HomeMy WebLinkAbout109 Lopez Ave - Building
W.S No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
,
o ~itch inspection O.K.
Dough-in/cover O.K.
1J1i.'R l.K. to connect service
o F[nal O.K.
v
.
.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
:3 6>& ~
,
.J-?-'?/
ELECTRICAL PERMIT
OATE
o READY FOR
INSPECTION
License Number:
;twILL CALL FOR
INSPECTION
Phone:
OWrer/BUSiness:
Ower/Business Address:
Phone:
Sq. Ft.
Residential.,20
Heat KW
Baseboard -f;t. Furnace/Boiler
Heatpump (0 Other
Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
I (attach breakdown)
Detai I s/Descri pt ion:
I
o New Construction
o Remodel
poCservice update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~verhead
6' Undergfl!,'~'9;Z dO
Voltage Y'
!){71 0 0 ~
Service size /t7..D Amps
o Temporary
,f""
{'
.J
I
-l
-I
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
,D Fire Department notified of inspection
o Plan Review approved/pending
Date:
~-2. /
Notily the Department of City light by Street Address and Permit Number when ready for inspection. Work
I
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by f 'e 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 d rJ tJ..tI
Inspector Am&n~ pai~
WHI iE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPL PRINTI>RS, INC.
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