HomeMy WebLinkAbout4102 Fairmount Ave - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. 3.,l'i'j/
/ ?/0/
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR piLL CALL FOR
INSPECTION INSPECTION
License Number:
Phone:
Installed By:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
M Residential
;' 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)
)! Overhead
o Underg~~
Voltage
~10 03.0
Service size.;26)O Amps
o Temporary
o New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai IslDescription:
I
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S'..R./trA CL
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough.in/cover O.K.
I'Q O.K. to connect service
o Final O.K.
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:
Permit/Receipt No.
Site Address:
Notify the Department 01 City Light by Street Address and Permit Number when ready for inspection. Work
mustnot be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspec~Writing on the Wiring Report or the Building Permit. PHONE 457.04~, EXT. 158 or EXT. 224.
~iJ1.1I\ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ff ~ 0 <!:5!--
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.