HomeMy WebLinkAbout1136 W 16th St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. ~r if s D
/0 - '? -'7 c
DATE
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
r!YRESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
Detai Is/ Descri ption:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
? SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
R,slV\..
o OVERHEAD SERVICE
;0 UNDERGROUN~~\!1CE
VOLTAGE: .I?~ V
~NGLE PHAS
o THREE PHAS~
SERVICE SIZE AMPS
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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{ { 3 fa
Installer:
cu.
! G It-.
Permit/Receipt No.
383'0
New Meters
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Notify Port Angeles City ight by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on eitherthe Wiring Report
or on the B~g Permit. PHONE 457-0411, EXT. 224.
I~ ^ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 020 :!:P
Electrical Inspector Permit Fee
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WHITE - FHe by address
OLYMPIC PRINTERS INC
YEllOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall