HomeMy WebLinkAbout1304 S Oak St - Building
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F~RE EtPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBEA
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TOTAL FEE . (J:8C
GONT. LIe. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
/304- 5 tYAK
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
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Owner's Address /70 4-' S o"f K
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Site A~dre5s
PERMITS ~lTH WRONG ADDRESS~S ARE CANCELLED j
Installation By (pLy' It{ j? / C F
Installers Address
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Owner
Day Ph:one Installers Phone
Application is hereby made f~>r Permit to install Electrical Equipme~t as follows:
______c-I... ,If- N C- e" - 0 ClI N1~re /;! e k..( -e...-
Wiring Method (!oNC'U I
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AMP 24QV NUMBER AMP 120V 24QV
USE OF CIRCUIT NUMBER PER" 120V - 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
CONVJ:NIENCE MOTOR
APPL!.1I.NCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATE~ HEATER
LAUNlmY
DRYER REINSTALLATION LIGHT FIXTURE #
FUR~/CliE SYB TOTAL FEE
GAS. IL-
FURNA...E ENERGY FEE
ELECT~IC BASIC FEE
ElECTRIC HEAT IS-; <00
TOTAL FEE
ELECT~IC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNfT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVIce I )..q 0 V 's-,OP A.W.G.
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I SUB. TOTAL tjX) 0 SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date App(lcation made
;),,-<6
,19 <is.>'
the N.E.C. Electrical Code.
I certify t~at the work to be performed under this permit will be done by the installer and
By
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CON RACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the condition h on and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
, By Ai" ~ ~~F CITY LIGHT
Datepermlt.lssued~-q-...-rr PLANS~ ~
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 _
WARNING
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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OATEOFVISIT MADE BY REMARKS
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l.~'1>?'r 11 . . O.K. FOR COVERING
2-'r-Y5' (,. /11 f'" ~ O.K, TO CONNECT SERVICE
h- c{~'l') ) FINAL O.K.
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