HomeMy WebLinkAbout1118 Madrona St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.'
ELECTRICAL PERMIT
PERMIT NO. ~J;r
~07~
,
DATE
Site Address:
o READY FOR ~ILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
OwnerfBusiness Address:
Sq. Ft.
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
txOverhead
b' Underg~p'IV
Voltage
\)(10 030
'Service size 2/)l) Amps
o Temporary
e{ Residential ?
( 'Heat KW
~ Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ New Construction
o Remodei
o Service update/alter/repai r
Detai IslDescription:
. /
.h.GU.J #JC/~L
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~ROUgh.in/cover O.K.
~ O.K. to connect service
~~ Final 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/pending
Site Address:
Permit/Receipt No.
.;z tS6
New Meters
o
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.
-r~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT it? !!!
Inspector mount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
OlY,",PIC PRINTERS. INC.