HomeMy WebLinkAbout502 W 4th St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
SO W,
~I'S
::st
Owner/Business Address:
Installed By:
Owner/Business:
i2l" RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW ~
o FURNACE KW
~ FAN/WALL KW ~
o HEAT PUMP KW ~
o SIGN
o TEMPORARY SERVICE
18 PERMANENT SERVICE
18' NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
PERMIT NO. -j/ (5J6J-s
~/z/9'3
DATE
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
'!':j" OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE: Lc;lO/.;zt/O
~ SINGLE PHASE
b THREE PHASE...
SERVICE SIZE bf.9-O AMPS
~
?w htvt AC#-f
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ !fS-Rough-in/cover O.K.
1if4:!O.K. to connect service
~'Flnal O.K.
Site Address:
,
IC--
0-;;'
tU.
Installer:
vts
, Permit/Receipt No.
'100 "3
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
Y f2yV\.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
Electrical Inspector
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
&&
10 -
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall