HomeMy WebLinkAbout1020 S Valley St - Building
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000123
. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
FEE R.] ~EIPT NUMBER
II
TqrrAL FEE
PERMIT NUMBER
tM.p",l'te'3li(fJ
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'12.~
NO. STORIES
LEGAL OCCUPANCY
CO NT. lie. NO.
TIME TO COMPLETE
ELECTRICAL PERMIT ONLY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
jCJ20..~ " tfl'W '
. C.ORR.ECT_A~DR~SS IS ~ESPONSIBI~TY OF rpUCANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ~ - -,..... ..-.. ..=. - Installation By /''''''It''." .Z:)j)A/~D ~L:"c::rp~r-
Owner's ddress.... // ~ ..../)oLnIV Installers Address . /~~':!..O c: ~
DayPho e L./..':J 7 ~Z-&;?_ Installers Phone .. "/~-7,.. 7t:.67
Applicat on is hereby made.forPermit to install Electrical Equipment as follows: /?€ ~ A I ~ oS <'- f? ill (-e
. M/f.5'J ItA/O MeR!!.. t3hse
Wiring Method C'oIl/PlIl-r-
US~IOF CIRCUIT
LIGHT!
lIGHTJ
CONvENIENCE '"
I
CONV~NIENCE
APPLIANCE
DISHI'1 SHER ... .
OISPO AL
AMP
PER
CIR
AMP
PER
CIR
240V
100R
30
240V
100A
...,.
NUMBER
CIRCUITS
120V
10
NUMBER
CIRCUITS
120V
10
FEE.
FEE
USE OF CIRCUIT
SIGN
50 VOLTS
OR LESS
MOTOR
MOTOR
..
MOTOR
FIRE ALARMS
BURGLAR ALARM
RANG
MISC.
OVEN
WATE I HEATER
,
LAUN RY
DRVE --
,
FURN CE
GAS-~)IL
FURN CE
ElECi;~IC -
ElEC .~IC HEAT
..
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE ' It. o~
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
I -
ELECT FHC HEAT
I
A.C. U. UT
FEEDE,
SERVI :E
,
V 16.,,0
AMP _
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
AW.G.
I SUB..TOTAL
I("O()
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certit that the work to be p~rformed under this permit will be done by the installer and in conforma~ce with th~ N.E.C. Electric? Code.
DateA Plication~ade I,; - 7 . ,19fi- s/2u'L '-?n~fl /{
P-' . - -- - "('7ONTRACTOR OR OWNER {OR AUTHORIZED AGE~
Pe mission is hereby given to do.the above described work, according to the condi~ii~fh~:eon and according to the approved Pla~and
specifi ations pertaining thereto, subject to compliance with the Ordinances of the C.it~ of Port Angeles. ..., \
/1.:. 7..... -" By dr?RE70]7Y~~,.
DateP rmitlssued" 1'+ PLANSAP~ ~
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 Ex!. 158.
WAIRNING I
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OlYMPI PRINTERS, INC.
, .
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
/J...-I-rlf 1ft /' raiL ~eO 'no:- /:)#..P /YoTJV
If. () l3e~ T.1
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0.. - 7 - ('t IJ2(f O.K. FOR COVERING
({}..-7'('/ 1?u O.K. TO CONNECT SERVICE
1?-7-fi-l lIfY FINAL O.K.
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