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Home My WebLink About221 1/2 W 6th St - BuildingPREPARED 4/16/09 8 48 48 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/16/09 ADDRESS 221 1/2 W 6TH ST SUBDIV TENANT NBR RAYMOND C MARTELL JR CONTRACTOR DAVID SUE RENOVATION LLC PHONE (360) 452 9848 OWNER RAYMOND C MARTELL JR PHONE (360) 457 0147 PARCEL 06 30 00 0 0 9255 0000 APPL NUMBER 09 00000219 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 4/16/09 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 3/27/09 PB 3/27/09 AP ME99 01 4/16/09 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLDG FINAL April 16 2009 8 44 43 AM 1pangrle SCOTT 775 8144 BUILDING FINAL MECHANICAL ROUGH IN March 26 2009 2 13 57 PM 1pangrle SCOTT 775 8144 MECHANICAL ROUGH IN SCOTT REQUESTED THAT YOU INSPECT AS EARLY AS POSSIBLE March 27 2009 2 54 42 PM pbarthol MECHANICAL FINAL April 16 2009 8 43 38 AM 1pangrle SCOTT 775 8144 MECHANICAL FINAL PL2 01 3/27/09 PB PLUMBING ROUGH IN 3/27/09 AP March 26 2009 2 15 07 PM 1pangrle SCOTT 775 8144 PLUMBING ROUGH IN SCOTT REQUESTED THAT YOU INSPECT AS EARLY AS POSSIBLE March 27 2009 2 54 42 PM pbarthol PL99 01 4/16/09 ,J PLUMBING FINAL April 16 2009 8 44 21 AM 1pangrle SCOTT 775 8144 PLUMBING FINAL COMMENTS AND NOTES PREPARED 3/27/09 8 46 54 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR PAT BARTHOLICK DATE 3/27/09 ADDRESS 221 1/2 W 6TH ST TENANT NBR RAYMOND C MARTELL JR CONTRACTOR DAVID SUE RENOVATION LLC OWNER RAYMOND C MARTELL JR PARCEL 06 30 00 0 0 9255 0000 APPL NUMBER 09 00000219 RES REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 3/27/09 PB PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 3/27/09 PB SUBDIV MECHANICAL ROUGH IN March 26 2009 2 13 57 PM 1pangrle SCOTT 775 8144 MECHANICAL ROUGH IN SCOTT REQUESTED THAT YOU INSPECT AS EARLY AS POSSIBLE PLUMBING ROUGH IN March 26 2009 2 15 07 PM 1pangrle SCOTT 775 8144 PLUMBING ROUGH IN SCOTT REQUESTED THAT YOU INSPECT AS EARLY AS POSSIBLE COMMENTS AND NOTES PHONE (360) 452 9848 PHONE (360) 457 0147 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Bathroom remodel Owner MARTELL JR RAYMOND C 221 W 6TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983626008 ELECTRICAL ALTER 143008 59 50 3/17/09 9/13/09 59 50 00 59 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000237 863681 221 1/2 W 6TH ST 06 30 00 0 0 9255 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 RESIDENTIAL Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited 59 50 00 59 50 DATE. Plan Check Fee Valuation 00 00 00 1 L017 Lei 9Q Date 3/17/09 WA 98363 00 0 Extension 57 50 2 00 Due 00 00 00 RESULTS Signature of owner or Electrical Contractor X Date INSPECTOR. FROM A.P S. ELECTRICAL CONTRACTOR City of Port Angeles Permit Application Building DivisionlElectrieal Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fe.t: (360) 417.4711 Date: /b R.0 0 9 2 Single Family Dwelling Mul6- Family or Commercial' Commercial Addition Alteration Remodel Repair* Owner Information Name: f'a.a re$1 wire -e,d Mailing Address: 2. 1 LL) City f 4, State: W ?1p: Phone: NG 7 —el 1 1 -17 Fax Ai License Exp �4. Unit Charge 93.75 5113.75 5160.00 5205.00 $291,25 2.00 57.50 2.00 72.50 86.25 511625 5131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Signature of owner, electrical contractor or electrical administrator x c �na,ri: °16009 FRATUDIP MAR 1 6 2009 UGHT DEPT Plan Review May Be Requiret Please Complete ElecbicalI'� Review Information Sheet Job Address: e 2 r l 7 i4j fp f P Building Square Footage: 1 0 oa Description of above Jil l t ✓n.