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Home My WebLink About312 W 7th St - Building :fVORT :Vw: 8~o~~~ ha w..~ ~ 'l.tt~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000574 Date .833612 312 W 7TH ST 06-30-00-0-2-3410-0000- ELECTRICAL ONLY 7/01/04 o Owner Contractor RONDEAU ROBERT E/DARLAR 312 W 7TH ST PORT ANGELES WA 98362 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 90A PNL GARAGE OLYMPIC ELECTRIC 76.30 Plan Check Fee 7/01/04 Valuation 12/28/04 .00 o IN - }V Qty Unit Charge Per 1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 76.30 e: Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76.30 76.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 76.30 76.30 .00 .00 -.1 \} ~ 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 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 law regulating construction or the performance of construction. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.J5 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: . . FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPD SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY E..-x, p I fL(1) STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: 5-?- ~O~ LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/1412003] ~~OR ~ ,..:....O~~~((' "r..aii ~ ....~ ---- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000629 Date .844696 312 W 7TH ST 06-30-00-0-2-3410-0000- PLUMBING REPAIR 7/21/04 6800 Owner Contractor RONDEAU ROBERT E/DARLAR 312 W 7TH ST PORT ANGELES WA 98362 LANDSCAPING BY COCKBUM 4950 SEQ DUNGNESS WAY SEQUIM WA 98382 (360) 681-0644 Permit PLUMBING PERMIT Additional desc Permit Fee 54.00 Plan Check Fee .00 Issue Date 7/21/04 valuation 0 Expiration Date 1/18/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 7.0000 ECH PL- EA LAWN BACKFLOW 7.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 54.00 .00 .00 vJ -- ? ~t f~ &; s ............... -a s:- ,$. ~ c:::s"':' ~ 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 ordin nces governi this type of work will be complied with whether specified herein or not. The granting of a permit does not presume give authority 0 vi late or cancel the provisions of any state or local law regulating construction or the performance of constr tion. / / // /. " Signature of Owner (if owner is builder) " Oate\ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE, INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO SLOG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF 1 CEILING DRYW ALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHJMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI :-7,8-6'1 gR CONSTRUCTION - R.W, ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1 102.15 [11/14/2003] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec,"-I {,. - D tf Permit # D t..f - ~ z. 9' Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: /rcl \. ~~ t:(. tJ (""'~ b 'y I ' Owner: F? 0 I.'\. c\.C'Ci' t...r 00 vI c;, ) - "?' ~ (. ~ 7 ~ Address: )./ a.... v ---: ~xhb it t.-~ r....... '" l Phone: Phone: 6.1 / '-() /.3 ;J- ys;- d. - c (~ 7' 7- Zip: Y',f- ?65t~ City: ,g \J.f R,,) f /~ Architect/Engineer: Phone: Contraclor /,,,,,1...><:: a(', '1, Cd Irh, "" S lale License #: J..R^,ll5a9<;> ~2Bxp: 3 J t I ~ Address: llC(TO "':;;"1. u(..