HomeMy WebLinkAbout417 S Lincoln St - Building
I t)' l' 2---
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
.
FEE R;CEIPT NUMBER
A
FrO
PERMIT NUMBER
.
TOTAL FEE
/'~
P'1,v[
CONT. LIe. NO.
LETE
NO. STORIES
LEGAlOCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address ~ /7 S L'''':('t!:J/1V ~ .I"U4"'A.> ...57ATor-'
--2:0RRECT APD.RESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ~I)pESSg; A.RE CANCELLED
Owner G<?"'l.I..s Ch.~L.'a.O"'" Installation By ~ a-V/1/AIL/'5 D_t"
Owner's Address L/./ ( 5. J....,;v c '" / "-' Installers Address :2"3 1;-' /,A/ li- n
Day Phone Installers Phone ~ ~7 .s- b g 9-
Application is hereby made for Permit to install Electrical Equipment as folloyv'S: \,AJ ,'4 e .:2. 0 A I>> Y-) L. I ~ C. v', r
1=0 tZ. t2-....L Ti F,'", ~
Wiring Met~.od
'?: :,d",
.
AMP 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT NUMBER PER 120V 10'OR 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
DISHWASHER FIRE ALARMS ..
DISPOSAL BURGLAR ALARM ,
RANGE MISC,
OVEN
WATER HEATER
LAUNDRY
DRYER .. REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOT~L FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC 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
Date Application made
A/~ 1/
1:2..
,19 8e.
I c'ertify that the work to be performed under this permit will be done by the installer and in
By
.
Date Permit Issued
CONTRACTOR 0 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 h City of Port An les
o CT
/1 /;v/ft ~~NSA ROV - )" I "'. ."
NO~ ~epartment of City Light by Street Address and Permit Number when" ready ior Inspection Work must not
be covered or cur~ent 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
Ok-'(tylPIC PRINTERS, INC.
REPORT OF INSPECTOR
OATEOFVISIT MADE BY REMARKS
"
"
" -
,- " ,\
-
-
"
, :
, ,
,
,
" . ,
" .,
~."'. run LuvctUN(.i'"
I Q.J< Tn ,......tlflr;';ST Ar-n'"CE
/ ( / !'lIic. p,ur FINAL O.K.
I I
.
z
Cl
a:
<I:
:!E
~
J:
I-
Z
W
~.
l-
e
z
e
Q
.