HomeMy WebLinkAbout511 E 4th St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. -..'9::;2 /
DATE /0-/0-9/
,
Site Address:
. READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
r'lfResidential
T\,eat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
j( Service update/alter/repair
o Overhead
o Underground
Voltage
01.0 03.0
Service size p/9r:J
o Temporary
Details/Description:
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
r ~ALI/D ./~~~ d'-r~
~YJ A?~.Al...-.( _ 'l~ _
Amps
.
u~
.:a~r~-iJ~"de
,
~
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough-in/cover O.K.
Ii rtJ'irl O.K. to connect service
(lftrFinaIO.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/pendi ng
Installer:
Permit/Receipt No.
:93;) I
Site Address:
New Meters
Date:
A::J-/O - <7
.
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.
8
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Y!c.?, OB
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.