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Home My WebLink About1409 S Cedar St - BuildingPREPARED 12/26/06 9 18 33 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/26/06 ADDRESS 1409 S CEDAR ST SUBDIV TENANT NBR DENNIS NEGUS JR CONTRACTOR PHONE OWNER NEGUS JR DENNIS W /LORI PHONE PARCEL 06 30 00 0 4 1840 0000 APPL NUMBER 06 00000218 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING 3/29/06 AP 03/28/2006 01 29 PM SROBERDS STEVE 670 5523 03/28/2006 04 56 PM JLIERLY 03/29/2006 04 12 PM PBARTHOL BL2 01 3/30/06 JLL BUILDING FOUNDATION WALL TIME 13 00 3/31/06 AP 03/30/2006 02 58 PM DYASUMUR STEVE 670 5523 03/31/2006 12 07 PM JLIERLY BL3 01 4/11/06 JLL BUILDING FRAMING 4/11/06 DA 04/11/2006 08 27 AM PBARTHOL DENNY 461 1923 04/11/2006 04 26 PM JLIERLY electrical inpection reqd before frame/j11 BL3 02 4/28/06 JLL BUILDING FRAMING 4/28/06 DA 04/28/2006 09 20 AM JLIERLY DENNIS 461 1923 04/28/2006 04 01 PM JLIERLY h -clips on rafters ok to insulate /jll BAIR 01 5/02/06 JLL BUILDING AIR SEAL TIME 13 00 5/03/06 AP DENNIS 461 1923 05/01/2006 10 25 AM DYASUMUR 05/03/2006 08 35 AM JLIERLY BLI 01 5/05/06 JLL BUILDING INSULATION TIME 13 00 5/05/06 AP 05/04/2006 04 32 PM DYASUMUR DENNY 461 1923 05/05/2006 04 40 PM JLIERLY BL99 01 12/26/06 JLL BUILDING FINAL 10 denny 461 1923 .1.4" *call 1st COMMENTS AND NOTES PREPARED 5/05/06 12 14 46 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/05/06 ADDRESS 1409 S CEDAR ST SUBDIV TENANT NBR DENNIS NEGUS JR CONTRACTOR PHONE OWNER NEGUS JR DENNIS W /LORI PHONE PARCEL 06 30 00 0 4 1840 0000 APPL NUMBER 06 00000218 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING 3/29/06 AP 03/28/2006 01 29 PM SROBERDS STEVE 670 5523 03/28/2006 04 56 PM JLIERLY 03/29/2006 04 12 PM PBARTHOL BL2 01 3/30/06 JLL BUILDING FOUNDATION WALL TIME 13 00 3/31/06 AP 03/30/2006 02 58 PM DYASUMUR STEVE 670 5523 03/31/2006 12 07 PM JLIERLY BL3 01 4/11/06 JLL BUILDING FRAMING 4/11/06 DA 04/11/2006 08 27 AM PBARTHOL DENNY 461 1923 04/11/2006 04 26 PM JLIERLY electrical inpection reqd before frame/j11 BL3 02 4/28/06 JLL BUILDING FRAMING 4/28/06 DA 04/28/2006 09 20 AM JLIERLY DENNIS 461 1923 04/28/2006 04 01 PM JLIERLY h clips on rafters ok to insulate /jll BUILDING AIR SEAL TIME 13 00 DENNIS 461 1923 05/01/2006 10 25 AM DYASUMUR 05/03/2006 08 35 AM JLIERLY BLI 01 5155106 L� BUILDING INSULATION TIME 13 00 05/04/2006 04 32 PM DYASUMUR DENNY 461 1923 BAIR 01 5/02/06 JLL 5/03/06 AP COMMENTS AND NOTES PREPARED 5/02/06 13 15 25 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/02/06 ADDRESS 1409 S CEDAR ST SUBDIV TENANT NBR DENNIS NEGUS JR CONTRACTOR PHONE OWNER NEGUS JR DENNIS W /LORI PHONE PARCEL 06 30 00 0 4 1840 0000 APPL NUMBER 06 00000218 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING 3/29/06 AP 03/28/2006 01 29 PM SROBERDS STEVE 670 5523 03/28/2006 04 56 PM JLIERLY 03/29/2006 04 12 PM PBARTHOL BL2 01 3/30/06 JLL BUILDING FOUNDATION WALL TIME 13 00 3/31/06 AP 03/30/2006 02 58 PM DYASUMUR STEVE 670 5523 03/31/2006 12 07 PM JLIERLY BL3 01 4/11/06 JLL BUILDING FRAMING 4/11/06 DA 04/11/2006 08 27 AM PBARTHOL DENNY 461 1923 04/11/2006 04 26 PM JLIERLY electrical inpection reqd before frame/j11 BL3 02 4/28/06 JLL BUILDING FRAMING 4/28/06 DA 04/28/2006 09 20 AM JLIERLY DENNIS 461 1923 04/28/2006 04 01 PM JLIERLY h clips on rafters ok to insulate /jll BAIR 01 5j0 /06 JLL BUILDING AIR SEAL TIME 13 00 DENNIS 461 1923 05/01/2006 10 25 AM DYASUMUR PERMIT ELAR 00 ELECTRICAL ALTER RESIDENTIAL SUB JEDI ELECTRIC (360)460 0556 REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS EL1 01 4/24/06 ACO ELECTRICAL ROUGH IN 4/24/06 DA ADDITION04 /27/2006 09 05 AM AOMAN SEE WIRING REPORT ATTACHED TO APPLICATION 04/27/2006 09 06 AM AOMAN COMMENTS AND NOTES Job Located at Date BUILDING DIVISION CITY OF PORT ANGELES Correction Notice c) Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction ,i1,11-1?