HomeMy WebLinkAbout1306 E 3rd St - BuildingPREPARED 3/09/10 8 34 47 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/09/10
ADDRESS 1306 E 3RD ST
TENANT NBR IRVIN L WALDEN
CONTRACTOR ALL WEATHER HTG COOLING INC
OWNER IRVIN L WALDEN
PARCEL 06 30 00 9 1 0080 0000
APPL NUMBER 10 00000071 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE (360) 452 9813
PHONE (360) 808 5957
ME99 01 3/09/10 JLL MECHANICAL FINAL TIME 01 00
March 9 2010 8 33 15 AM 1pangrle
JENNY (ALL WEATHER HTG) 452 9813
MECHANICAL FINAL HEAT PUMP INSTALLATION
AFTERNOON
PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 ton heat pump 8 kw furnace
Owner
IRVIN L WALDEN
1306 E 3RD ST
PORT ANGELES
(360) 808 5957
Permit
Additional desc
Permit pin number 160044
Permit Fee 81 30
Issue Date 1/25/10
Expiration Date 7/24/10
Qty
1 00
3. 00
Unit Charge
73 5000
2 6000
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983624702
Per
ECH EL
ECH EL
81 30
00
81 30
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000082
166482
1306 E 3RD ST
06 30 00 9 1 0080 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
BRANCH CIRCUIT WO /FEEDER
ECH ADDNT BRANCH CIRCUIT
Paid Credited
81 30
00
81 30
DATE
ho
00
00
00
Date 1/25/10
WA 98363
RESULTS
00
0
Extension
73 50
7 80
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
JAN 2 2009
CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL
Building nrvision/Electrical Inspections INSPECTIONS
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph (360) 417 -4735 Fax: (360) 417 -4711
Date: _Lb- "(12010
t/1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition l Alteration'( Remodel I Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: ?Q.(o S-4'
Building Square Footage:
Descriptio of ove
Owner Information
Name: I 1f w
Mating Add s Q 3
Clly: cs
r r State: k) Zip: /p .9,
Phone: g 9 S7 Fax:
License Exp.
Item Unit Charge
Service/Feeder 200 Amp. $119,90
Service /Feeder 201-400 Amp, 145.50
Service/Feeder 401.600 Amp 204.60
Service/Feeder 601-1000 Amp. 262.20
Service/Feeder over 1000 Amp. 372.50
Branch Circuit WI Service Feeder 2,60
Branch Circuit W/O Service Feeder 73.50
Each Additional Branch Circuit 2,60
Temp. Service/ Feeder 200 Amp, 92.70
Temp, Service/Feeder 201-400 Amp. 110.30
Temp. ServicelFeeder 401-600 Amp. 148,70
Temp. Service/Feeder 601 -1000 Amp 167.90
Portal to Portal Hourly 95.90
Sign/Outline Lighting 88.20
Signal Circuit/ Limited Energy 1 First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi- Family Dwelling 63.90
Manufactured Home Connection 119,90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY.
First 1300 Square Ft, 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110,30
MEND
Contracto Information
Name:
Malting Address:
City. .0 A State:
Phone: Fax:
Licensed Exp. 7i As r—k., cf 73 1.■F)
7
gtt
Total (QV Multiolied by Unit Charge)
.L�er...Lr3 3
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature/itf owner, electrical contractor or electrical administrator cash ci Cheek
'1 Credit Card* Q'll l'�`
lI
oared: 2 �1 f) 0110112010
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 10 00000071 Date 1/22/10
Application pin number 556955
Property Address 1306 E 3RD ST
ASSESSOR PARCEL NUMBER 06 30 00 9 1 0080 0000
Tenant nbr name IRVIN L WALDEN
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 9333
Application desc
HEAT PUMP INSTALLATION
Owner Contractor
IRVIN L WALDEN
1306 E 3RD ST
PORT ANGELES
(360) 808 5957
Permit MECHANICAL PERMIT
Additional desc INSTALL A HEAT PUMP
Permit pin number 159889
Permit Fee 64 80 Plan Check Fee 00
Issue Date 1/22/10 Valuation 0
Expiration Date 7/21/10
Qty Unit Charge Per
1 00 14 8000 EA
Fee summary Charged
T:Forms/Building Division/Building Permit
WA 983624702
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited Due
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Grand Total 64 80 64 80 00 00
EN 4,,
o 3 Og /o
Extension
50 00
14 80
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local 1 regulating construction or the performance of constructin.
Print Name l Signa re of Coptfaetor or Authorized Agent Signature of Owner (if owner is builder)
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping I SHORELINE.
