HomeMy WebLinkAbout223 W Forest Ave - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
:S3d'2
11-/y'--9/
.'
ELECTRICAL PERMIT
DATE
Site Address:
c:h
o READY FOR
INSPECTION
License Number:
ILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
tf. 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
)!fOverhead
o Undergr9u_nd.~ h-\
Voltage ~
"0"1.0' 03.0'
Service size ?.JPU Amps
o Temporary
~ Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai I slDescri ption:
.
W.S. No. Service Size
Capa~;ity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
A.......1\l"""Rough-in/cover O.K.
fill d O.K. to connect service
~Final O.K.
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 Addr::2::23 h-J
1cJf}.
Permit/Receipt No.
Installer:
New Meters
.
Notify the Department of City Light by Street Address and Permit Number when ready for 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 or EXT. 224.
~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~() ~
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.