_,L. /Ar.,A0 ph4e i; f cf i 6 L. .�c()14-(1- toy 1) c 1-1- ►�s These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call C fr) ET kr) t� for inspection Inspector for Building Division DO NOT REMOVE THIS TAG PREPARED 4/28/06 12 15 31 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/28/06 ADDRESS 1409 S CEDAR ST SUBDIV TENANT NBR DENNIS NEGUS JR CONTRACTOR PHONE OWNER NEGUS JR DENNIS W /LORI PHONE PARCEL 06 30 00 0 4 1840 0000 APPL NUMBER 06 00000218 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/29/06 JLL 3/29/06 AP BL2 01 3/30/06 JLL 3/31/06 AP BL3 01 4/11/06 JLL 4/11/06 DA BL3 02 4 28/ 6 4 BUILDING FOUNDATION FOOTING 03/28/2006 01 29 PM SROBERDS STEVE 670 5523 03/28/2006 04 56 PM JLIERLY 03/29/2006 04 12 PM PBARTHOL BUILDING FOUNDATION WALL TIME 13 00 03/30/2006 02 58 PM DYASUMUR STEVE 670 5523 03/31/2006 12 07 PM JLIERLY BUILDING FRAMING 04/11/2006 08 27 AM PBARTHOL DENNY 461 1923 04/11/2006 04 26 PM JLIERLY electrical inpection reqd before frame/j11 BUILDING FRAMING 04/28/2006 09 20 AM JLIERLY DENNIS 461 1923 COMMENTS AND NOTES P s bt*Wtzte 6 Kt -A Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner 06 00000218 611390 1409 S CEDAR ST 06 30 00 0 4 1840 0000 DENNIS NEGUS JR RES ADDITION NEGUS JR DENNIS W /LORI OWNER 1409 S CEDAR ST PORT ANGELES WA 983627517 Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged 48 10 00 4 50 52 60 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 RS7 RESDNTL SINGLE FAMILY 8000 Contractor TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL ALTER RESIDENTIAL JEDI/ 2 CIRCUITS FOR ADDITION 75184 JEDI ELECTRIC 48 10 4/26/06 Valuation 10/23/06 Other Fees STATE SURCHARGE 48 10 00 4 50 52 60 Plan Check Fee Qty Unit Charge Per 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS Special Notes and Comments The Fire Department has reviewed the project application and has no comments 03/09/2006 03 53 PM SROBERDS The proposal will add 154 sq ft to a s f res in the RS 7 zone for total lot coverage of 20% No land use issues are anticipated MAINTAIN CLEARANCES FROM SERVICE WIRES Meter must be accessilbe to meter readers 03/06/2006 03 25 PM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Paid Credited Due 00 00 00 00 Date 4/27/06 20 40 2 00 1275 00 7000 00 154 00 1429 00 1 00 4 50 00 00 00 00 00 0 Extension 48 10 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED DITCIH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO V 8h 4 L 6- _s I I I I I I I I COMMENTS PW-I 102.15 I4/961 i Job wired by Electrical contractor name Eke.cTncC LE q<S7 C Z Purchaser's mailing, address pt Q Bo/ 2SF? City State ZIP Telephone number FAX number y6O cSSC- Premises owner's name Den r\./ Ne,cttic Address of inspection SIJL. Cr .r ST rem City Phone number to schedule inspection Owner as defined by RCW 19 28.261 (I) 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. 