HomeMy WebLinkAbout4396 Old Mill Rd - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBEA
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TOTAL FEE
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NO. STORIES
lEGAL OCCUPANCY
D UNDER THIS PERMIT
Site Address
Owner
RaNG A~ES ARE CAN:?O
Installation By 6-'f1 <JA>
Installers Address ! . .
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Owner's Address
DayPhone Installers Phone
Appl~cation is hereby made for Per!T!it to install Electrical Equipment as follows:
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Wiring Method
NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PEA .. 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHt SIGN
LIGHT 50 VOL IS
OR LESS
CONVtENIENCE . . .. MOTOR
CONVENIENCE .. MOTOR
APPLIANCE MOTOR
DISHWASHER FIAE ALAAMS
DISPOSAL BUAGLAA ALAAM
.. RANGE MISC. ~~
OVEN //
WATER HEATER /1 tf-/J) 1
LAUNDRY -. / ..,- / 'j
DRYER AEIN~TALLATION LIGHT FIXTUj,r/. -
FURNACE 's.tz.B TOTAL FEE /
GAS. Oil ./
FURNACE /. I ENERGY FEE -
ElECT~ Ie BASIC FEE
ELECTRIC HEAT /1 t\ '-1 TOTAL FEE
ELECTRIC HEAT ~V SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C, UNIT /" AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
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SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed/~'nder this permit will be don~ by the installer and in t;brph ~he N.~.C. Electrical Code.
Date Application made ~?> ,19~ By /~
. ~ erRACTOR ~R OWNER (OR AUTHORlho AGENT) .
Permission I.S hereby given ~o do the above described work, according to the conditions hereon and accordlngJo the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .
DIRECTO ~ crtv LIGHT
WARNING
By
PLANS APPROVED
Notify Department of City Light by Street Address and Permit Number when ra y 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 -
.
Date Permit Issued
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
.\ OLYMPIC F'RINTERS, INC.
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DATE OF VISIT MADE BY
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REPORT OF INSPECTOR
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ok FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K. -
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