HomeMy WebLinkAbout111 S Lincoln St - Building
Installed By: _
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
I1zD
J
12-/5/<67
~ILL CALL FOR
INSPECTION
~2 -52:?-
Phone:
.
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
LO ens, Nu~b~r:
. ''is 17L!P
Owner/l}1.!si!'ess:
C0-f' \ 0
Owner/Business Address:
-I \ 1
~L..J f.IIl f::t.
"5, L---(tJCG~
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiier
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(.",," '"."owo) '"'' "","w) " ~
DetailslDescription: J ,j s~ ' -<; ~ ;3)( ({) . 5, jde
. ~ ~ (' r2J rJt-'" -n? k'/ $I k) r.; SVP-PLAj (J
<fA ~A?AiV? g,-fJ~,
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground.. '"
Voltage 1 <::::..-V
R10030
Service size
o Temporary
Amps
lull
....'i...
.
'f:
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.
o O.K. to connect service
i.p.IO.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:
/
Site Address:
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
U~
Inspector v Amount paio
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
OL.YMPIC PRINTERS. INC.