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 instal- lation 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 o►er electrical contractor or electrical administrator \X Electric Load Additions and or subtractions NO LOAD CHANGES Baseboard Furnace Heat Pump Fan -Wall Inspection Date Date S 6 c KW KW Ton LAR KW p ia qa, 6� Electrical Contractor Owner FINAL 7. Approved By Approved By License number Date Expires Date Date 7. \!Installation description Commercial Residential New ltered/Addition rArl r2 •c i rc (A-1 rr Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH -IN THERMOSTAT Appr ed By DITCH Date Appr ed By Area, Building or Equipment Inspected ELECTRICAL WORK PERNIITAPPLICATIO,N'N Cash *Check Credit Card Visa Mastercard Discover Card Expiration Date f card N Date Voltage Phase 1 3 Service Size: Feeder Size: SERVICE FEEDER Inspection fee .e/fJ Service Information Appr ed By Date Approved By Action Taken Electrical Inspector (�1 BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at 4'c' 9 S Ce Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction Elk 7e_ L2c o v 4 These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call 1 -11 1 -4 I for inspection Date t t I c Inspector for Building Division DO NOT REMOVE THIS TAG PREPARED 4/11/06 12 47 19 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS 1409 S CEDAR ST SUBDIV TENANT NBR DENNIS NEGUS JR CONTRACTOR PHONE OWNER NEGUS JR DENNIS W /LORI PHONE PARCEL 06 30 00 0 4 1840 0000 APPL NUMBER 06 00000218 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/29/06 JLL BUILDING FOUNDATION FOOTING 3/29/06 AP 03/28/2006 01 29 PM SROBERDS STEVE 670 5523 03/28/2006 04 56 PM JLIERLY 03/29/2006 04 12 PM PBARTHOL BL2 01 3/30/06 JLL BUILDING FOUNDATION WALL TIME 13 00 3/31/06 AP 03/30/2006 02 58 PM DYASUMUR STEVE 670 5523 03/31/2006 12 07 PM JLIERLY BL3 01 4/ 1/ 6 LL BUILDING FRAMING 1 04/11/2006 08 27 AM PBARTHOL DENNY 461 1923 COMMENTS AND NOTES PAGE 9 DATE 4/11/06 PREPARED 3/29/06 12 30 28 INSPECTION TICKET PAGE 25 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/29/06 ADDRESS 1409 S CEDAR ST SUBDIV TENANT NBR DENNIS NEGUS JR CONTRACTOR PHONE OWNER NEGUS JR DENNIS W /LORI PHONE PARCEL 06 30 00 0 4 1840 0000 APPL NUMBER 06 00000218 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/29/06 J 3 BUILDING FOUNDATION FOOTING 03/28/2006 01 29 PM SROBERDS STEVE 670 5523 03/28/2006 04 56 PM JLIERLY COMMENTS AND NOTES pONiµ. N 7 CM Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner NEGUS JR DENNIS W /LORI 1409 S CEDAR ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 983627517 Charged 179 75 71 90 4 50 256 15 T\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000218 611390 1409 S CEDAR ST 06 30 00 0 4 1840 0000 DENNIS NEGUS JR RES ADDITION RS7 RESDNTL SINGLE FAMILY 8000 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 73221 179 75 Plan Check Fee 3/22/06 Valuation 9/18/06 Qty Unit Charge Per Extension BASE FEE 95 75 6 00 14 0000 THOU BL 2001 25K (14 PER K) 84 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 03/09/2006 03 53 PM SROBERDS The proposal will add 154 sq ft to a s f res in the RS 7 zone for total lot coverage of 20% No land use issues are anticipated MAINTAIN CLEARANCES FROM SERVICE WIRES Meter must be accessilbe to meter readers 03/06/2006 03 25 PM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review STATE SURCHARGE 4 50 Paid Credited Due 179 75 71 90 4 50 256 15 00 00 00 00 Date 3/22/06 20 40 2 00 1275 00 7000 00 154 00 1429 00 1 00 00 00 00 00 71 90 8000 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 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. 