HomeMy WebLinkAbout438 Whidby Ave - Building
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FEE ~f-CE!PT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
.APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE
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CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCC~N..p?R ~1.~~7ISHED UND~R THIS PERMIT
Site Addless 43~ HI . 6. IV.' 5-t-~
. ',' " ~CORRECT ADDRESS IS RES NSIB!L1TY OF APPLICANT _ PERMITS WITH WRO~DRESSES ARE CANCELLED ,
Owner . ~ Jb. ~k.L~~ Installation By .'..11;2DLAJ:2., 6L~iR/r.
Owner'sAddressC.O ~ AD (<: D 1?L-PR5,' Installers Address '
Day Phone fo iOi.::< --: ."U'/5,2. Installers Phone ,~EJ ~ - OJ 7W
Applt~aUon is hereby made for ~.ermit to in~tall.Electricar Equ!pment"~s follows:
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Wiring Method
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NUMBER AMP ~ -120V 240V NUMBER AMP 120V 240V
'USE OF CIRCUlT . PER 100R FEE -- USE OF'CIRCUIT' PER 100R' FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN .
. , .. ... 50 VOLTS I
LIGHT OR LESS
CONV~NIENCE .. . MOTOR . '. ..
CONvENIENCE , MOTOR.
APPll.~NCE .. ., MOTOR .
,DISHWASHER FIRE ALARMS . ..
DISPO$AL BURGLAR ALARM
RANGB MISC.
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OVEN
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WATEFJ: HEATER ,
LAUNDR~ .. -- ." .
DRYER- . ---. REINSTALLATION LIGHT FIXTURE #' ..
FUAN"i , . . . SU.B TOTAL FEE ,
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( FURNACE L. /0 kW 'hJ{l. I", kC .. ENERGY FEE
ELECTRIC BASIC FEE
I.C~l'HC HEAT - ...
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT, BREAKER
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A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
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SERVI(!:E AW.G.
I SUB. TOT!l:L .. .. .'
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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I certify 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.
Date Application made
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,19 PJ7
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Pe~missiol) is hereby given to d.o t~~ above descrlbed work, according to the condi . ns hereon and accordJl1g to the approved plans and
specifica.tions pertaining thereto, subject to compliance with the Ordinances of the Cit 0 Port Angeles. '.
, IRECTO . F~,LIG
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Date Permit Issued
WARNING
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Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or cur~ent turned 0[1 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 -
WHITE.Odginal CANARY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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&/7..;1 (] 7t9~ So ' O.K. FOR COVERING
C. (~7;1 j h ~--0! O.K. TO CONNECT SERVICE
8 '/7:117 7~''''''''''-c)... FINAL O.K.
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