HomeMy WebLinkAbout810 Church Ave - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 4t/'f?7'
7/7 hY
. /
DATE
Site Address:
I
Installed By:
I
Owrer/Business:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
OWner/Business Address:
Sq. Ft.
~ RESIDENTIAL
;t:J COMMERCIAL
o BASEBOARD KW ---y,..,-
l&1 FURNACE KW ~
o FAN/WALL KW
gI 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)
o OVERHEAD SERVICE
'J1s'. UNDERGRO~~ SEfW.JCE
VOLTAGE: /.zo. 'd:?{/ (/
I5i! SINGLE PHAS
1] THREE PHASE
SERVICE SIZE .3~ 0 AMPS
Details/Description:
AI~w #ot&5'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.
.A#~Rough-in/cover O.K.
tto.K. to connect service
,1{/1~IlS.~inal O.K.
Site Address:
8/0
Installer:
ct. LUcJ /J. v'L
IvtJ~5U1 Ck-klc-
Permit/Receipt No.
4/7'1
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Number when 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.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 60 I!!?
Eleclricallnspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hal~
OLYMPIC PRINTERS INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
~/f'?
7/?/~3
DATE
ELECTRICAL PERMIT
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
~. TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
~ UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE ~O
SERVICE SIZE (p' AMPS
Details/Description:
.....-. ........,
7 e;) CttcA 2:" r-
~
.
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.
o Rough-in/cover OX
~P.O.K. to connect service
o Final O.K.
i
Sit~ Address:
810
,
Installer:
,
Permit/Receipt No.
~/ff
.
Notify Port Angeles City Light by Street Address and Permit Number when 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. t90
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 30 -
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
QLYMPrc PRINTEAS INC.