HomeMy WebLinkAbout116 Apple Ln - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
~ RESIDENTIAL
b COMMERCIAL
~ BASEBOARD KW 5t--
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
Details/Description:
ELECTRICAL PERMIT
PERMIT NO. $l'yitJ L
//,ap/fr
DATE
o READY FOR
INSPECTION
license Number:
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
,0 REMODEL
~ ADD/ALTER CIRCUITS
;g: SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o"f~'''(fe
~
,
I:-'
,
(
/h9:A
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
/11 OVERHEAD SERVICE
o UNDERG~~.CE
VOLTAGE:
~ SINGLE PHA
tJ THREE PHASE
SERVICE SIZE ~ AMPS
~
.
DATE
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
/J 1jiJ., - O.K. to connect service
/tJAt"t-J Final O.K.
Installer:
New Meters
Notify Port Angeles City Light by Street Address and Permit Number when 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 either the Wiring Report
or on the Building Permi!. PHONE 457-0411, EXT. 224. c90
..~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ SO _
,
Electricallnspeclor Permit Fee
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WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
GREEN - Top: Meter Dept., Bottom: City Hall