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Home My WebLink About804 E 3rd St - BuildingPREPARED 9/18/06 11 45 49 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/18/06 ADDRESS 804 E 3RD ST TENANT NBR YMCA CONTRACTOR B &B ENTERPRISES OWNER LYKKEN EUGENE V PARCEL 06 30 00 7 7 0405 0000 APPL NUMBER 06 00000268 MECHANICAL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE PHONE ME99 01 9/18/06 JLL MECHANICAL FINAL TIME 13 00 COLTON 417 0436 CHIMNEY LINER 09/15/2006 02 55 PM DYASUMUR COMMENTS AND NOTES (360) 417 0436 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 LYKKEN EUGENE V 804 E 3RD ST PORT ANGELES Qty Unit Charge 1 00 13 7000 Fee summary Charged Permit Fee Total Plan Check Total Grand Total Signature of Contractor or WA 983623824 Permit Additional desc Permit pin number 73312 Permit Fee 63 70 Issue Date 3/23/06 Expiration Date 9/19/06 Per ECH 63 70 00 63 70 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 constructi MECHANICAL PERMIT orized Agent 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 00000268 328152 804 E 3RD ST 06 30 00 7 7 0405 0000 YMCA MECHANICAL PERMIT PUBLIC BUILDINGS PARKS 1500 Contractor B &B ENTERPRISES 520 ROSE ST PORT ANGELES WA PORT ANGELES (360) 417 0436 Plan Check Fee Valuation BASE FEE ME REPAIR /ALTER /ADD APPL Paid Credited 63 70 00 00 00 63 70 00 3 21 3 /C Date Date 3/23/06 WA 98362 00 0 Extension 50 00 13 70 Due 00 00 00 4-=)( o'03-10 Signature of Owner (if owner is builder) Date 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 FOUNDATION: FOOTINGS 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I h FINAL FINAL SEPA. ESA. SHORELINE: DATE ACCEPTED BY., DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I /7 I I lid 3 I I PLANNING DEPT BUILDING 417 -4815 I x i 4 I 't q113 d I BUILDING T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2d05] I I I I I I I I I Applicant or Agent: Co LTo rt BO cia/ Phone: Owner 1 f im G 302SF Cit qr►Gis Address. y PO /T f}) 9 -Pees Architect/Engineer Contractor Phone: 1 t 13 En re- ✓T! l S t5 State License B E/11 T21= -d i f 3 Exp I /D7 Phone: y 17 5 go R05 -e-- ST City P6 r11-0 -g BL S Zip 9 6 342 ZONING Address: PROJECT ADDRESS Ss N 0 3 ri LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF TH BUILDING PERMIT APPLICATION 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 Re -roof Move Garage Demolition Other ROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stories: Lot Size. Existing Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other T•\FORMS\B1dgPennitform.wpd Applicant: Phone: Subdivision. SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION '1 17 -0 3 --C 1 44 Z -42. Zip 18 Date: 3/13/04 FOR OFFICIALUSEE ONLY Date Rec. 3 5/06- Permit 067 -.24,g Date Approved: 3 23 /0 L. Date Issued: 3 3 /O(_ I son Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq. Ft. 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 Buildmg 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 buildmg 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 1 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. ~~~'\ t~~ . -- ~ BdlLDnvG PCruVII' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ISSUED: I-'~KMII NO: 13576 7/19/2002 OWNER/APPLICANT GERE L YKEN 804 E. 3RD ST Port Angeles, WA 98362 360/457-3889 T: S: PROPERTY LOCATION 804 3RD ST E Lot: 10,11 Block: 4 ~ Long Legal Subdivision: CAINS-LOT 21 Parcel No: 063000770405000 CONTRACTOR PENINSULA HEAT 502 W. 8th Street Port Angeles, WA 98363 360/457-2775 ARCHITECT N/A , 98360-0000 360/000-0000 PROJECT INFO Project Value: $2,811.00 Project Type: ELECTRIC FURN. Occupancy Type: Occupancy Group: Construction Type: Zoning Use: RS7 SFD Units: 0 Commercial: 0 SFD sa FT: 0 Industrial: 0 Garage: 0 MFD Units: 0 MFD sa FT: 0 ~ \?J ..L PROJECT NOTES INSTALL NEW ELECTRIC FURNACE AND LOW VOLTAGE THERMOSTAT RECEIPT#9457 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.15 $0.00 \\j Mise Fee 1: THERMOSTAT Mise Fee 2: Mise Fee 3: w ~ $34.40 $0.00 $0.00 ) TOTAL FEE: AMOUNT PAID: BALANCE DUE: $68.55 $68.55 $0.00 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 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 cancei the provisions of any state or local law regulating construction or the performance of construction. ON F I L c:;- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS I CEILING I I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T~BAR INSULATION SLAB I WALL I FLOOR I CEILING I I MECHANICAL HEAT PUMP q - ZI>-t5L LEI/. WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARA IE PERMIT #'s: W A IERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. I 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 [412002] fI ~~ BUILDING PERMIT - PREAPPLICA nON FORO DaleRoo.: Pcnnil M: ......Ap CoalplcU? Dale Approwd: The Building Permil - Preappliealion must befliJd oul completely. Pleue type or pria! In Ink. U)'ou have an)' qu..tlo.... pleue caD 417-4815 Applicant andlor Agent: aL1 fu/n}k: An~OY\--- Owner: ~\f4~~L~~lJze~ Address: 0 rcJ c> . City: R) rtitv~rlpc, ArchitectlEngineer: ContractorPf'i'I i V1':"I.L~'~ (_ License#:{)P/l.JlrUi(Y~ Address: ~Dd-.. \AI ;q-ft] City:_.pMT-~p/~ <::, PROJEcr ADDRESS: '7St..>tf ~ =6 r.q S+. LEGAL DESCRIPTION: Lot: Bloclc: Phone: l/57<i 77<'- Phone: Ys 7 - 3~<;<q Zip: q ~ t, ::J.-. Phone: Subdivision: TYPE OF WORK: SIZE/V ALVA nON: c Residential c New Constr. c Reroof c Woodstove SF. @ S /SF. ~ S c Multi-family c Addition c Move c Garage '. SF. @ S /SF. - S c Co=ial C Remodel 0 Demolition 0 Deck SF. @S /SF. - S o Repair 0 Sign '0 TOTAL VALUATIO~ S ~ ~ ~ --- BRIEFpESCRIPTIONOFTHEPROJEcr: JfJn: ..fiA<r'{"\(AfP IhC,,-j--rtq ///\\11I VhT~ /J 1M" YI.V"\~ 1 COMMERClAIJRESIDENTlAL: Occupancy Group: Occupant Load: Construction Type: No. of Storics: _ Lot Size: % Lot Coverage: ~ Existing Lot Coverage: Isq. ft. + Proposed Lot Coverage: /sq. ft. - TOTAL LOT COVERAGE: /sq.1l PLANNING USE ONLY: Pcnnits Required: Max. Height: Setbacks: Site Plan and Use Approved by: ESNWeUand(s): 0 Y OS 0 No SEP A Chccldist required? 0 Yes c No APPROV AUl: PLAN BLDG DPW FIRE OTHER Notes: ZOning: Date: Other: PREAPPUCATION SUBMllTAL: YOIU' IIpp/ialtion and lite plan must befiJId outcomp/delJ1 to be acceptedfo, ,eview. The Building Division can provide you with more detailed infonllation on the application and plan submittal requirements. BUILDING PERMIT APPUCATlON SU~MrrrAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division, AD)' addition larger than 500 .q. n. will Deed. PreappUcatlon Review. VALUATION OF CONSTRUCIlON: In all cascs, a valuation amOWlI must be entered by the applicant T!iis figure will be reviewed IIId may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: Your plan chccl:: fee is due at the time the building pennit application and constrUCtion plans are submitted. All olhcr permit fees arc due at the time of permit issuance. EXPIRATION OF PLAN REVmw, If no pc:rmit is issued within 180 days of the date of application. this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see SccIiCXI J04(d) of the Unifonn Building Code, current edition). No application can be e),1ended more than once. 1 hereby cel1i/;l thaI I have read and examined Ini. appliealion and know Ine .ame 10 be lrue and camel, and 10m aulhorized 10 apply fo, lhis permit. I understand it is not the City's legal respolZsibility 10 deltmline what permits are required,' it remains the applicant', ""poTl3ibility 10 delermine whal permiu are required and 10 oblain .uen. j};1 ~ APplicant0'4'ttt'-1 ~..J Date: 7,ijzk pu:C:\DATA\WPlKEEPERS\BLOAPP.FRM . 'pw.II02.OJ[IWV.2IP6J . . . . . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT . . . . . . REQUEST: Date C{-l <;3 '- 0 L Time Received by !?L/ (phone, person) Location of Work to be inspected 90 L{ Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final ~ '3vct Time Phone No. LfS-7- :5'8Ef9 Permi I 7 k:, E/ecf,,~~ ,,-.. f-uv L1c..C<2- "6- Du..cJS INSPECTION NOTES: Inspected: Date '-1 . ? D Remarks: ^ .. u (.. By /) , " '. .,.-,",. L/' t:-- RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other [] Repaired by City o Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES LIGHT DEPARTMENT Ph. ELECTRICAL PERMIT N~ 18365 Port Angeles. washlngton...........m.m....t.1.8Ymm...I.4.:::mm.m.. 19.