HomeMy WebLinkAbout99 Lindberg Rd - Building
. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE
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Site Add ess
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CO NT. Lie. NO.
TIMETQ COMPLETE
NO. ST~RIES
LEGAL OCCUPANCY
Owner
..~ERMITS WI~H WRONG ADmSSt~RE CANCE~LED
Installation By <:. ~ ,J 4--v ~
EC 1 c1r IC-
owner'SIAddress Installers Address
Day Phone Installers Phone
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Applica~lon is hereby made for Permit to install Electrical Equipment as fol QWS:
i . S l:../L U I CL . (....
Wiring Method
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I NUMBER AMP 120V 240V NUMBER AMP 120V 240V
use OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100A FEE
i CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
L1GH~ SIGN
UGH," .. 50 VOLTS
OR LESS
'CONV~NIENCE MOTOR
CONV~NIENCE J. r /c.' II 'el rz... -hll I ~. ~?A' fl~c.# ~
-t: --,.., .
APPLl~NCE '2.. /, ,/it.. t91 It +< .~ ICp. 7
DISHVYASHEA ~. Ah.. ' . r .--,.;t{ t... ., ';) FflUW'1IJA-c, ILt.::: ' -/-
DISpdsAL BURGLAR ALARM /
, MISC.
RANGE
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OVEN:
WATEr HEATEA
LAUNOAY I
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DRYE~ REINSTALLATION LIGHT FIXTURE #
FURN~CE SUB TOTAL FEE
GAS - OIL
FURN",CE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
I TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
,
,
A,C. U:NIT AMP PHASE
FEEOER $JZE OF SERVJCE ENTRANCE CONDUCTORS
SERVIk;E A.W.G.
, I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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I certi1Y 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.
DateA~Plication made ,19 By
i CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Pqrmission is hereby given to do the above described work, according tot e conditions hereon and accor 9 to the approved plans and
speci7atlons pertaining lh;/to, ~b;/l to ;m1Pllance With the Ordinance of YI=n~~e ~ Y LIGHT
Date P~rmit Issued
PR VED
Notify Department of City Light by Street A dress 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 Ex!. 158.
.
W4RNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
DATE OF VISIT
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~/21l17
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MADE BY
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REPORT OF INSPE.CTOR
REMARKS
O.K. FaR as"/I>RlfJO
O.K. TO CONNECT SERVICE
FINAL O.K.
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