HomeMy WebLinkAbout1811 W 16th St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
.;:2 77/
~;/O/~
.
ELECTRICAL PERMIT
DATE
Site Address:
\l4
o READY FOR
INSPECTION
License Number:
~ILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
y;: Residential ,
Heat KW
at"Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below) :
ft(Overhead
o underg92.ljJjd/,r,")
Voltage ~
21'10 0 3~
Service size ':::&0 Amps
o Temporary
gNew Construction
o Remodel
o Service update/alter/repair
DetailslDescription:
/VE0
I
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.
.'
,
"
'.
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iY
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.
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, I
,
W.S. No. Service
Capacity: 0 O.K. 0 Not oK
o Ditch inspection OK
I,"~ Rough-in/cover O.K.
'lP"~ O.K. to connect service
o Final OK
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:
Permit/Receipt No.
,;z7
Installer:
.
rtment of City Light by Street Address and Permit Number when ready for inspection. Work
must not be c vered 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 7,1 P
-r~ O-
f Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
Ol.YMPIC PIOlIHTERS, IHC.