HomeMy WebLinkAbout1609 E St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
er/Business:
o er/Business Address:
~SIDENTIAL
o COMMERCIAL
o i3ASEBOARD KW _
o FURNACE KW _
~AN/WALL KW ~
o rEAT PUMP KW_
o SIGN
I
o TEMPORARY SERVICE
$ PERMANENT SERVICE
tJ NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
DetbilslDescription:
I
PERMIT NO. ;;S? 7..3
o:V.s- /? 3
DATE
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
R.1'soe
o OVERHEAD SERVICE
~ UNDERGI3.0U~ SEBVICE
VOLTAGE: LZ!!!,~
!a-'SINGLE PHA E
o THREE PHASE _ _
SERVICE SIZE c;MlO AMPS
.
! /Jew- ~'AL
-J
-I
II
I
wiS. No. SERVICE SIZE
CA~ACITY:
I 0 O.K. NOT O.K.
ActiON REQUIRED: 0 CHANGE TRANSFORMER
I 0 INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
--i
I
o pitch Inspection O.K.
..g,w14 Rough-in/cover O.K.
-1JIYf ~ 6.K. to connect service
I
.{F ~rnal O.K.
I SI e Address:
(gO
In taller:
New Meters
-
No1ify Port Angel City Light by Street Address and Permit Numberwhen ready for inspection. Work must no be covered
belore inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
I ~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT do t!:!!
-j I~ $ ~
Electrical Inspector Permit Fee
W~TE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall
OL'I'~PIC PRINTERS INC.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
$Qc.j7
DATE
ELECTRICAL PERMIT
Sit. Address:
Ins ailed By:
Ov.llner/Business:
o er/Business Address:
I
o RESIDENTIAL
o COMMERCIAL
o ,ASEBOARD KW _
o URNACE KW _
DAN/WALL KW _
o EAT PUMP KW_
o flGN
Del~ils/DescriPtion:
Phone:
READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Sq. Ft.
~ TEMPORARY SERVICE
{o- PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
~
· l
w.J. No.
I
CApACITY:
. 0 O.K. NOT O.K.
ActiON REQUIRED: 0 CHANGE TRANSFORMER
I 0 INSTALL SERVICE POLE
=1
I
o ~itch Inspection O.K.
o rough-in/cover O.K.
't?K. to connect service
o final O.K.
SERVICE SIZE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
In taller:
Date:d
'-,-'7)-
7
-
.
No ify Port Angeles Ci Light by Street Address and Permit Number when ready for inspection. Work must not be covered
befpre inspection an O. . for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building er It. PHONE 457-0411, EXT. 224.
,~ NO OCCUPANCY OR USE ESTABlISHEO UNOER THIS PERMIT $ ~O. 00
I
WHITE - File by address
OLYM~IC PRINTEAS INC
Permit Fee
YELLOW - file by number
GREEN - Top: MeIer Dept., Bottom: City Hall
PINK - Top: Eng, Bottom, Customer