HomeMy WebLinkAbout3245 Regent St - Building
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'f:ru: f:::CEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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PERMITS WITH WRONG A~S ARE CAN~ ...,
Installation By 7pr~v ~.:;....rd7--f"
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Installers Address..7 ~ ':> _J - -::;;_,. r- ~- .
Installers Phone C;. /,/ / ~4,t- c/S ;% 0'//1
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ade for Permit to Install Electrical Equipment as follows:
Wiring Method
-- AMP 240V AMP 240V
US OF CIRCUIT NUMBER PEA 120V 100R FEE USE OF CIRCUIT NUMBER PEA 120V 100A FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
- SIGN
UGH
- 50 VOLTS
LlGH OR LESS
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CONI.;NIENCE MOTOR
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CON'- I;:NIENCE MOTOR
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APPLl..NCE MOTOR
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DISH lASHER FIRE ALARMS
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DISP, SAL BURGLAR ALARM
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RAN( :: MISC.
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WATER HEATER
LAUN JAY
DAVE :t REINSTALLATION LIGHT FIXTURE #
~~CE SUB TOTAL FEE
GAS ::lIL
FURN.o.CE ENERGY FEE
ELEC fRte BASIC FEE
ELEC fRIC HEAT It ~V
~... TOTAL FEE
ELEC 'AIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
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A.C.!. ~IT AMP PHASE
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FEED:R SIZE OF SERVICE ENTRANCE CONDUCTORS
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SER\i :::E AWG.
I SUB-TOTAL II,.OC SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
I certH!I 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.
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CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby 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.
D'REC~'TY LIGHT
Da'e Permit Issued By s(l!,~?- ~
_ PLAN A P OVED .
( 0.- ).l--- rJ Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work mu'st 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.
~ARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK _ SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD _ Inspector's Report
OL YMP ; PRINTERS.INC
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DATE OF VISIT
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REPQRT OF INSPECTOR
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MADE BY
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REMARKS
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_O.K, FOR COVERING'
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