HomeMy WebLinkAbout223 W Park Ave - Building
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
Installed By:
,
PERMIT NO. ;5):;-7L' 0
DATE ,...;L //S79Z>
/ t'
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
J-
ELECTRICAL PERMIT
Owner/Business:
Phone:
9wner/BlI~in.,.c" ^garess:
Sq. Ft.
o Residential q . .)
Heat KW J::::4/
~ Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commerciai/lndustrial ioad
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list beiow)
o Overhead
o Underground
Voltage
010 03.0
Service size .!2 0 0
o Temporary
Amps
Detai I slDescri pt ion:
e.
W.S. No. Service Size
Capacity: 0 OK 0 Not O.K. Comments
o Ditch inspection O.K.
~ Rough-in/cover O.K.
,/f;fv" rp O.K. to connect service
~f Final O.K.
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
Installer:
fU
Site Address:
.
C-- ~
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 i Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
~,~O
Insp ctor Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall /
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
OL".Io4PIC PRINTERS. INC.
,
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