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Home My WebLink About926 W 4th St - Building 'ELECTRICAL PERMIT f t 1 CITY OF PORT ANGELES 360 -417 -4735 Application Number 11- 00001043 Date 9/22/11 Application pin number 585404 REPORT SALES TAX Property Address 926 W 4TH ST our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0615-0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning Application valuation 0 Application desc 3 ton heat pump Owner Contractor RICHARD J HOPKINS ALL WEATHER HTG COOLING INC 926 W 4TH ST 302 KEMP ST PORT ANGELES WA 983632108 PORT ANGELES WA 98362 (360) 457 -4523 (360) 452 -9813 t i6 z 51....7-3 Permit ELECTRICAL ALTER RESIDENTIAL 7 Additional desc Permit pin number 193037 Permit Fee 56.00 Plan Check Fee .00 Issue Date 9/22/11 Valuation 0 Expiration Date 3/20/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 E; Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: I" l? ASV 3/-711-Z 1�1� PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 1.0131 4N, ELECTRICAL INSPECTION U A�N WIRING REPORT o 417 -4735 D ERON J RA)OR PERMIT I t- 104 INSPECTOR w 5 r 2 -4/ t, i`a=T� -t L ADDRESS 21 C> AA) APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: U Pb i 1ZG 17 1 KE 171 CV O IJ (Tr w1 Wit. C -LS5Z s (s NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 09/21/2011 09:54 13604525177 ALL WEATHER HEATING PAGE 05/05 i Z Er 0ti r*oKr .4, CITY OF PORT ANGELES PERMIT APPLICATION SE 2 1 2011 d Building Division/Electrical Inspections ECTRtCAL I L 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 9836 Ph: (360) 417-4735 Fax: (360) 417 -4711 I NNW 171 C112.111t '(1 2 Single Family Dwelling Multi Family or..Commercial* Commercial Addition Alteration Remodel Repair" x Plan Rev ay B- R -qui Ple- e Com.lete Electrical Plan Review Information Sheet Job Address: r. r 0 ya aN• Building Square Footage: ,rtIon .f:b•ve l. J„1 1. 11 i 41114111F01111!"1 Tr1i a �le71l�l Rtf'ifIIIItiR►TWi 11.11ili/t0i AAA Owne fo atio Cont for Information Name: :4 ,1 1 1 1 11 11. Name: s Meilin. Address: r numni. INS Mailing' ess: yam' i 7 ii Cit State: Zip: 'raw. C d State: Tii ZI.: "741111' �,1 i Phone: ;x: Phone. v. ►A Fax: is^ License Exp. License Exp.: n'1fftil 451 -t -1.3 Item Unit Charge 2,}tt Total (Qty Multiplied by Unit Charcte) Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401.600 Amp 3 204.60 Service/Feeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp. 37250 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/0 Service Feeder 73,50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201-400 Amp. 110.30 Temp. Service/Feeder 401.600 Amp. 148.70 Temp. Service /Feeder 601-1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5,00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119,90 Renewable Electrical Energy 5KVA System or Less $102.30 Thermostat 56.00 i QD NEW CONSTRQCTI0N ONLY First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 LakalTotal Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years atter this electrical permit Is finalized. (2) Owner is required to hire an electrical contractor If above said property is for sale, rent or lease. Permit expires after 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 electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -460, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: 0 Cash Chock at l 1J Dated: q /I I t 1 Credit Card 01/012010 CITY OF PORT ANGELES ECONOMIC DEVELOPMENT BUILDING DIVISION DEPARTMENT OF COMMUNIT ¶L. Pte V 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001040 Date 9/26/11 Application pin number 902880 Property Address 926 W 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 0615 -0000- Tenant nbr, name RICHARD J HOPKINS on your state excise tax form Application type description MECHANICAL APPL. PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning Application valuation 4035 Application desc HEAT PUMP Owner Contractor RICHARD J HOPKINS ALL WEATHER HTG COOLING INC 926 W 4TH ST 302 KEMP ST PORT ANGELES WA 983632108 PORT ANGELES WA 98362 (360) 457 -4523 (360) 452 -9813 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit pin number 193011 Permit Fee 64.80 Plan Check Fee .00 Issue Date 9/26/11 Valuation 0 Expiration Date 3/24/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 Finale to(Lti 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. gjdCol !I \e' i d iOn At Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD 5- 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 FINAL Date Accepted by 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 FINAL Date Accepted by MANUFACTURED HOMES: CV /1 Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 C Building 417 -4815 t t J u1 T:Forms /Building Division /Building Permit cl ........