T.Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
Inspection Type
Date Accepted By
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Comments
FINAL Date Accepted by
FINAL Date 3 -q.10 Accepted by ja"-
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Application Number 10 00000072 Date 1/22/10
Application pip number 810616
Property Address 1306 E 3RD ST
ASSESSOR PARCEL NUMBER 06 30 00 9 1 0080 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Heat Pump
Owner Contractor
IRVIN L WALDEN
1306 E 3RD ST
PORT ANGELES
(360) 808 5957
Permit ELECTRICAL HEATPUMP
Additional desc
Permit pin number 159897
Permit Fee 56 00 Plan Check Fee 00
Issue Date 1/22/10 Valuation 0
Expiration Date 7/21/10
Qty Unit Charge Per
1 00 56 0000 ECH EL LVT THERMOSTAT
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983624702
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Charged Paid Credited
56 00 56 00 00
00 00 00
56 00 56 00 00
DATE
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
4 12 c /lD
Due
Extension
56 00
00
00
00
RESULTS INSPECTOR.
Signature of owner or Electrical Contractor X Date
City of Port Angeles Permit Application
Building Division :Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98382
Ph: (360) 4174735 Fax: (360) 417.4711
Date; \,2_t 1 O
2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition/Alteration Remodel Repair'
Plan Review tic Be Regyired, Pjas Co to EIe rical tan Revie nfor a6 Sheet
Job Address:1^(�0 �C K,r�� N ci Z-
Building Square (rootage: i I nil III
Description of above
Owner 1 aeon
Name'
Mall)
City.
Phone.
License Exp.
Unit Chem
119.90
145.50
204.60
5 262.20
5 372.50
2.60
5 73.50
2.60
92.70
110.30
148.70
5167.90
96.90
5 88.20
95.90
63.90
5 83.90
110.90
$102,30
110.30
5. 35.20
73.50
110.30
56.00
Address:
VO /b0 39Cd
State: Vic'
Fax:
O Check.
Date: Z„
9NI.V3H 83HIV3M 1717
0 Credit Card
NECEIVE
JAN 2 2 2009
ELECTRICAL
INSPECTIONS
Total IOW Multiolled by Unit Champ.)
5 Service/Feeder 200 Amp.
Service/Feeder 201-400 Arnp.
Service/Feeder 401600 Amp.
Service/Feeder 601.1000 Amp,
Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/0 Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401.600 Amp.
Temp. Service/Feeder 601.1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit' Limited Energy Commercial, Additional 1500 $5,00
5 Signal Circuit) Limited Energy 1 2 Family Dwelling
8 Signal Circuit/ Limited Energy Meld-Family Dwelling
4 Manufactured Home Connection
:Renewable Electrical Energy 5KVA System or.Less
5 First 1300 Square FL
Each Additional 500 Square Ft, or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
rte- Thermostat
5 fop- t....7 Tolat
C. o I formati.
Name :v 1 L1 e r 3 no Coo nq
Mellin
ddress: '1b]r u ail
c
e Slate: V j Zip: t' 1
Phone' Fax: Il/
License Exp.rAn 1 r i 1
Owner as dented by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permlrls finalized. (2) Owner is requited to he an electrical Contractor,
above said property is for sale, rent orloase. Permit expires altaisix months of last inspection.
After reading the above statement; I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical Inatailation or'
alteration to compliance with the electrical laws, N.E.C., RCW. Chapter 19.28,•WAC. Chapter 296468, Tho City of Pon Angeles Municipal Code, and.Udlity Specifications.
Signature of owner, electrical contractor.or electrical administrator 0 Caah
LL ZSZ9PO9ET LZ 91 0T8Z /7710
Applicant F
Property. Owner
Propertye er's
Contractor I
Contractor's, Addr ss
"License T.S
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
1" 04-1 A Cop\ 1r1c\
4 AIL&
ress
Expires 01110
PROJECT ADDRESS IUD E 3y78
Parcel Number C0 2 3 co• Lot
ject Time Brief Description: ),(Residential o. Multi- family Commercial o Industrial
Check all tha Construction New Co 010 VOO (4 tk`'
ntru
o Addition
Remodel
a Repair
o Demolition
Re -roof o House o garage other c tear off re -roof a lay over one layer
a Heat System '1 Heat pump o wood buming stove o gas fireplace a pellet stove o other
o Other
Floor Areas Existing (sa. ft) Proposed (sq. ft)
Basement
1 Floor
2"° Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq. ft. Lot size sq- ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PANIC 17.94 135 for exemptions) Site coverage k
Max. height Of proposed structures
Will a lawn sprinkler system be Installed?
Will a fire sprinkler system be installed?
