HomeMy WebLinkAbout1819 W 16th St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
-e-
ELECTRICAL PERMIT
PERMIT NO~~ct fj$
DATE o//'l'1 Cj tJ
Site Address:
o READY FOR ,~ WILL CALL FOR
INSPECTION INSPECTION
license Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~ Residentialil .--
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 Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
is. Overhead
o Underground
Voltage
01.0 03.0
Service size ;JIIIC> Amps
o Temporary
'Iii. New Construction
Ei Remodel
o Service update/alter/repair
DetailslDescription:
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~!/\]5J Rough-in/cover O.K.
/t)vJ'--ft O.K. to connect service
~fi 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
Installer:
I ~-,r
Permit/Receipt No.
c9{;,9'i?
New Meters Date:
Site Address:
.
Notify the D artm nt of City Light by Street 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 .n 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 -;!lilt tJ;)
nspect r Amount paid
WHITE - file b address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
'" "....,"- PRINTERS. INC.