~i. 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 electrical work as listed below. Address ..m....St2~......nE....__.;;t?'!.uu.uuu.uuu.m.mmm__...u Occupancyu.um6?~-.!/a~l.!t.~uu.__ Owner uou.GLE'A./..c:.mu,?..JL./'SJt.c:nL____u.uuumuo TenanL.....)~L--.nnu.-.uuui&u--. c.1.m.mu.C1 l' /~ ~ /.. c:::) ~ . / :X Wiring Contractor u.__-I~?:.lJ{)}_'_4Lj).mt;-,~t.~uu BY--5:;r.???-C<m2.1t..: ( 421Lk(JZu__u.___ Light Outlets...............__.............._.._..... Service, volts ..................................:.... Type of Wiring: Receptacle Out1ets.............~............. No. wires ........m.................~...... Armored Cable ............................., Dryer, KW........................__................ Size wlres...__.............................._.. Range, KW.......................................... MaIn fuse ......__m.........__................. Water Heater: Enclosure ...____.__..............__............. KW...nn________m__.__.m__.nm. Hea', KW........n.f?__.__m....m....__..........m.. Type of wiring: Entrance Cable ............................. Motors: size, volts and phase: Rigid Conduit .....________..__ Meta1l1c Tubing ........................... Current transformers: No. &. Size...................____..__..__....__.. Ser. No.................................____.......... Ser. No. ...............................__.....__..... Ser. No....................__...__................... Non.Metalllc .................__..........__.. Knob & Tube______..__..______...______.n__.. RIgid Conduit ............................... Metallic Tubing .___.__......______........ Raceway ...............................__..._ Circuits, Light......__.__.......__................... Utility ......__..............._.................... I-Jeat ............................................... Range ............................................. Water Heater ............................... Motor ._____..........__.__....__..__.__.......... Dryer ...__.......__.................................._ Furnace .........................._................... z 11c.<J Total Load....__...__.................. SerA No....__.......__.___...__...__................ Total ........____._........................ ~~--::::::::~~:::::::::::::<:::::::::~:::::::::::~~::::::::~:::::<:::::~~ ..n____.____.h....__~__nnn.______uu____n..n_nn__nnu.__U.n.U.Uu__.un___h__hh~.nn_.nu_u__un.._u__h.h..nn__n________huh.h_u__n__nn____ ::~j~~~~~~ ~.mu__ ::~.~.Q~~d~.Jm By uu~~...~~____...~ ~uo~ &-, mm"" _ _ ~ NOTICE-Current must not be turned on untll Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 18365 ELECTRICAL PERMIT ::;:5~=~=:~~~~f~ NOTICE-Current must n()t be turned on untU CertifIcate ot Inspection has been issued. It 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. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16261 /' -- F ,,-~~ Port Angeles, Washlngtoll._mm___,___mn...______mm__m__mm..mn__m_, 19_/,(' 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 d6 electrical work as listed below_ YrJ V r:' ~eP . Address m_______________mmn~--nn------------n.m-nnn----m--mmnmmm-n Occupancy___m________________nmn______m..._______ ~:::~-~~~::~~~-:::~:~:;.:p;.~=::f~:~~:::____~~:~~~;:::--:::::::::-_-_.::_~::::::::::=::::::::::::::::::::::::::::::::::::::: (j Light Outlets........m_........__._..........____u. Service, volts __mm._.__...___....m............. Type of Wiring: Receptacle Outletsm_____....................... 1\0. wires ....................................... Armored Cable ............................_ Non.Metalllc ........._..n_.................. Knob & Tubem____m__...................._ Rigid Conduit _mmnmmnm_m___..n Metallic Tubing .mm_..__............... Dryer, KW.........___n...u...n___u_______n____ Size wlres.._n............u.__mm_......_.. Range, KW ___.un________....____._. Water Heater: Main fuse ....................................... Enclosure ....................................... KW.mnnnmnm_____________hmn_nnm Type of wirIng: Entrance Cable ._....._.... Motors: size, volts and phase: Rigid Conduit ...