HomeMy WebLinkAbout3005 Maple St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
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DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
0001.50
PERMIT NUMBER
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TOTAL FEE ' -3D, 00 ELECTSI340B /f~ /III ~
CONT. Lie. NO. TIMETO COMPLETE NO. STORIES LEGAL OCCUPANCY
NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT
Owner ,I stallation By',
Owner's Address' nstallers Address
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D~y Phone Lf-rT7-- ~ 7~:: ?'-f Installers Phone
Application i~ her.eby~fnade for' Pe~mit to il)st~II,Electrical Equipment as follows: ' ,\ a p
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PERMITS WITH WAONG ADDRESSES ARE CANCELLED
ElectrJ:c 'Service Inc. , ,
1168 Mt" Pleasant Rd.
~5.7-5010
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Wiring Method
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NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT -- 50 VOL IS
OR lESS
CONVENIENCE - -. MOTOR "
.
CONVENIENCE , \ MOTOR I
APPLIANCE MOTOR ,
,
DISHWASHEB. \ FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
-
OVEN
WATER HEATER
LAUNDRY .. -
DRYER - REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT 30,00
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT 7AKER
A,C. UNIT PHASE
~ ,., 0 ~. _ AMP (
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
q ~ lb. O(J
SERVICE A.W.G.
-- I SUB-TOTAL J @,-Ot 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 con for
/ '6' .19 "6> By
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Date Application made
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ONTRACTOR OR WNER (OR AUTHORIZED AGENT)
Pe.rmis~ion is.~ereby 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.~' -. \
By ~w 77F CITY. ~IGHT. '
Date Permit Issued 1,- / ~ r -~ - ~-
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Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covereq 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 _
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS,INC,
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DATE OF VISIT
MADE BY
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REPORT OF INSPECTOR
REMARKS
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O.K. FOR COVERING
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O.K. TO CONNECT SERVICE
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FINAL O.K. ". \\
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