HomeMy WebLinkAbout1925 W 5th St - Building
~
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. /lj!SO
/ /:z~/,fR
, "
DATE
.
Site Address:
o READY FOR
INSPECTION
LIcense Number:
WILL CALL FOR
INSPECTION
Phone:
OwnerlBusiness:
Phone:
OwnerfBusiness Address:
Sq. Ft.
~ Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercialllndustrial ioad
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
~. Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
Detaiis/Description:
:::J 0 0
~ ~~ dr-
~<J"h;J!P.llf2~
.
Jdt
/
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.
~1~1?ft O.K. to connect service
~inal O.K.
~
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instailation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
/'1dS' tlj,
Eft:-
Installer:
.
Notify the Department of City Light by Stre t Add ess and Permit Number when ready for Inspection. Work
must not be covered or electricaily 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 457.04V.... EXT. 158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT t?"::sO
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.