I have read nd completed this application and knew it le be true and correct. I am authorized to apply for this permit and understand
that it is m nits nsibillty to determine what permits are required, and to obtain permits prior tc Jjdng on rojects,
Date
T:Form /8
V0 /Z0 39ad
ft. Occupancy group
Occupant load
Construction type
e 3�
L1 Print Name jCt1ti Signature
ing Division/Bldg Permit.doc
9NIIV3H 2I3H1d3M 11ti
0$
LLISZSU09E1
For City Use Only
Date Received I —2 -1 -1 O
Permit
Date Approved
Phone
Phone
Phone t 7..
E -mail (ahtC chAlgefl C 3 fl
Zoning
per sq. ft.
TOTAL VALUATION N
of bedrooms
of full baths
of half baths
LZ 91 0102/1Z/T0
Clallam County Assessor Treasurer Property Details 62660 IRVIN L WALDEN for Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 62660 IRVIN L WALDEN for Year 2010 2011
Property
Account
Property ID 62660 Legal Description SUBURBAN LOT 17 SUBD
OF BLK 3 LT8
Geographic ID 0630009100800000 Agent Code
Type Real
Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space N DFL N
Historic Property' N Remodel Property N
Multi Family Redevelopment: N
Location
Address. 1306 E THIRD ST
PORT ANGELES
Neighborhood Cycle 5 Res
Neighborhood CD' 10955130
Owner
Name IRVIN L WALDEN
Mailing Address 1306 E 3RD ST
PORT ANGELES WA 98362 -4702
Taxes and Assessments Due
Property Tax Information as of 01/21/2010
Amount Due if Paid on E.
Mapsco
Map ID
Owner ID
Ownership
Exemptions.
First Second
Half 1 Half
Statement Base Base Base Amount
Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due
2009 626602008 ST SCH STATE SCHOOL $236 78 $236 77 $0 00 $0 00 $473 55 $0 00
2009 626602008 CC -GEN COUNTY $119 83 $119 83 $0 00 $0 00 $239 66 $0 00
2009 626602008 PORT PORT $16 97 $16 98 $0 00 $0 00 $33 95 $0 00
2009 626602008 PORT ANG PORT ANGELES $262.84 $262 84 $0 00 $0 00 $525 68 $0 00
2009 626602008 SD #121 SCHOOL DISTRICT #121 $292.81 $292 81 $0 00 $0 00 $585 62 $0 00
2009 626602008 NTH OLY LIB NORTH OLYMPIC LIBRARY $34 82 $34 82 $0 00 $0 00 $69 64 $0 00
2009 626602008 HOSP #2 HOSPITAL #2 $49 14 $49 15 $0 00 $0 00 $98 29 $0 00
2009 626602008 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0 00
12009 626602008 WEED_CONTROL WEED CONTROL $0 81 $0 82 $0 00 $0 00 $1 63 $0 00
2009 626602008 TOTAL. $1050.00 $1050.02 $0.00 $0.00 $2100.02 $0.00
NOTE If you plan to submit payment on a future date make sure you enter the date and RECALCULATE
to obtain the correct total amount due
Values
Improvement Homesite Value N/A
Improvement Non Homesite Value N/A
Land Homesite Value N/A
Land Non Homesite Value N/A Ag Timber Use Value
Curr Use (HS) N/A N/A
58066
100 0000000000%
http. /vpn.clallam.net.8084 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop_id =62 1/21/2010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
WALDEN IRVIN L
1306 E 3RD ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T•\Policies \1102.15R 0/05)
WA 983624702
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST3TH STREET PORT ANGELES, WA 98362
06 00000352
488000
1306 E 3RD ST
06 30 00 9 1 0080 0000
.PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
RIGHT OF WAY
REPAIR WATER SERVICE LINE
74906
Charged
00 Plan Check Fee 00
4/19/06 Valuation 0
10/16/06
Paid Credited
00 00 00
00 00 00
00 00 00
Date 4/19/06
Due
00
00
00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 1
BUILDING 417 -4815
T- \PoliciesU 102.1 SR 1/05)
RESIDENTIAL
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1
1 .1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION RW
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
BUILDING
COMMENTS
1 1
1 1
1 1
1 1
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. f!Dt/f'
DATE rt1<19' ~
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
&1lESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
B11EMODEL
B'ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
ErOVERHEAD SERVICE
o UNDERGy'O~ 1Zffi{ICE
VOLTAGE: ZV/ D
&-siNGLE PHASE
o THREE PHASE.".
SERVICE SIZE c:~ AMPS
DetailslDescription:
R~~
.
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
AI9!'(11'tJ Rough-in/cover O.K.
. ,re ~.K. to connect service
N' r-inal O.K.
Site Address:
Installer:
New Meters
,--
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before 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.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ..:2IJ f}Q
~Iectricallnspeclor Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC