HomeMy WebLinkAbout1021 E Lauridsen Blvd - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address: 0 WILL CALL FOR
/ooz / ~-,I /J 1./ -<? I z::, .s ... 'Z/ ~ /...- 0/. iNSPECTION INSPECTION
Installed By: .A/J / L- / Lill"I''l'" Njlmber: I Phone:
///c /""/~L/AJt./'5 '<' /"'< T ///c/'-""I""",-:!C<.. ,c,r..s-7068'
Owner/Business: S // / f\? 0 ..-" I Phone:
Owner/Business Address: /
/0 DZ. / k A....
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Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load 0 Add/alter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (I ist below)
Details/Description: c9 DO /J P?j1 S"e -<:: (/ / ~
~erhead
o Underground
Voltage
~0 030
Service size '? bO
o Temporary
Amps
o New Construction
o Remodel
o Service update/alter/repair
e ~4:'lJVqe
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~ '7'I/,a)~
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
E( O.K. to connect service
~ Final O.K.
Size
Comments
Date
Hoid 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 Address:
/() '-I ~ .6~.
/J1C. ~
Permit/Receipt No.
30. {) CJ
New M~
Installer:
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.
~Q() NO OCCUPANCYOA USE ESTABLISHED UNDER THIS PERMIT 3n . ()O
Y-I~~. Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall