HomeMy WebLinkAbout501 Rhodes Rd - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
So ( f2-fwcf{S
6'S &/e
Installed By:
OwnerJBusiness:
Owner/Business Address:
~IDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
'S FAN/WALL KW ~
I tJ HEAT PUMP KW_
o SIGN
I
,
I DetailslDescription:
\
l(JIt2f
7' LtJ
PERMIT NO.
/(.;2,,< /
7/.2;r/F.3
I
DATE
ELECTRICAL PERMIT
Ref
o WILL CALL FOR
INSPECTION
Phone:
o READY FOR
INSPECTION
License Number:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
;B PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
isD(
OVERHEAD SERVICE
~ UNDERGROUNQlSEfll,\ICE
VOLTAGE: @C?~
Ia'""SiNGLE PHASE
o THREE PHASE- ~
SERVICE SIZE ~ AMPS
o SPECIAL EQUIPMENT
(LIST BELOW)
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Ii t!A4-f- ~
~~.
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~
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
AC1iION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
WV,!t) Rough-in/cover O.K.
~",,\~O.K. to connect service
o Final O.K.
"15tal[er:
Site Address:
Permit/Receipt No.
New Meters
&
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writi7g 0 either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. &t2
_ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ / rf}(} ---
Electrical Inspector Permit Fee
I
I
I
l
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
t;t!'MPIC PRINn:~s INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411 PERMIT NO.
DATE
~O~f
-1'-/9~9. ~
ELECTRICAL PERMIT
Sitei Address:
!
Installed By:
'I
Owner/Business:
iI
Owner/Business Address:
'II
II
~ F,lESIDENTIAL
/5 COMMERCIAL
o BASEBOARD KW _
o !TURNACE KW _
D~AN/WALL KW _
o REAT PUMP KW_
o SIGN
READY FOR
INSPECTION
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
mERMANENT SERVICE
NEW CONSTRUCTION
REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
DetailslDescription:
/JJA~P~
".- ~I-'
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
j ~ rOugh-in/COver O.K.
/(f" ~.K. to connect service
o Final O.K.
Permit/Receipt No.
c.j
Date:
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
oran the Building P mit HONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
:20.00
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Depl.. Boltom: City Hall
OLYMPIC PRINTERS INC.