HomeMy WebLinkAbout123 E Railroad Ave - Building
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FEE Al GEIPT NUMBER
CITY OF.PORT ANGELES
DEPARTMENT OF LIGHT
.APPLlCATION AND.ELECTRICAL PERMIT
A 000283
PERMIT NUMBER
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T TAL FEE
3(5,
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CONT. Lie. NO.
TIMETO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
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Site Add ess
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wner _ ~)'" i--T A" II e.J",,~ O-~ ;h~l h r'C-'''''IMMlallation By /h'}1;-{"' \ y;;'k"~+I'-I(' _
wner's ddress .dJ,~ Q-:l'/U,,,,;/ h.,,,,' / Installers Address \ ,;;!. Cj F'5~( /'5r--
ay Pho e Lf,.!; 'J. ::!:5C""; Installers Phone .. 'TS'.::1 7;;"';;<(
pplicat on is hereby made for permit to install Electrical Equipment as follows: Qn . ,'I'-"'htZ..t?
Wiring Method Y1P<,~
USE NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100A FEE
CIR 30 CIR 30
LIGHT SIGN
L1GHl '/ J.O 50 VOLTS
OR LESS
CONY NIENCE . MOTOR
CONV1 NlENCE MOTOR
APPLL NCE MOTOR
DISHV' ASHER \ . FIRE ALARMS
OISP( SAL BURGLAR ALARM
RANG: MISC.
OVEN
WAlE HEATER
LAUN lRY
DRVEJI REINSTALLATION LIGHT FIXTURE #
FURN IO~E SUB TOTAL FEE
GAS- IL
FURN CE ENERGY FEE
ELEe RIC BASIC FEE
ELEe RIC HEAT ';P, ~
TOTAL FEE
ELEe' AIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.!; NIT 'dfO!l-v-:JO AMP /1'.25 PHASE
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FEED A SIZE OF SERVICE ENTRANCE CONDUCTORS
SERV/ CE AW.G.
. I SUB. TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT "-
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CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT' PERMITS WITH WRONG ADDRESSES ARE CANCELLED
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I certJ that the work to be performed under this permit will be done by the installer and in con for
Dat;Alplicationmade ,L:J//oj,?5 ,19 BY'"
-r / I. CONTRACTOR OR 0 ~ ER (OR AUTHORIZED AGENT)
Permission is h~reby given to do the above described work, according to the conditions hereon and according to the approved plans and
speci~ilations pertaining thereto, subject to compliance with the ordinad the City ~~.i~SCITY LIGHT
Date +mit Issued ~cA:L/.Rt;I ? /- ~?
S--rf - r 5 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
I ~ I Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
. III I RNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
,:1 WHITE. Original CANAAY - Duplicate PINK. Triplicate WHITE CAAD -Inspector's Report
OL YM4 PRINTERS, INC. _
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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WALL 80v ~ /'I~~ dl ' r() 8e 100/(,,-1/ /1/ /11'", u.J
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,<",7,t,1'> /}1;:: p . O.K. FOR COV~RING
. , 'O.K. TO CONNECT SERVICE
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FINAL O.K. .
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