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Home My WebLink About1013 W 13th St - BuildingPREPARED 8/29/11 8 34 37 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/29/11 ADDRESS 1013 W 13TH ST SUBDIV TENANT NBR JOHN CHRISTIE TUCKER CONTRACTOR DAVE S HTG COOLING SRVC INC PHONE (360) 452 0939 OWNER JOHN L III CHRISTIE A TUCKER PHONE (360) 460 0195 PARCEL 06 30 00 0 3 7070 0000 APPL NUMBER 11 00000910 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 8/29/11 JL MECHANICAL FINAL TIME 01 00 August 26 2011 4 55 25 PM 1pangrle JEANNIE (DAVE S HTG 452 0939) U MECHANICAL FINAL HEAT PUMP AFTERNOON THE DOOR SHOULD BE OPEN IF NOT THEN GO TO THE BUSINESS NEXT DOOR (STRAIT ELECTRIC) TO FIND THE OWNERS COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit Heat pump Owner JOHN L III CHRISTIE A TUCKER 94 LORILEE LN PORT ANGELES WA 98363 (360) 460 0195 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTER RESIDENTIAL 191809 73 50 8/29/11 2/25/12 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 Charged Paid Credited Due 73 50 73 50 00 00 00 00 00 00 73 50 73 50 00 00 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G \EXCHANGEBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 11 00000937 432248 1013 W 13TH ST 06 30 00 0 3 7070 0000 ELECTRICAL ONLY Contractor STRAITS ELECTRIC PO BOX 2914 PORT ANGELES WA 98362 (360) 452 9104 41 62 01"4 Plan Check Fee Valuation sidy bllll Date 8/29/11 RESULTS pi? 00 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: Aug 25 11 09 10a Christie Tucker CIT) OF PORT ANGELES PERMIT APPLICATION Build: ng Division /Electrical Inspections 321 East Fifth Street P.O Box 1150 Port Angeles Washington, 98362 Ph 60) 417 -4735 Fax: (360) 417 -4711 Date. 1 1 .2 Single Family Dwelling Multi- Family or Commercial' Commercial Atdilt lli(atiteration i Remodel Repair` INSPECTIONS Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet Jr Add ess: 101 VV 1 Building Square Footage: Descripl on of above PX.f 1'tY ",t Yf �,e.r l' C� 5Y t V lk "a Vl rJr t x` la+ f l rt-t5 Owner I Name: Mailing ess: ?t) {�JL 71 City State: Z Phone: Fax: License lt Exp Item Service Feeder 200 Amp. Service 'Feeder 201 -400 Amp. Service. 'Feeder 401 -600 Amp Service' Feeder 601 1000 Amp. Servicr /Feeder over 1000 Amp. Branch Circuit VI/ Service Feeder Branch Circui: W/O Service Feeder Each F d. itional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. ServicelFeeder 401-600 Amp. Temp. Service/Feeder 301 -1000 Amp Portal o Pedal'iourly SignJC.rtAne Lighting Signal Circuit Limited Energy /First 1500 sf Commercial Nile: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Fami.y Dwel ing Signal Circuit/ Limited Energy Multi Family Dwelling Manuf ictured Home Connection Renev able Electrical Energy 5/WA System or Less Them' cslat NEW ;ONSTRUCTION ONLY: First 1300 Square Ft. Each kdditional 500 Square Ft. or Portion of Each )utbuilding or Detached 3a Each swimming Pcol or Not Tub $110.30 35.20 73,50 $110.30 'T UT otat Own( r 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 hir an electrical contractor if above said property is for sale, rent or lease. Permit expires alter 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 e?rtri nstallation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296 -48B, The City of Port A gtrles un.pal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications. ignatr o f w r electrical contractor or electrical administrator 0 Cash O Check O Credit Card d formatio r X11-- art ns L 92.70 110.30 148.70 $167.90 95.90 88.20 S 95.90 Dated: Contra nforma on Name: Mailing Add Cty 1 Site Zip le V Phoie Fax: License eiExp. h J7 kT Unit Charge Qty Total (Qty Multiplied by Unit Charq} $119.90 $145.50 204.60 262.20 S 372.50 2.60 73.50 i -5 S 0 2.60 63.90 63.90 119.90 S 102.30 56.00 S 360- 452 -0741 p 1 AUG RECEIVED 2 9 2011 01101!2010 J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc HEAT PUMP Owner JOHN L III CHRISTIE A TUCKER 94 LORILEE LN PORT ANGELES WA 98363 (360) 460 0195 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit pin number 191494 Permit Fee 64 80 Plan Check Fee 00 Issue Date 8/22/11 Valuation 0 Expiration Date 2/18/12 Qty Unit Charge Per BASE FEE 1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON Fee summary Charged Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 64 80 00 64 80 Separate Permits are required forelectrical 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 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 law regulating construction or the performance of construction. 81771// I frJ Z 1. 