& N tAall Q3'ib"a Contractor Information Name: R P 5 Mailing Address: City_ Phone` License Exp. Mar 16 2009 1 51AM P1 mc. -f'! i C J State: Zip Fax /9 Total (t r MufGo9ed bv_Unit Cha ff Service/Feeder 200 Amp. Service/Feeder 201-400 Amp_ ServiedFeeder 401.600 Amp. 19 Service/Feeder 601 1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder 57 5a Branch Circuit W/O Service Feeder .7 a Each Additional Branch Circuit Temp. Service/ Feeder200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly SO/Outline Lighting Signal CfcuM Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling 5 Signal C Limited Energy Mufti- Famiy Dwelling Manufactured Home Connection 5 Renewable Electrical Energy 5KVA System or Less Fast 1300 Square Ft Eacb Additional 500 Square Ft or Portion of 5 Each Outbuilding cc Detached Garage Each Swimming Pool or Hot Tub Thermostat 59.5 Total Owner as defined byRCW.1928161: (1) Owner wiN occupy the structure for two years after this egedlleal permR is Sinekzed fA Owner is respired to ma, an e l e c t r i c a l c o n t r a c t o r if above said property isforsafq rent or lease: 0 w -J After reading the above statement, hereby =Iffy that I am the owner of the above named property or a licensed electrical eontractor.1 am making the electrical installation or alteration in compliance wllh the electrical laws, N.EC. RCW. Chapter 19.211. WAC, Chapter 296418, The City of PortAngeles Municipal Code, and Utility Specifications. Cash El Check E4 Credit Card 6 5 5 000 6 614 Lj Dto 1`Jr, 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 REMODEL BATHROOM Owner RAYMOND C MARTELL JR 221 W 6TH ST PORT ANGELES (360) 457 0147 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 3.5-09 Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 BUILDING BATHROOM 142687 151 75 3/11/09 9/07/09 Qty Unit Charge Per BASE FEE 4 00 14 0000 THOU BL -2001 25K (14 PER K) Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 1 00 7 2500 EA 14 8000 EA 1 00 7 0000 EA T:Forms/Building Division/Building Permit WA 983626008 MECHANICAL PERMIT 142794 72 05 3/11/09 9/07/09 Per Qty Unit Charge Per Print INaa 09 00000219 Date 3/11/09 919066 221 1/2 W 6TH ST 06 30 00 0 0 9255 0000 RAYMOND C MARTELL JR RES REMODEL RESIDENTIAL HIGH DENSITY 5500 Contractor BASE FEE PL- PLUMBING TRAP DAVID SUE RENOVATION 201 DOGWOOD PLACE PORT ANGELES (360) 452 9848 PERMIT RESIDENTIAL REMODEL Plan Check Fee Valuation BASE FEE ME VENT FAN (SINGLE DUCT) ME HEATER(SUSP /WALL /FLOOR MTD) LLC WA 98362 98 64 5500 Extension 95 75 56 00 Plan Check Fee 00 Valuation 0 Permit PLUMBING PERMIT Additional desc Permit pin number 142802 Permit Fee 79 00 Plan Check Fee 00 Issue Date 3/11/09 Valuation 0 Expiration Date 9/07/09 Extension 50 00 7 25 14 80 Extension 50 00 7 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 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 constr 17;7 Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 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 Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Application Number Application pin number T:FormsBuilding DivisionBuilding Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 09 00000219 919066 Page 2 Date 3/11/09 Qty Unit Charge