HomeMy WebLinkAbout1128 W 15th St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
./
ELECTRICAL PERMIT
PERMIT NO .;<St:; D
~/oz.3 ho
, /
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business.,
Phone:
Owner/Business Address:
Sq. Ft.
9' Residential ""\
Heat KW /~
~ Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~ Overhead
o UndergrOun~.~
Voltage /.:2~
%113 03.0
Service size .;;2 <<JO Amps
o Temporary
Details/Description:
;V-f!4r ~
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~p;c Rough.in/cover O.K.
./1_ ~ O.K. to connect service
r V'" ( ~ Final O.K.
~
Size
Comments
Date
Hold 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
Site Address:
Permit/Receipt No,
~.%o
New Meters
t
.
Notify the Department of Ci Light Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically ergized 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 or EXT. 224.
-r- ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT if !!!'
Inspector mount paId
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
O~YMP1C PRINTERS, INC.