HomeMy WebLinkAbout1425 E 2nd St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
c:2 7SD
7~~?'
.
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
license Number:
)<wILL CALL FOR
INSPECTION
Phone:
OwnerfBusi ness:
Phone:
Owner/Business Address:
Sq. Ft.
~ Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commerciai/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
1'service update/alter/repair
~Overhead
o UndergrO~~'z)
Voltage / ~y~
[\)110 03.0'
Service size /(Ifi)
o Temporary
Amps
o Add/alter circuits
o Auxiliary power
(iist below)
o Special equipment
(Iistbew
1L~. .
~.~
U
DetailslDescription:
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch Inspection O.K.
o Rough-in/cover O.K.
ArlJ,.....)Q O.K. to connect service
'rJ" b 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
Installer:
New Meters
,;;).
.
Notify the Dep ment 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.
~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT ! ~ ~
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS, INC.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date ({ - z L/ - DC,>
Time
-/: >0 fw..
Received by De'-1.....;s t - (phone. person)
'LJ Z~
Location of Work to be inspected I, 'V;- c-
Name of person requesting inspection VL,k i-<. ,'., E-
Address of person requesting inspection CortJ iliA rJ
I
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No. 'II? -i.{$t('f
Permit No. _
Sewer Excav. OtherC?t<-'f0
INSPECTION NOTES:
Inspected: Date ( ( - "L 1- 0 (.,
Remarks: !<eOtl. ,-redz "
I
Time
6-......1 v- t~c..I^
By
kre.....k w~+l.
0... vef)c,l,r d<~_~.
I ,~
RESTORATION REQUiRED...... YES
NO X
~ Z" .- j..'
,i- 6.J... 2. ~ Pa.p .4.:
II) r", 3i1' , \r)
)1
.VI \.
.~
'> '<1
'-G -..:
J '"
.- 5+
t:::. 2-
.
VI ~
.V\
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 5D3<{Z--ID'1
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
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