HomeMy WebLinkAbout1016 W Lauridsen Blvd - Building
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. :J(;; / if
?//~/7d
DATE
<
READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Ins ailed By:
OWl)er/Business:
Phone:
ow er/Business Address:
Sq. Ft.
)~ Residential .,~
, Heat KW 7' 6
[~ Baseboard 0 Furnace/Boiler
[ Heatpump 0 Other
[ Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~New Construction
o Remodel
o Service update/alter/repair
o Overhead
Jli:f Underground
Voltage
~10 030
Service size ~6n
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Det$ilslDescription:
---..c.+
.
---f
t (ij tt~
W.S.' No. Service
Capq.city: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
1'/' ;B Rpugh-in/cover O.K.
o qK. to connect service
:~O~
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pendi ng
Permit/Receipt No. _
d{:,/(/
New Meters Date:
.
'U'~0' .--' /3 9V
Noti\y the Department of City Light by Street Address and Permit Number when ready for nspection. Work
musl not be covered or electrically energized before inspection and O.K. for covering or service has been given
by thie Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
,
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
.yo, 0 0
Amount paid
GREEN - Top: Inspector, Bottom: City Hall
I spector
WHIT$ - file by ddress YELLOW - file by number PINK - Top: Eng, Bottom: Customer
OLYMPI~ PRINTERS. INC.
I
~
.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. :) b} {J.
3/;), /'70
I I
ELECTRICAL PERMIT
DATE
Sitd Address:
READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Ins ailed By:
OWrerfBusiness:
Owper/Business Address:
AI C<:U__A'YYL.~
Phone:
Sq. Ft.
~ Residential
" Heat KW
CJ Baseboard 0 Furnace/Boiler
CJ Heatpump 0 Other
CJ Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
DetbilslDescription:
o Overhead
o Underground
Voltage
010 03.0
Service size
)(TempOrary
Amps
o New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~f
W.S, No. Service
Cap~city: 0 O.K, 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
'f{3o OI.K. to connect service
;tf'"fJJ Fl1nal O,K,
Size
Comments
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/pend; ng
Site ~ddress:
Permit/Receipt No.
New Meters
Installer:
I
[
Notily the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work
musl not be covered or electrically energized before inspection and OK 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 #
' ~or c90:m~~aid
WHIT~ - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPI~ PRINTERS, INC.