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HomeMy WebLinkAbout1204 W 15th St - Building Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. 30/1 .3 /-<5/11 / ' DATE Site Address: %READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. '8 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 o Overhead o Underground Voltage 010' 03.0' Service size remporary D Add/alter circuits o Auxiliary power (list below) D Special equipment (list below) Amps Details/Description: -1~l . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. D Ditch inspection O.K. o Rough-in/cover O.K. ~ O.K. to connect service I]pA~Final O.K. 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 Site Address: Installer: IS- permitl3e~ II New Meters Date: . Notify the Department of City Ugh by Str t 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. Ol&~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~tor WHITE - file by address YELLOW - file by number Amount paid PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYM"IC PRINTERS. INC.