HomeMy WebLinkAbout1116 W 19th St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. .;?~
DATE .3/~ ~? z...
wner/Business Address:
o READY FOR
INSPECTION
License Number:
~ILL CALL FOR
INSPECTION
Phone:
ite Address:
I stalled By:
wner/Business:
Phone:
Sq. F1.
RESIDENTIAL
COMMERCIAL ,--
~ BASEBOARD KW ~
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
~ NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
M OVERHEAD SERVICE
o UNDERGRO~ SSl,VICE
VOLTAGE: /ZP. ozy C/
.s SINGLE PHASE
o THREE PHASE
SERVICE SIZE o7c..:5'O AMPS
DelailslDescription:
/V S-- " ;--
,// .
n
.
W.S. No. SERVICE SIZE
I
CAfACITY:
I 0 O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o 'itch Inspection O.K.
~ .!.ough-in/cover O.K.
~ O.K. to connect service
,M'" f/J inaIO.K.
Sit Address:
per:r;Cjt ~
L
New Meters
.
Noti1Y Port Ange s 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 0 the Buildin Permit. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
ff:F..~
Electrical Inspector
~
WHIT! - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMP PRINTERS INC.