1 /1 0 u Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 11 00000910 Date 8/22/11 155670 1013 W 13TH ST 06 30 00 0 3 7070 0000 JOHN CHRISTIE TUCKER MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 5560 Contractor DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Paid Credited 64 80 00 64 80 00 00 00 Extension 50 00 14 80 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 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 Date Accepted By Comments 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 FINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking I Lighting i ESA. Landscaping SHORELINE. T Grsr.nc /ai ilrlinn nivieinn /Ruildino Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 I FINAL Date Accepted by Accepted by SU Date Accepted By ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Heat pump Owner TUCKER III JOHN L CHRISTIE 94 LORILEE LN PORT ANGELES WA 98363 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTER COMMERCIAL 191387 56 00 8/19/11 2/15/12 Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT Signature of owner or Electrical Contractor X G \EXCHANGE \BUILDING 11 00000901 805546 1013 W 13TH ST 06 30 00 0 3 7070 0000 ELECTRICAL ONLY Contractor INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Plan Check Fee Valuation Charged Paid Credited 56 00 56 00 00 00 00 00 56 00 56 00 00 6110/0 OcY i7)/i Date 8/19/11 Due RESULTS 00 0 Extension 56 00 00 00 00 INSPECTOR. Date. REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Aug 18 11 01 58p Dave s Heating Cooling 3604520939 p 1 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4615 fax (360) 417 -4711 Applicant 3)a Viers yea-44 r. c Phone 4 4 5.---/f) 1'3 9 Property Owner .10 k v, czi- Gi. ,z (u c: (c r Phone (46x) -Q(7 S Property Owner's Address 9 `f Lo ci La. Lct g Po r h A s Contractor iv-ts (eat n n Phone' Contractor's Address P. O 4e.o k 1 A r .s License )A- S f-(c Q qt k c. Expires j 3 E -mail PROJECT ADDRESS (3 (L f a Parcel Number Lot Zoning Protect Tyne Brief Description: JResidential a Multi- family o Commercial a Industrial Check all that apply o New Construction o Addition Remodel Repair a Demolition a Re -roof a House a garage o other o tear off re -roof a lay over one layer '`Heat System XHeat pump a wood- burning stove a gas fireplace a pellet stove c other o Other Floor Areas Existina (so. ft.) Proposed (so. ft.) Basement per sq. ft 1 Floor 2 Floor 3" Floor Garage Carport Covered Porch Deck Shed Other For City Use Onlyy;; Date Received l"4� Permit l Date Approved TOTAL VALUATION J t 5 G Total footprint of structures sq. ft. T 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 PAMC 17.94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths I have read and completed this application and know it to be true and correct I am authorized to apply for this permit and understand that it is m res onsibility to determine what permits are required, and to obtain permits prior to working on projects. Date g I Print Name O k a-w, ,p Signature (i! T:ForrnsBuitding Division/Bldg Permit.doc U Clallam County Assessor Treasurer Property Details 59859 JOHN L III AND CHRI Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 59859 JOHN L III AND CHRISTIE A TUCKER for Year 2011 2012 Property Account Property ID' Owner Name: Mailing Address: Amount Due if Paid on 2. Statement Details 2011 154459 O' Statement Details 2010 42743 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History I Payout Agreement Website version: 9.0 32.2200 59859 Geographic ID' 0630000370700000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property' N Remodel Property' N Multi Family Redevelopment: N Township' Section: Range: Location Address: 1013 W THIRTEENTH ST Mapsco: PORT ANGELES, WA 98363 Neighborhood: x ref Cycle 5 Res Map ID' 3 Neighborhood CD' 10955130 Taxes and Assessment Details Property Tax Information as of 08/22/2011 JOHN L III AND CHRISTIE A TUCKER Owner ID 125078 94 LORILEE LN Ownership: 100 0000000000% PORT ANGELES, WA 98363 Exemptions: Click on 'Statement Details' to expand or collapse a tax statement. First Half Year Statement ID k Base Amt. NOTE. If you plan to submit payment on a future date make sure you enter the date and click RECALCULATE to obtain the correct total amount due $886.51 $849.29 Legal Description: Second Half Base Amt. _Penalty j Interest Base Paid Amount Due $886.42 $0 00 $0 00 $886 51 $886.42 $849.28 $0 00 $0 00 $1698.57 $0.00 This year is not certified and ALL values will be represented with 'N /A Database last updated on: 8/22/2011 3:47 AM LOT 17 BLOCK 370 SURVEY V24 P35 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_td =59859 8/22/2011 Aug 18 11 02'07p Dave s Heating Cooling City of Port Angeles Permit Application Building DNlsion/ElectricallnspecUons 321 East Fifth Street- P.Q. Box 1159 Port Angeles Washington, 98362 Ph: (360) 417`1735 Far: (350)417.4711 Date: 1 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addtion Alteration f Remodel! Repair' Plan Review May Be Required Please Complete Electrical Plan Ryj wj formation Sheet Job Address: (0 l 7., C s.) r� 1 Building Square Footage: 1 U O Description of above :s \0 (.9._ 4- /3,A,-. 