HomeMy WebLinkAbout1026 Georgiana St - Building
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o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercialllndustrial load 0 Add/alter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (list below)
Total Motor ioad 0 Special equipment
, (attach breakdown) (list below)
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
o New Construction
o Remodel
o Service update/alter/repair
PERMIT NO /5":? /
DATE/:2./ 'I /
, I
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Phone:
;l-'1d.~
Sq. Ft.
o Overhead
o Underground
Voltage
o 10 03.0
Service size
o Temporary
Amps
W.S. No. Service Size
Capacity: 0 O.K. 0 Not OK Comments
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~ Final O.K.
\
Dale
Hold for: 0 Easement 0 Leller
o Signed up for service/meter
o Meter Department notified for instailation
o Fire Department notified of inspection
o Plan Review approved/pending
~ cJ'I~
Site Address:
Installer:
New Met'1"i
U
. ( ,
Notify the Department of City tight 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.
fA- ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /0. 0'0
;;'nspecto Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.