„1„. a, .::8 •(:;4 ...4 M (4\....,.... ea :a 0H H 0 o 1 01 47 k aa� L' a .kC-- St 00 N N m a a1 T 1..... N h H ti a r C C 3 0 o a 01 a 2 m a m a H a H al 1.1 d'N 2 F 1 0 2 2 0 L a 0 0 X W, 0 0 X 0 F F H 1 V I a s E+ w 2 F h 1 m x x 0 2 H a o a H w H O' E-, 0 Q N F a 0 U U i 2 2 4 Z F w w a w H w H 2 aa, w x amaa w 0 0 1 a 2 0 0 0 H H H 0 U 01 K C 0 I a a (f] HH A" H zz 0 a a0 4 aiNy H 0 x .O Z I-1 o a 0 m O az O o o U E.02 E N b E O o H H Z Z ta z 2HO 0 H H lD U 0 F 0 0 x F x o w a s in a xa 2 8 Z a 0 F o o 0 z O A O m x ,0 o H w M w o 0 H a xhxh o r4 1 awa 10 W 3x0yoo 0 0 0 U 1 ■o U.](../ l U)w 1 N H a H \D H 00,1 0 o i ma Ftaoti o0£ 0 0 0 1 a a a° o 0 o 1 W a w co a■ zo 0 a �w ziaw H 0 o wH gzzzaa 0 w 0 a U 4 F u 0 a< 0 H 0 09/21/2011 09:54 13604525177 ALL WEATHER HEATING PAGE 02/05 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) p Date Received t -1 Permit fl [ow City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5th st., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8— 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 :30 pm AbLr, as/13 P PI t e♦ IS✓W► Ltm- xis Phone:ADO. L Prope,ty� n `i i ing a drz3att 1,6A- 6 16..62, Contractor's business namo :A11 Weather Heating Cooling Phone: (360) 452 -9813 for property owner's name If he /she Is doing /overseeing the work) Contractor's mailing address: 302 Kemp Street Contractor's L &I license number: ALLWEHC150KU Expiration date: 9/oti/12 Project Address: q 2Lp t s Project Typ Residential i Commercial o Industrial o Multi- family Project Business Name: (for commercial, Industrial, or multi- family projects) The following permits are usually Issued over -the- counter Immediately, without the need for plan review, Complete only the portions of this permit that are relevant to your project. Re -roof: c house o garage other tear off re -roof lay over one layer .Llcensod contractor; Submit a copy of your re roof bid. Project Valuation (labor materials, not including sales tax) Re side: ro house o garage other Project Valuation (labor materials, not including sales tax) Repair: ,explain the prolect), IIIEN Ma11 WO 1/ I n Ci'1li+5I ial UTi S. 0. Project Valuation *Homeowner: If you will be doing/ overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building DlvIsion /Bullding /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 09/21/2011 09:54 13604525177 ALL WEATHER HEATING PAGE 03/05 Swimming Pool or Spa_ 24" deep): La,prefabrlceted swimming pool or spa projects that do not require plan reviews Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit Is needed when an entire building gets demolished. What will be demolished? ro house b garage GI other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off If needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes a No If yes, will a licensed contractor be taking It there? If yes, obtain (from the.City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later If asbestos testing Is needed). PlumbincLPermIt: jexptain the projectl Project Valuation Mechanical Permit: (explain the prolect) Installation of Heat Pump Project Valuation 1412475. t: I have read and completed this application and know it to be true and correct. I ant authorized to apply for this permit and understand that It is my responsibility to determine what permits are required, and to obtain permits prior to working n projects, Date I I I Signature ik Print Name V'r"u2 14zzal'.,c Jim Smf Page 2 of 2 Clallam County Assessor Treasurer Property Details 56537 RICHARD J HOPKINS... Page 1 of 3 CieIlam County Assessor Treasurer Property Search Results 56537 RICHARD J HOPKINS for Year 2011 2012 Property Account Property ID: 56537 Legal Description: W2 LT 6 E35' LOT 7 BL 106 SURVEY V19 P38 Geographic ID: 0630000106150000 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: 926 W FOURTH ST Mapsco: PORT ANGELES, WA Neighborhood: PA West Res Map ID: 3 1 Neighborhood CD: 5151000 Owner Name: RICHARD J HOPKINS Owner ID: 31204 Mailing Address: 926 W 4TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 -2108 Exemptions: Taxes and Assessment Details Property Tax Information as of 09/21/2011 Amount Due if Paid on: 21 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. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty i Interest Base Paid Amount Due Statement Details 2011 151276 $1660.03 $1659.94 $0.00 $0.00 $1660.03 $1659.94 Statement Details 2010 39576 $1588.94 $1588.97 $0.00 $0.00 $3177.91 $0.00 Values Improvement Homesite Value: N/A Improvement Non- Homesite Value: N/A Land Homesite Value: N/A Land Non Homesite Value: N/A Ag Timber Use Value Curr Use (HS): N/A N/A Curr Use (NHS): N/A N/A Market Value: N/A Productivity Loss: N/A Subtotal: N/A Senior Appraised Value: N/A Non- Senior Appraised Value: N/A Total Appraised Value: N/A Senior Exemption Loss: N/A Exemption Loss: N/A Taxable Value: N/A Taxing Jurisdiction Owner: RICHARD J HOPKINS Ownership: 100.0000000000% Total Value: N/A Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Levy Code Description Levy Rate Appraised Value Taxable Value Estimated Tax STATE SCH STATE SCHOOL N/A N/A N/A N/A CC GENERAL CLALLAM COUNTY N/A N/A N/A N/A GENERAL http: /websrv8.c1a11am. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =56537 9/21/2011 Application Number 09 00000779 Application pin number 673217 Property Address 926 W 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 0615 0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning Application valuation 8790 Application desc TEAR OFF /INSTALL COMP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Owner Contractor HOPKINS RICHARD J 926 W 4TH ST PORT ANGELES s orctikTocs T:FormsBuilding Division/Building Permit WA 983632108 Date 8/05/09 DIAMOND ROOFING ENTERP INC P 0 BOX 2963 PORT ANGELES WA 98362 (360) 452 9518 Permit BUILDING PERMIT NO PR FEE Additional desc. TEAR OFF INSTALL COMP Permit pin number 151167 Permit Fee 193 75 Plan Check Fee 00 Issue Date 8/05/09 Valuation 8790 Expiration Date 2/01/10 Qty Unit Charge Per Extension BASE FEE 95 75 7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 193 75 193 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 198 25 198 25 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. .,SZ9r,t) t g- /3 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 FINAL Date Accepted by 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 I FINAL Date Accepted by MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting I PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. 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 Date Accepted By Comments 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 h� Date Accepted By 0 3 -Id PROJECT ADDRESS Parcel Number 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 c /oor Areas Existing (sq. ft.) Proposed (sq. ft-) Basement per sq ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other ateg Print "Name :1 c t.a \A b Signatur -orms /Building Division /Bldg Permit.doc For City Use Only Date Received 2, q Permit# r-27q Date Approve Applicant Phone Property Owner Property Owner's Address ciac, Contractor 1:■0,.d Phone Fe Contractor's Address iO %cra9 6 License AMORE g'-4 '1ZExpire4O /1i.1 I ►t)E -mail 414 Phone t-(,cr? a� Lot Zoning Proiect Tvne Brief Description. }Residential Multi- family Commercial Industrial Check all that apply o New Construction Addition Remodel o Repair Demolition )1( Re -roof House garage other Nartear off re -roof lay over one layer o Heat System Heat pump o wood burning stove gas fireplace pellet stove other o Other TOTAL. VALUATION 4 3 I rjq(' otal footprint of structures sq ft. Lot size sq ft. Lot coverage ite 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 lax. height of proposed structures ft. Occupancy group of bedrooms /ill a lawn sprinkler system be installed? Occupant load of full baths /ill a fire sprinkler system be installed? Construction type of half baths lave read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand at it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. f�l I CUSTOMER'S ORDER NO. DEPARTMENT DATE NAME ADDRESS 9a 6 w 4 +h CITY STATE, ZIP SOLD-8Y CASH` r C.O.D. 'CHARGE ON•ACCT MDSE'RETD PAID PUT 2 3 4 5 6 8 9 10 11 112 13 14 15 16 17 18 19 201 5805 C. t idc� C '1 YN. 1 1 CAa►,�\ ,ate LL.v -Lct vww.rc1 it V j' R X G A Ir.c_V ,-a cek 171704 it, adanw KEEP THIS SLIP FOR REFERENCE . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. s-ss,:? C, ~o /Yt DATE Site Address: 7 ~r:, /{/, </It ~, 'R(G{~J f-k\LP.IJL~{~ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ tf FURNACE KW ~ 121. HEAT PUMP KW ~ o FAN/WALL KW _ 12'1 RESIDENTIAL o COMMERCIAL ~ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE J:'1: RISER o OVERHEAD SERVICE ill UNDERGRhND SERVICE VOLTAGE!ZO Z(O JZi 1l1\ 0 3 ~ SERVICE SIZE a90 FEEDER SIZE AMPS AMPS Details/Description: fJ ew-' ~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. ~ Rough-in/cover O.K. g O.K. to connect service o Final O.K. Site Address: c;,;:UJ Cu. if SU<A-~ New Meters i . Installer: <'/~ ~ (,4-t.r.A.t.,U . 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. g. ~ NO OCCUPANCY aA USE ESTABLISHED UNDEA THiS PEAMiT $ IT' SO , \ Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Mete' Dept., Bottom: City Hal~ OLYMPICPAINTERSINC