as follows: frUJp/P-I HEA-r CtJrJ ffO I-~ ,
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Site Address
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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 VOL T5
OR LESS
CONVENIENCE - MOTOR
CONVENIENCE - MOTOR
APPLIANCE MOTOR
DISHWASHER FIAE ALAAMS
DISPOSAL BUAGLAA ALAAM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC . . .
BASIC FEE
ELECT~IC 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.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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
/TvGi/S'l :J-,j
,19 2>S
By
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-rvc,!< E,e.
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 Ordinances of the City of Port Angeles. '
DIR TOR OF CITY LIGHT
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Date Permit Issued
,
cr~ }-7 - $'S-
I WARNING I
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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
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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DATEOFVISIT MADE BY REMARKS
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<(- '). $'- 75'" ) O.K. FOR COVERING
SJ'-J.-'{- f{<j ~ /jj r~ O.K. TO CONNECT SERVICE
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Y-AY-'g5 FINAL O.K. .
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