___mm MetalUc Tubing ...... Raceway u....................................._ Circuits, LIght.................................._..._ Utility nm_____mm_m_m_____nn_mn_nn_ Heat: KW.............___............._n....._............. Heat __u__........._.:.....____..............._. . Ser. NO....______m...._.._......___............_n_ Range .....__.._._.........__......__.............. Water Heater ............._.m.n.......... Motor ................__....._......_............._ Current transformers: No. & Size........._..........m.. Ser. No. ._........._.............___............__... Dryer ..........................__...._....._...__...... Furnace ....____..................____......_.._...... SerA No. ......._____.............___................. Remark:~ta:n~~~__{;._.!-!~;.::-~~::____~~_~~:;_a~:1Z_;_-____-:__~__:-__mmmmn______~:t::__~::~:__~_:~.._~:._~.:~::~:_~__ -:i_=_~~n~::-_-_~-____~n_~_~~_~-_-_~nm...-::~~_~:_~~~_~:~_~_~____~-___nnmn---nm-::-:_:~~:_:~~~~~:2~~ NOTIC~urrent 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 berore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16261 Address.__.___________..........................___....._...._......__.._....._____.._..........___._....................................._....Date..._.....__.._________........____..._.__..._...___... Owner ..........__.......___..nn.......___nn_n........_..........___..................h_..._n___n.__n__________.......... Tenant.....__.n............._......................nn....___h.n..nn , Wirtnr Contractor ..................................._.........................................._.._.......____..____....__..____._____._. BY....'::_~----.-.--.---.--...n..--.........................__ N0TICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be COD- cealed 'due noUce must be given the Inspector so that work may be inspected before conce'alment. . \ ""'-, if" 1M ,~ Olympic Printers, Inc. Jul 05 02 09:27a Bobb~ O. Coleman ELECTRICAl.. PERMIT APPLICATION 360-452-7594 &/Vl p. I (j.....'... 'd ... The EIectricar P4mnit AppUca{iot. must be filtad our camrlllM.lv. I ""~"'_'-'_I'!:r~~.._~. I 1 =r;...:.~~y-= I :::::'7"~: ""die.. ,?lJ4 ~ ~~ C;1Jr. Electrical Conbac"", /it. d,~uP....... r~.dk Prease type or teprint 11'1 ink. If you have any questions. ~ call (J60) 411- 4735 Fax number: (3tiO) 417..c711 f;t;< REQUESTINSPI:CTION 0 P1-one.,;2. 7 S' <; Y F"", SH / Phone' 7 - ::5 f;- .r '7 .;0/1 7ip: ticenseit: Exp, Phone- Addr'es;$: c~. INsrAlLATlON WIRED BY: UOWNER AELECTRI~ CONTRA~ Credit Card Hohler Name: cS& J.r. h. -,>", . h/,q ..--.h,. c: Zip. BIlling Address' City: 7IEXP.Date: 90 :3 /'~ ?: ~)lAI Zip: V1SA~"'C~ Credit Cant Number: PROJECT ADDRESS' ~~ S.jL P.l!Me 1 k TYPE OF WORK' Check all that apply: 0 New )I'ReSidential 0 Multi-lamily 0 Commercial o Mobile Home Sq. Ff Ramole Meler 0 Detached _age 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 low Voltage 0 Telecom. 0 Sign Number 01 CiICUils added or "",,red:__ DESCRIPTION OF THE ELECTRICAL PROJECT: 44.</.:;260 ~-x;::' g/-? l.hcu- /0 I\. to h/ In Yi" ...:- ..;J 7C ~ ~ j ~",--L7 ,/ Electrlc:al Heat I """ A_lolls PERMIT FEE:t.-.:s tfl.O Service Information U Baseboard Oi'wnace o Heal PlJmp :J Fa"..Wall -KW _KW - TON LRA _KW- 00.""",,8<1_ o Temp SeMee o UndeIgrounct SeNice VoIlage: Phase: 0 1 0 3 Service Size: HJeder Size t hereby certify that t have read and examined this application and know that same to be true and correct, and I am authorized 10 apply for this permit. I undefStand il is not lhe City's I9gaJ responsibility 10 determine what permits are required; it remains the applicants re$pOtlsibHity ro determine what permits are required and to obtain such. Cr_, Card Holder's SIgnature: .QPo21 Date: 6 --.::;'-.7 -c:) ~ Owner or Elec:. Conl Signature: CJElECT~LPERMITAPPlICATION , AL-1 ~ ,~~ R-e,,,~ - ::c ~CO~':"'-~D ^ v0&e t-kk ~(l <;e.+ - <r(L L'I-Z-4-Z-- 1<''9'1> Ckl/IS _ (f) TIt'S '7UVI~E: 1: )(FM-tZ.. jJ'(SLO ~ .be.. up"jrA-()€-C> ~ "T7"",-l..- TWLc..v")~6(L /;-,fS77rU....$'7YfE-{r( ;kq-:.~f- {~ ~o M"i U'fK1f't-f;>z:... qN <FvTV ~E..:> ~SS' h~(riw,. ~ ~~ Dale: ~v.J &!7!aE: ;r::r "'/H-~