(u ~ ) City: St}'VI 'I" PROJECT ADDRESS: 5 / ~ t-U7~1 &-16t:J .. ~".;} c; Phone: 6~f-O/~ ~ Zip: 9cf?F ;).... </ ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: ~Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: ,JJ{~/4 {I ~ 0 do Ire - ell (Qc!-r City: Exp. Date: o Stove o Garage o Deck It Other SIZEN ALUATION: SF. @ $ /SF. = $ SF, @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $6~Ct!J - / (/a /v( }~ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. % APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules, Contact the Pennit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pennit application and construction plans are submitted. All other permit fees are due at the time of pennit issuance. EXPIRATION OF PLAN REVIEW: lfno pemrit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, cunent edition). No application can be extended more than once. T:\FORMS\APPS\B uildingpermit. wpd Applicant: to be t~ and correct. I am authorized to apply for this permit and e City's a d that I must obtain such permits prior to work, Date: 7/1'/t1~~ " I hereby certify that I have read and examined this application and know the sa understand that it is my responsibility to determine what permits are required ,n l IIIf"I'" ...........YTfIII'~--........~~,~,...TU'...~..~-..J.~,~ w-. ...........-.. ..........."'EP".-"""'r'..- . ..........V "'r"..........~_...,,_....~.......'" ....,.~..r. ~1.....,,.. ,....,.~ Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division Official r:lJ~ OnlY Assem. # ., (JI' e Recci ved NAME OF PREMISES: l' " r,l 7 /, .., j l~, SERVICE ADDRESS: LoeA TION OF DEVICE: i ASSEMBL Y: .,1 '" l"; Manutacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBL Y? YES<G NO 0 IS ASSEMBLY INSTALLEDCORRECTLY'I YES IJ..-No 0 DATE OF INSTALLATION UNKNOWND REDUCED PRESSURE PRINCIPLE ASSEMBLY RP D RPDA D DC ~ DCDA D PVB D Air Gap D DOUBLE CHECK VALVE ASSEMBLY SVB D AVB D CHECK VALVE #1 CHECK VALVE #2 RELIEF VAL VE PVB'SVB Initial Lcaked D Leaked D Did Not Opcn D AIR INLET Held al L~-psi Closcd Tight D Did Not Open D Tcst Held at LL psi Opened at ____ psi Opcned at ___~ psi Rcpairs Cleaned D Cleaned D Cleancd D CHECK VALVE Lcakcd D Held at .~PSI Rcplaced D Replaced D Rcplaced D REPAIRS Cleaned D Dctails Replaced D 3 psi Buffer YES D NO D Final Closcd Tight D AIR INLET Opened at _____ psi Held at ~ psi CHECK VALVE Held at ___pSI Tcst Held at _~__ pSI Opcncd at _ psi BACK PRESSURE NoD YES D AIR GAP INSPECTION REQUIRED MINIrvlUM SEPARATION YES D NO D TYPE OF HAZARD _L l' COM 1\1 Ec.:TS Line Pressure ~____psi - (: /'" '. P" Held Backprcssure YESD NO D , #2 Shutoff Held YES D NO D Relief Valvc Excrcised YESD NO D DatcTimc Tester Signature Cert. # Test Kit Passed Failed Initial , , .~ " , [g... D Test '. - ~,."", , i' {' ; Repairs D D Final , j ,. I:r D Test t / ./ . ..' ,..^:~ w ......... 'P> t -:::r ,- ~ WHITE - CLSTOMER COPY YELLOW - PURVEYOR COpy PINK - TESTER COPY t.o f~ EE AECEIPT NUMBER ,- CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 5)0 PERMIT NUMBER .' /6 f!.f3- . fr;~j... N " h~v I' , .:P(-~ ,,/ /- ,:... 9' TOTAL FEE /S:;z c L ,CO NT. Lie. NO. TIME TO COMPLETE ~NO. STORIES LEGAL OCCUPANCY , . . ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address :':3 1;2 IA J ~'71, , . ~ CORRECT A~D ESSIS _RESPO.NSIBILlTY OF ~PPLlCANT O~ner Yi-,'T~~.oi::"'V F........C'A e C; Owner's Address .~ I::J 1,4 } ,') I ~ . Day Phone ijS7 / ~ frv Application is'hereby made for Permit to install Electrical Equipment as follows: , ' J..'i-V' f.,v ,11.4-. f PEAMITS WITH WRONG .~9PES~~ ARE CANCELLED ,_ _ ~. Installation By /F/( /c .t............ A ^' IS .t I~ l'" 70P I < Installers Address ...:2'''', S- t-'--" p-- 7h ~07 -:r4. ;g.,,? c. Wiring Metho~ " --- .,. ;.., AMP 12QV. 240V NUMBER AMP 120V 240V . USE OF CIRCUIT NUMBER PER 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN . - 50 VOLTS " LIGHT OR LESS CONVENIENCE MOTOR - -c CONVENIENCE MOTOR APPLIANCE , _MOTOR .l?ISHWASHI;R . FIRE ALARMS DISPOSAL BURGLAR ALARM . RANGE ~.,. MISC, c ..-~;..,~,~; - OVEN WATER HEATER LAUNDRY -c DRYER REINSTALLATION LIGHT FIXTURE # FURNACE . . SUB TOT.AL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC . BASIC FEE ELECTRIC HEAT - . TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUyTORS 1/ .- - SERVICE A.W,G. I SUB. TOTAL I / " ;;.- SIZE OF GROUND SIZE OF ENTRANCE SWITCH Date Application made I certify that the work to be performed under this permit will.be done by the -installer a~d in conformance with the' N.E.C. Electrical Code. -"V~" c5ft L. .19 By . Date Permit Issued - CONTRACTOR 0 WNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above des_crit.?ed y!ork, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the CJ!Y of Port Angeles. ~ ! "I D2'T~CI' ,L1GHT ,," ---- "B c.' I V.' .' J .2. :5 if, , PC-NS AP ROVE ~ . '. , Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned.on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . 1,4 . _S/.t.) h 1. If7lf 7'" A/ A/ U" t- rI f/-.I> ;,/ b It-c Ie u /" //)~} / / /,I , l / . --- r J -"'''',I'''''''evEHING 2., 125-/~t Ii if"l O.K. TO CONNECT SERVICE .. ( ( I - .. pA!~- . z Cl a:: <I: ::E ~ J: I- Z W I- It I- o Z o Q . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15654 Port Angeles, washlngton___...._....~..={.q.___....____..___...m._.._.._., 19.Pb In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to do ele~t29al work as listed below. e;e/ Address "'---2'---"W~..~..---........---....---..---....--- occupancy.....~'~___...._.........___. ~:7:~~.~~~a:=~~~...:::::::::::....~~:~~~;:::::::::::::..~.....~~:::::::::=::::::::::::::::::::::::::::::::::::::: Light Outlets..._uu.uuuuum.mm..u.uu. Service. voits ./..gt2/u:?"u'!!..CJ...u Type ot Wiring: R eptacle Outlets No wires 3 Armored Cable ............---.....---....... ec .._nn__.._................... Slz'e wlres.....~..~..u.......C1...............<:!......P..u......_..'.' Non-Metallic ................____....._..__... Dryer, KW.....n_n......._..___....._n_._..___._. _"LAI A A Knob & Tube.mummmu.mu....mu. Main luse ....mSz:..~!oLu.. uu.m. ,..s Enclosure 00..00___00__............__.._......... Runge, K\V hh....____Uhn__...h__.. Water Heater: Rigid Conduit ...u...uu.m..mu.mUU MetalIlc Tubing ........u..m.m.umu KW.u.................u...... .h............ Heat' KW.m/u:.c.~....m. Motors: size, vola and phase: Type of wiring: Entrance Cable _____...... Ser. NO.........__.....____........n_nn...n...... Raceway _.............................._......_ Circuits, IJght..............................._._.... Utllity u....mummmm.m........uumm Ileat _._......__.____.__...................._...... Range ._......................______._._.._........ Water Heater ............._.00..._0000...... Motor .___...................._._.00.....00....... Rigid Conduit ....._..........____........... Metallic Tubing nn____mnm__...______ Current transformers: No. & Slze_...n......n___.....n......_.....n. Scr. No. ..0000....................................... Dryer .............._......_._..0000.................._ Furnace .........................._.m.._...._...... Ser. NO.......nnn_..n_.__._.n_n_............... Total Load.n.......n_.nn_....___... Ser. NO.....nn........._.......................... Total .................................00..._ Remarks: ......~<~---.---..,.~~----...9!:.~..-----.....---------........----------.......--------.---.--- Permit Fee Treas. Receipt NO.___.___.....m....___..... By --~t..c;!i?u.k.Ji.v~ $_____m..........__m.______m__... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION jsK..J L-~~.~ . / r . ELECTRICAL PERMIT N? 15654 Date..._..nn_.._.._n_...nn____......_h....__n_..... "~~m.mm................................... By..........mm.....u...mu............................... NOTICE--Current must not. be turned on until Cert1f1cate at Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. ('" " '. ". 1M Olympic Printers, Inc. ; ::>f\04, 7..7 I L I4i 01 ::0 2. _ "> , " 06/28/2004 16:12 FAX 3604523498 :-,:-,:,-'..J-,>. c.;~""~I"I;,-:1 1-, P,:';;':I" "'.'p'~,iiLE,,"- OLYMPIC ELECTRIC ~., s ELECTRICAL PERMIT APPLICA nON POA Qf'I'1QA1. usa ON1.Y _. 1'rwaI,Ia': --- bII.....ed.: , 0- &tV The E tectrtcal Permit Applica(tol'1 must.. filled 011I earn ~v. Pl.... t,pe or ..print In Ink. If you hlIve any Q....-. p_. ..0 lHO) .17 ~ns F_ num_: 1_14f7~?t1 tJ1-571.-oo OwnwarEIac.CanIr_Aaont Olympic Electric Co. , PropllftyOwnr. 1J..7r/;1 17/17/7d-r7// Add..- 71.2 L./ 7 t'!l CIty: E_Can_ Olympic Electric Co., Inc. -= 4230 Tumljater CIty: I nc . Phone: 457-5303 Fax; 452-3496 Z!>7-c?2'7'P ZIp: if "P5 .2. Phone: 457-5303 ZIp: 96363 Phone: &rf-A~,;,'? r lIcenoa 0: a. 'lM'EC285JlE .,>: Port Angeles 3/31/03 INSTALLAnON WI~ BY: DOWNER lib elECTRICAL CONTRACTOR CredJtc.I'flHoIrIwNIUfte: Charles T. Burkhardt, Olympic Electric Co., Inc. BII/InfI AtkJrua: Same CntdII c.I'fI NumMtr. City: E1tp. "...: Zlp: VISA: X Me: - - PRDJECT_: 3/2 U 7b Check 8ll thai apply: J?,rf ~/h- ,?, ./ o New 0 AIlaratlonlAddltlon TYPE OF wnIIK: ~8Il1lll 0 Multi-family o Remol8 Meier QTtlBt8Ched garage Number of Cln:uItB lICIdod or eJtered: DESCRIPTION OF THE ELECTRICJ\l. PROJECT: o Commercial 0 Mobile Home Sq.Fl o Hot Tub 0 Swim Pool 0 Septic Pump , 0 Low Voltage 0 Telecom. 0 SlI 90 ~p >>9/V//. .I}/ M/!?4frr (VNo//Z1V/, EIM:trIcaII ftarI .a..w....on. .nd or subtraction. &p/fGtSD 5~2--0~ Service Inl"""'- [J BuebOlRl o FlImsca o_Pump o Fan-W8Il KW _KW TON lAR -I(W- Lrhaad servlci o Temp SllIVlce o Underground Sen/Ice Val1age: ~'/t!7 Phase: 0 3 Service Size: 7L>?,4 Feeder Size: ~A . PAMC 14.05.080(8): Far Ind_, commercial, & noaoIdenlisl profecte l&Iller lllan 8 dUll_. 8 one. line drawing Of the E_ Servlc:e & Feeders. building lIIze (SIl. II.), Ioed celculstJona, and lhe l)I pe & of contluclorw fIftJ/or ~8Y Is required and shaD accom pany !he Eleclrlcel Pennlt eppI_. I hereby ceItJfy that I have read and examined this application and know that same 10 be true and corroct, and I a, authorlZtld to apply for thIs permit. I understand it is not the City's legal responsibility to determine what permits are required; It f'8msins the appficsnts responsibility to determine what permits are required and to obtain such. o~ JV 0vAv~ PW-901Bf7/1lS CN oni Holdara S Ignalln: Data: 6/ H /t:;<j Oa":(~~~~ PERMIT FEE: $ 76!.!! 0.- or I!lec. Cant. Slgnatvre: ~~~ ~ t"'~9-o~