0 Sv{ s`4'� -YY� Unit Charge S 119.90 S 145.50 S 204.60 26220 S 372.50 2.60 S 7350 S 2.60 S 92.70 S 110.30 $149.70 S 167.90 S 95.90 S 88.20 S 95.90 63.90 S 63.90 119.90 102.30 S 110.30 35.20 5 73.50 5110.30 S 56 00 Owner Information N (Mi 4 vt Mal Addre `l ems. Lar City r a tale: 1ti3Pr Zip: 9536.3 Phone: D Fax: Contractor lnforrpaEion Name: -2\S ,n hailing ddre l-,o �h� City Or-4 `4State: 6 Phone: t�Fax: —n r'7) 5 License #l Exp._ _f /S (I E JaC Total (Qty Multiplied by Unit Charae) S ServicefFeede: 200 Amp. Service/Feede: 201-400 Amp. Service!Feeder 401 -600 Amp. Service/Feeder 601 -1000 Amp, S Service/Feederover 1000 Amp. S Branch Circuit WI Service Feeder Branch Cwt W/0 Service Feeder Each Additional Branch Circuit Temp. Servioeer Feeder 200 Amp. 5 Temp. ServicerFeeder 201 -40D Amp. 5 Temp. ServicerFeeder 401 -60D Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Moiety Sign /Outline Lighting 5 Signal Circuit/Limited Energy Commercial. Additional 1500 $5.00 S Signal Circuit/Limited Energy 1 2 Family Dwelling Signal Circuit/Limited Energy Muhl- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less 5 First 1300 Square FL Each Additional 500 Square FL or Portion of Each Outhuldng or Detached Garage S Each Swir ruing Pool or Hot Tub .56s2. c Thermostat 5 '(v_ O0 Total Owner as defined by RCW.19.28.281 Owner will occupy the structure for two years after this electrical permit is finalized fl) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of fast inspection. After reading the above statement, I hereby certify that I am the owner of the above named property ora 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. Signature of owner, electrical contractor or electrical administrator Cash Check X Date: D p 1 13 I 0 Credit Card /a ECE VEE AUG 1 8 2011 ELECTRICAL INSPECTIONS o 3604520939 p1 f' I . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. ::3 '7 ~ .3 8 /zS-ff~ DATE ELECTRICAL PERMIT Installed By: JA ~ .sL~ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. @'-ffESIDENTIAL tS.~..P o COMMERCIAL "","VT~' '(f~ o BASEBOARD KW _ o FURNACE KW ~ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE ~RMANENT SERVICE ~W CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) IW6VERHEAD SERVICE o UNDERGROUN~I)SEffilICE VOLTAGE: /Zf)~~U ~INGLE PHAS o THREE PHASE SERVICE SIZE /,112-0 AMPS Details/Description: ~L S-r.w s~~ /J1cM ~~{~J . 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. $-Rough-in/cover O.K. Il#"'~O.K. to connect service ~~ Final O.K. Site Address: 0- c L 013 Installer: . Notify Port Angeles City Light by Street Address and Permit Numberwhen 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. ---r- tfrvv\ . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~()~ Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OL'1'MP1C PRINTERS INC. . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 PERMIT NO. .;:? 7 t c 8/';;' .r /f z- DATE Installed By: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. 'l)!l RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW o HEAT PUMP KW o SIGN o TEMPORARY SERVICE )sl PERMANENT SERVICE ~ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) R..(';s~ )gl OVERHEAD SERVICE ~ UNDERGRO~~~CE VOLTAGE: /Z&/l.. ill-'SlNGLE PHASE o THREE PHASE SERVICE SIZE ".2dO AMPS DetailslDescription: ~~ ~f-~ /0 I:u...J S)::..CAJ . 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. ~~ Rough-in/cover O.K. ",.-J/Jv""~O.K. to connect service ~ ~ Final O.K. Site Address: . Permit/Receipt No. .;J 7 b~ Installer: D~e: W L 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. A -J.- fl. 11'., '0"" ~ NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMIT 111 c- ~ ~ OJ.lP r... /Elect,;cal Inspecto, $ Perm;t Feff ~ . ~ WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address~ Installed By: PERMIT NO. -3 b S- $L DATE 0 - :;,5'- 9 J- READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Owner/Business Address: Dlf RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW o SIGN K( TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) DetailslDescription: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS . WS. 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. o Rough-in/cover O.K. ~ O.K. to connect service o Final O.K. Permit/Receipt No. .3~6"cf --- Installer: I.."d 1 New Meters Date: "f/ ~e-n , -:; f) . '7)- Notify Port Angeles City Light by Street Address and Permit Numberwhen 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. ~ Site Address: . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer ~ OLYMPIC PAINTERS INC. ;)0,00 Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall