HomeMy WebLinkAbout528 E 6th St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. ~O l?'"
DATE c" -/:)- '7' ~
ELECTRICAL PERMIT
~
Site Address:
Installed By:
o READY FOR
INSPECTION
License Number:
&WIll CAll FOR
/lNSPECTION
Phone:
Owner/Business:
~
Phone:
Owner/Business Address:
~ RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
Details/Description:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
~ REMODEL
'D' ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BEL~W
~ ~--'
-
(11'/ At/Ar
rJ{ OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
Rr SINGLE PHASE
-0 THREE PHA~
SERVICE SIZE t'TCJ AMPS
.
~ ~{.v-<<.f
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~ O.K. to connect service
o Final O.K.
Site Address~
Installer:
New Meters
.
Notify Port Angeles City ight by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O. . for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Per '. PHONE 457-0411, EXT. 224.
3' d.
WHITE - File by address
NO OCCUPANCY OR USE ESTABLJSHED UNDER THIS PERMIT
$
-YtJ, C) CJ
Permit Fee
YELLOW - file by number
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
PINK - Top: Eng, Bottom, Customer