HomeMy WebLinkAbout1416 W 4th St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
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ELECTRICAL PERMIT
DATE
Site Address:
o READV FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Owner/Business Address:
Phone:
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Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/lndustriai load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0'
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
DetailslDescription:
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.
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.
. ~O.K. to connect service
/!JIf!fFinalo.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:
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Permit/Receipt No.
Site Address:
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Notify the Department 01 City Light by Stre Address and Permit Number when ready lor 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.
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Inspector
WHITE - file by address YELLOW - file by number
Amount paid
PINK - Top; Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall