HomeMy WebLinkAbout221 S Lincoln St - Building
~L7;.J,lMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
f3{
PERMIT NUMBER
.
TOTAL FEE
/6~
~
ftt/'1
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
(l(
/ / ELECTRICAL PERMIT ONLY NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT
L rl::J / /I-rZ- .:-- ~ 2....s tV I,J' s-T. .. .
C REel ADD EBB IS RESPONSIBILITY OF APPLICANT PERMITS WITH ~RONG ~RE~SjS ARE~NCE~LF!: C-
Installation By UC 'I/J1 rfc f' (' W /
Installers Address'
- ----
------
~
Owner
Owher's Address
Day Phone
Application is hereby made for Permit to install Electrical Equi ment as follows:
. E<.A,j Ctt('S "Dfl)lcA..'n.o
erA 6,../ 7b FUrey(
Installers Phone
1.
".../
I
&. >rctt cuts
/1-'11(. S Mo / j ~. Wiring Method
.
NUMBER AMP 12QV 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE 'USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT . 50 VOLTS ,
OR LESS
CONVENIENCE . MOTOR
CONVENIENCE . MOTOR
APPLIANCE . MOTOR , ..
DISH~ASHER FIRE ~LARMS .
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY -
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE
elECTRIC . U
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 AW.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
,19
By
.
Date Permit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is ~~reby given to do the above despribed work, accordJng to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of theCity of Port Angeles.
. DI CT ~'T LIGHT
/6[7 i 1 f ~CANSAP OVEO " .
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. .
WARNING
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.
',"
..
REPORT OF INSPECTOR
\,
DATE OF VISIT MADE BY REMARKS
\,l . "
-
-
.
"
,
'. \
, , .. ,
-- ,
, , -- , " f , < ,
, " , '-,2 \ .'. ~ , , -
.
, - , ,
.
.
.
.-
.,,{~ .
O.K. FOR COVERING
,
I , "
..
, :
..
.
.
z
c:J
a:
<C
::E
~
J:
~
Z
w
~
.
~
o
z
o
o
.