HomeMy WebLinkAbout708 W 4th St - Building
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
~ 2. z..t
S-/Z-'?/
.
ELECTRICAL PERMIT
DATE
I nstalled By:
D READY FOR
INSPECTION
License Number:
ILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. FL
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
~Overhead
~OI~;~:r~~qY~O
o 10 03.0
Service size /c(l,i) Amps
r-emporary .
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription:
.
W.S. No. Service
Capacity: 0 O.K. 0 Not OK
o Ditch inspection O.K.
o Rough.in/cover O.K.
o O.K. to connect service
~ Final O.K.
Size
Comments
Date
Hoid for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
permitf:1e~t ~b
New Meters Date:
.
Notify the Department of City Light by Street Address and Permit Number when ready lor inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit PHONE 457-0411, EXT.158 ~XT_ 224.
r ~. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT c;;2 cJ _ .
Inspector' Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.