Per Extension 1 00 7 0000 EA PL -WATER LINE 7 00 1 00 15 0000 EA PL -SEWER LINE 15 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 302 80 302 80 00 00 Plan Check Total 98 64 98 64 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 405 94 405 94 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 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 T:Forms /Building Division /Building Permit 01 Inspection 1 r't5 Inspection Type rR 1 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date /6 Accepted by 3 FINAL Date 1 "I 6` a 1 Accepted by TO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 0 --0 j\ g G 0 Applicant b,(h S Property Owne,r r,p cac_ Property Owner's Address Contractor _c Contractor's Address 2_, N License PROJECT ADDRESS Parcel Number Proiect Tvne Brief Des Check all that apply New Construction Addition Remodel repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other u�9 Tia2mv� crintion. Total footprint of structures 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 re -04 1-007 GTA r'�vct� Expires 2 /3 -/0 2-2_ P2_ G� ?o r: g...lagzs, S i. Lot Zoning Residential Multi family ,2 gt_ 5 t42-e 19 t. 1 E re_� t7 r der T�.I i( f l P_uo/ A X 4 �c►� 1 17,,s714-// .tea/ ,1 /1-kokacr aF�� House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) sq ft. Lot size 1 K Site Coverage the amount of impervious surface on a parcel including structures and other impervious surfaces (see PAMC 17 94 135 for exemptions) Max. height of proposed structures ft Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application and know it to be true and correct. I am authori that it is my responsibility to determine what permits are required, and to obtain permits DateJ 9 41 '2 x Print Name „,„v e .SSE XSignar, T Forms /Bu Id ng Division /Bldg Permit.doc C For City Use Onl Date Received 3-- o Q' Permit i d/ Date Approved Phq�e\ y 9p/c Phone y s j a y 7 1 /4://G& csS ee.t4e, giN L Phone <2 gy T2 E -mail ,ecs egi cow Commercial TOTAL VALUATION sq ft. Lot coverage paved driveways sidewalks patios Site coverage per sq ft. of bedrooms of full baths of half baths apply for this permit and unuerstand ing on project Industrial 1 L.* 0 1 60- 6 0- 1472 key c 10057.01 re-hbfi CIVe OF PORT ANGELES Constritction Pis is I The Issuance of this (permit based upon these pans, spelifi- cations and other data shall no prevent the, building off ial 1 frem thereafter requiring the correction of errors in -aid Me specifications and other data, or from 'preverting building operations being carried on thereunder whi 1 in r violation of all codes and ordinances of this jurisdi lion. I ;3i4 3ti,3i c3 ,....1. 0 4_ c____ Approval Date 0 i I Ns, Loceie_ 4-e3. 4-1G-74/ i 0 71, I I T 4,r 1 84 ,6 754 43c77r;-.07/14i.6.1% D77 ti/Petzwfi trorro VPF 1 ry FILE 1 WOtiVe"(- Lr0 73 r r 4/ t/vfril ...5W6 ZS", ("C/7i 375 Pia( L./AWN D I? Q 0 4 r7 Pm:kr /9z- 7)7 'you WleeVA,' _.--TIPS17 "Ian I_ z g ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l21 EAST 5TH STREET. PORT ANGELES. WA 9R~62 Applicat~on Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type descr~ption Subd~vision Name Property Use Property Zoning . Applicat~on valuation 05-00001181 Date 11/29/05 847736 221 1/2 W 6TH ST 06-30-00-0-0-9255-0000- ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY o Owner Contractor MARTELL JR RAYMOND C 221 W 6TH ST PORT ANGELES WA 983626008 APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452-6753 WA 98363 Permit Additional desc Permit pin number Sub Contractor Perm~t Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL APS/ ALTER SVC. 66043 APS ELECTRIC 66 90 Plan Check Fee 11/29/05 valuation 5/28/06 00 o ~ - Qty 1 00 unit Charge Per 66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66 90 ~- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66 90 66 90 00 00 Plan Check Total 00 00 00 00 Grand Total 66 90 66.90 00 00 E ~ \~ ~ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPIt DATE COMMENTS NO GENERAL COMMENTS: PW.ll02" (4'96) ;",-" . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. 1.;2 ;7ji ~/i& J?7 r , DATE Site Address: ;;l;;J o READY FOR .~ILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel ,Jii(Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) .0 Overhead o Underground Voltage o 1.0 03.0 Service size o Temporary Amps , DetailslDescrlption: N~ttI~ /JJ~ ~L . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. )Ii 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: Jj. .;>.~ 12 (,U, Installer: L W\C; C,lJNfl7oJ 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 Writing n the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. .---. ~ n . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 'fJ I;'; !!!!? nspe Amount paid WHITE - file by addr 5 YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall New Meters o OLYMPIC PRINTERS, INC. .- .- ~=~ '\+ ~". ....... .. ELECTRICAL WORK PERMIT APPLICATION i Job wired by CI Qwner InstaUalion dC5cripliO,n CJ Commercial )( Residential Date Expires ON"" CI AlteTedJAdditjoD r- e..-n 1\ City ..\.. ~I State ZIPJ ^ 0"\ L' 4\lIa (J..te~ L- ,... Telephone numbi.15d-."""J b I5-.iAX nurnS( m <L. PrePiisu .OWDe{'s Dame - t lA r-o I m. a. r- e.. Address of InspeclioD I -t t ~;ll - I/~ LA) ~- CIIY~A ~ffl/lP~ 5b~J. g%Sb"5 Y\.Qt.c,tt ,;lOC A ~ Phone r to se e r sp don: Own!!'r G.S' defined by RCW./9.2 16/:(') Ow"er will occupy the str'lJ.ctwefor twQ Xean after this tleclric:ul permit is fmaUzed. (2) o,..71CT is required to hire un eledn"cxtl cono'actor if above said property is for sale. relit or reuse. AIler readin!; the above statement, I hCTchy certify that 1 am the owner of the above named property or a licensed eleclrical contractor. I 3Jl\ making the elcctrical instal- lation or al1cration in' compliance with tbe eleclrical laws, N.E.C., RCW. Chapter 19.28, WAC. Cl1apt~r 296-46B. The Cily of Port Angeles Municipal Code, and Utilily Specifications. cr, elecrr. o Cash 0 Check # a Credit Card Visa Card # ~ ,- ,~ 6'Y\.~ Mastercard Discover x ate: / / -:n 05 Expiration Date of card EJ clrical Load Addlll nand r u - . NO LOAD CHANGES o aseboard 'tQN a Furnace ~ CJ Heat Pump Ton LAR o Fan.Wall t<:oN Ll!! Q Overhead Service o Temp Service o Unde:rground Service Voltage Phase 0 1 IJ 3 Sel'Vlce Size:_ Feeder Size: SAME DAY INSPECTiON. CALL BEFORE 7:00 AM 360-417-4735 / ROUGH-IN '\ THERMOSTAT '\ SERVICE //~;J.<? --'5 4-0 ., D~l~ '\I'E'ravcd Ry D:lte AJ'lprovedlo!)I ll.ale Ar..tt\"~P.)I ,,- FINAl, mrrn FEEDER ~I_- - ~~ ," Dille )')t\lC Apprg~\;d Dy O;ate Approved By;/ Inspection Area, Builwng or Equipment Inspected Action Taken Electdcal Date Inspector ~ //, ~ /. .-u /J/,~H/lC - , - ~._~". --_._.~ ...._~ -~ /tfX/ II/?;:: }ns' / , ld Wd6~:Gl 500G 5G '~oN >:5<'.9 G5~ 09>: 'ON Xl:jcJ ~Ol)l:j~lNO) ll:j)I~1)3l3 'S'd'l:j WOd"