HomeMy WebLinkAbout521 S G St - Building
o Pitch Inspection O.K.
~ Rough-in/cover O.K.
~ p.K. to connect service
1t tlFinal O.K.
Site Address:
(
.
1-
---
'I
c)
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO ::3 c/Yj 1-
/-.!3/-'71-
DATE
ELECTRICAL PERMIT
o WILL CALL FOR
INSPECTION
Phone:
o READY FOR
INSPECTION
License Number:
tite Address:
I '
j'"stl1lled By:
OwnerfBusines
Phone:
Sq. Ft.
OwnerlBusiness Address:
:'!1 RESIDENTIAL
o COMMERCIAL
fj' BASEBOARD KW --5-
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
r6"NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
i OVERHEAD SERVICE
UNDERGRO~15j;jVICE
OLTAGEiZ-C7 VI
~NGL PHASE
o THREE PHA3
SERVICE SIZE ~ AMPS
I
DetailslDescription:
A/fAr ~
,
,
W.S. No. SERVICE SIZE
CAPACITY:
i 0 O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
ENGR.
DATE
o CHANGE SERVICE WIRE
o OTHER
l~staller:
&, eI- G-
New Meters
--
Ndiify Port geles 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 Buiiding Pe it. HOJiE 457-0411, EXT. 224.
~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ L/O, () 0
Permit Fee
W~ITE - File by address
I
OLYl'olPIC PRINTERS INC.
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
r
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,.
~.
Inslalled By:
,
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO, ~r-tf 0
1.2/Je?/P/
, ,
DATE
Site Address:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
I
Owrer/Business Address:
Phone:
Sq. Ft.
o 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
['!COverhead
o Undergroun~:l/
Voltage /UJfZ,t(D
o 10 030
Service size 1M Amps
j<rTemporary
,
i
Det~ilslDescription:
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
.
/ /J
~f/{'
" .
W,S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o qitch inspection O.K.
o Ijlough-in/cover O.K.
A.. 5! O.K. to connect service
/~ Final O.K.
Size
Comments
Date
Hold for: 0 Easement d Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
permitlR3'i;tyV
Date:
Site Address:
.
Notify the Depa ent 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 ~o ~
fn~~ctbr Amount paid
WHliJ"E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMrlC PRINTERS. INC.