HomeMy WebLinkAbout1118 W 19th St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. .;;? SSY
DATE ~~~?
sJ e Address:
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
In tailed By:
o ner/Business:
Phone:
o ner/Business Address:
Sq8'tiJ
~ RESIDENTIAL
b COMMERCIAL , I
~ BASEBOARD KW -""L--
tJ FURNACE KW ~
o FAN/WALL KW ~
o HEAT PUMP KW ~
I
o SIGN
i""D'~""""
o TEMPORARY SERVICE
o PERMANENT SERVICE
~ NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
;81 OVERHEAD SERVICE
o UNDER5'~~ERVICE
VOLTAGE: ;? V
$ SINGLE PH SE
o THREE PHA~
SERVICE SIZE ;) AMPS
/U<;;W- ~
.
W.S No. SERVICE SIZE
CA~ACITY:
\0 O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o D tch Inspection O.K.
~;Ki Rough-in/cover O.K.
1,r' ~ oIK. to connect service
~ Fihal O.K.
~ Site ddress:
I.~
In5t
New Meters
.
Noti Port Angele City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
befor inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Buil 'ng Permit. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
t90
tp-
Permit Fee
Electrical Inspector
WHITE File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC I RINTERS INC