HomeMy WebLinkAbout105 W 5th St - Building
.
dry OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. /&/71'
;s/3ohR
. ,
DATE
Owner/Business:
G/lC_i,{l~
uJ
o READY FOR
INSPECTION
License Number:
KWILL CALL FOR
INSPECTION
Phone:
Site Address:
Instalied By:
os-w.
V'/'-c..L
-,:s-; ~
s
Phone:
OwnerfBusiness Address:
Sq. Ft.
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
o Residential
Heat 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
o Service update/alter/repair
Amps
Detai I s/Descri ption:
{JJ/~L ~f"
.
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection OK
o Rough-in/cover O.K.
o O.K. to connect service
riJFinal 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
Site Address:
I OS- oJ.
{
-It
PermitfReceipt No.
e
I It, I
Installer:
New Meters
o
.
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 in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.15.ll or EXT. 224.
~ iVW\ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT If ! ~ ~
I nspector Amount paid
WHITE _ file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS, INC.