HomeMy WebLinkAbout1434 W 5th St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. /~OD
DATE ///;3.~7
I
D READY FOR j:l(WILL CALL FOR
INSPECTION INSPECTION
Site Address:
License Number:
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
~ Commercial/Industrial 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
Pi' Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
DetailslDescription:
fJJ1 MMF
~
(
["
~::t~
Il-Ih'c. /
4
~
(
I
/
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K. .
o Rough.in/cover O.K.
o O.K. to connect service
~Final O.K.
7~
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:
Permit/Receipt No.
/</00
Site Address:
New M(jS
.
Notify the Depa 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.
Y ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / h C5!:f2
. I nspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall