HomeMy WebLinkAbout1039 W 12th St - BuildingBeverly
ORTANGELES
W A S H I N G T O N U S A.
Public Works Utilities Department
August 24, 2011
Beverly Grossman
1039 W 12 St
Port Angeles, WA 98363
The City is changmg the current address 1039 West 12 Street o 1115 D Street.
The new address will be official on September 26, 2011
This change will help facilitate 911 response time.
Building address numbers must be a minimum of 6" m height, contrasting m color to its
back ground and visible from the street.
If you have questions please contact me at (360) 417-4812.
Sincerely,
L•1 Public works Docs addicssschange wpd
Roger Vess
Assistant Civil Engineer I
Copy to: Dan McKeen, Fire Chief
Utility billing, Tracy Rook
Engineering, Bill Hale
PenCom, Steye Pomberg
Phone: 360- 417 -48001 Fax: 360- 417 -4542
Website www.cityofpa.us Email: publicworks @cityofpa.us
321 East Fifth Street P 0 Box 1150 Port Anaeles. WA 98362 -0217
000
0 0 4 2 0
,(1 50
Site Address:
Installed By:
Owner /Business:
Owner /Business Address:
X Residential
Heat KW
Baseboard Furnace /Boiler
Heatpump Other
Commercial /Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Details /Description:
Installer:
OLYMPIC PRINTERS. INC.
/03? I cu. /,Q
244) GT t:t.��eie. S
W.S. No. Service
Capacity: O.K. Not O.K.
Ditch inspection O.K.
Rough -in /cover O.K.
O.K. to connect service
i l-Final O.K.
Size
CommentG
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
New Construction
Remodel
Service update /alter /repair
Add /alter circuits
Auxiliary power
(list below)
Special equipment
(list below)
Ai C4 s 4•4O /ir/a'
No 11614 gddrii
PERMIT NO
DATE
READY FOR
INSPECTION
License Number:
Site Address: Permit /Receipt No.
/0 9 a ll /2
t044 I4 1 dat i (riA
S
New Meters
a7
R %o
WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
Overhead
Underground
Voltage_ /7-D
10 3 .g
S ervice size Amps
Temporary
)40 zoo o .Ciu.tc>
Date Hold for: Easement Letter
Signed up for service /meter
Meter Department notified for installation
Fire Department notified of inspection
Plan Review approved /pending
027 td'
Dattk /940
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Wo k
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.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT dO
y 9
I Inspector Amount paid
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