HomeMy WebLinkAbout134 E Lauridsen Blvd - Building
Own rfBusiness:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. ~..s-7
DATE OZp ,1Ft?
Sit rddress:
Inst lIed By:
o READV FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Own'er/Business Address:
Sq. Ft.
d Residential
: Heat KW
q Baseboard 0 Furnace/Boiler
d Heatpump 0 Other
q Commercialllndustrial load
. Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010' 03Xl'
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Det1j.i I slDescri pt Ion:
.
~
-I
W.S., No. Service
Cap~city: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~ F:inal 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
Instr"er:
Permit/Receipt No.
.;;J5J 7
Site Address:
New Meters
-
.
Not~fy the partment of City Light by Street Address and Permit Number when ready for inspection. Work
mu~t not be covered or electricaliy energized before inspection and O.K. for covering or service has been given
by tlhe Inspector in 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 ~ ~
Ins ector Amount paid
WHilE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall