HomeMy WebLinkAbout1026 Madrona St - Building
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W.S. No. Service Size
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CaRacity: 0 O.K. 0 Not O.K. Comments
o 0itch inspection O.K.
^ .. f ~ ~OUgh'in/cover O.K.
I \J1" --fI ?.K. to connect service
~ !final O.K.
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Site Address: Permit/Receipt No.
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Ins~aller: New Meters Date:
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Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mU!lt 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.15~ EXT. 224.
! ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 'If) -
i (Inspector Amount paid
WHlifE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. ..:J ({lIO
DATE Lj - ft:J -?/
ELECTRICAL PERMIT
Site Address:
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'nsi."ed By:
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OwnerfBusiness:
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Owner/Business Address:
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~Residential I
I Heat KW (p
ill Baseboard 0 Furnace/Boiler
~ Heatpump r1J Other ~
ill Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Phone:
Sq F2i2-0
o Add/alter circuits
o Auxiliary power
(list below)
.;;i Special equipment
r (list below)
~overhead
o UndergrQun<1 ~ ~
Voltage /Zd'~r-'
~10 030
- Service size Jt('? Amps
o Temporary
~New Construction
tJ Remodel
o Service update/aiter/repair
DetailslDescription:
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JtDu ~
..3 f:-tU vel c/c.,e
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instailation
o Fire Department notified of inspection
o Plan Review approved/pending
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OLY~PIC PRINTERS. INC.