7 Signature of Contractor or Authorized Agent Date Signature of Owner (if o ner is builder) I Date FOUNDATION: FOOTINGS/01.444 WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 I NO PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTIONRW PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I FIRE DEPT I PLANNING DEPT 417 -4750 r I I I PLANNING DEPT I BUILDING 417 -4815 II a. 10-4 l n6 I .1 L I I BUILDING I (•\Policies \1102_15 building permit inspection record05.wpd [1/4/20051 DATE ACCEPTED BY. DATE ACCEPTED BY. Applicant or Agent is. Li NQ,GU.S Owner' EN t\.16 L Kldrus 11/2. Address l llog n, Ceaoj t- Cit Architect/Engineer PAL) L Contractor State License Address Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 City' PROJECT ADDRESS I L n9 S o (QcJ(,ir LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name Billing Address: Credit Card Type VISA MC TYPE OF WORK Residential New Constr Re -roof Multi- family X Addition Move Garage Commercial Remodel Demolition Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT Llvin�, rZoo✓r\ PLANNING USE ONLY BUILDING PERMIT APPLICATION Block Stove Deck COMMERCIAL /RESIDENTIAL. Occupancy Group Occupant Load 1 No of Stories I6 Lot S e :'JO �!I(� Existing Sq Ft. 12. Proposed Sq Ft. Total lot coverage Lf— ESA /Wetland(s) Yes No SEPA Checklist required? Yes No Other Date Rec. 0 Permit 6 B Ili Date Approved: Date Issued: 3 Phone( Q1 Phone Z— 6069`7 V k All 1� Zip �g33(oZ Exp Subdivision SIZE/VALUATION SF /SF SF /SF SF /SF A TOTAL VAL TION 4 1 .^-t Ph L/ -3 Ii 3 Phone Zip ZONING 0 Const uction Type 1 TOTAL Sq FOR OFFICIAL •NLY 3 3 Ft (2 APPROVALS PLAN BLDG DPWU FIRE OTHER 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 Permit 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 permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance EXPIRATION OF PLAN REVIEW If no permit 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 R105.3.2 of the International Building /Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. Date: Z /2.4—(000 22' -O' SITE PLAN Denny Lori Negus 1409 5 Cedar St. PORT ANGELES T "I'i 7 -0' 70' -O' CEDAR ST 9 0 9 N j L10,-0. PROPOSED ADDITION' O N . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. Q (C/ <] R DATE ,-)-1/~ 9'0 Installed By: o WILL CALL FOR INSPECTION Phone; !': f'l7' Site Address: Owner/B... . Phone: Sq. Ft. o Add/alter circuits o Auxiiiary power (list below) o Special equipment (list below) 't3 Overhead o Underground Voltage 01.0 03.0 Service size d tP 0 o Temporary o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Totai Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction ~Remodel )"\ Service update/alter/repair Amps DetailslDescription: ~ ~ ~,.~/ - .' "..:r- Gj MrCM ..?v1- ~~ ;liD f} o /' "'..t ,;::(;r ~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O. K. to connect service o Final O.K. Size Comments 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 Site Address: PermitfReceipt No. ~076 New Meters Date: O=-f/~ 9'0 . 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 riting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. ~ '.-I.- NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT *.~" In ecf:-1.J Amount paid WHITE - file by a dress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLY1"P'IC;: PRINTERS, INC.