HomeMy WebLinkAbout1126 W 19th St - Building
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. :JS'dr-
~~ - (p -Cj'*'}-
DATE
S e Address:
ELECTRICAL PERMIT
/lJ
WILL CALL FOR
INSPECTION
Phone:
o READY FOR
INSPECTION
In tailed By:
o ner/Business:
Phone:
Sq. Ft.
o ner/Business Address:
'1i2f RESIDENTIAL
'0 COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
Ii' TEMPORARY SERVICE
fl PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
~ OVERHEAD SERVICE
tl UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
o SIGN
o SPECIAL EQUIPMENT
(LIST BELOW) t JJ
-- I. {UTi. fJ r ~ ~11~,,/.A P .t ~
~;"'D="".",
w.~ No. SERVICE SIZE
I
CAF?ACITY:
10 O.K. NOT O.K.
ACliION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o itch Inspection O.K.
Dough-in/cover O.K.
A llril .K. to connect service
/ If' '~Final O.K.
\
\
\.
Inst Iler:
971
. t- Be permit~s~~
New Meters Date:
L 8-(,-9;;1.
Sit Address:
Noti Port 1'\ geles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
befote inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or 0 the Building Permit. PHONE 457-0411, EXT. 224.
IS NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ f!!) 0 100
Permit Fee
WHIT - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.