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HomeMy WebLinkAbout1521 W 5th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner LARSON SHIRLEY 1521 W. 5TH ST PORT ANGELES COMMI_NT /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000816 997472 1521 W 5TH ST 06 30 00 0 1 2655 0000 RES REMODEL RS7 RESDNTL SINGLE FAMILY 40000 Contractor LAWRENCE ENTERPRISES 26821 137TH PL SE WA 983631810 KENT Date 7/30/07 WA 98042 Permit ELECTRICAL NEW RESIDENTIAL Additional desc JEFF NELSON/ 200A CIRCUITS, Permit pin number 107763 Sub Contractor JEFF NELSON ELECTRIC Permit Fee 75 00 Plan Check Fee 00' Issue Date 7/30/07 Valuation 0 Expiration Date 1/26/08 Qty Unit Charge Per Extension 1 00 75, 000,0' ;ECH 'EL.RM 0 ,200 1'ST FEEDER 75 00 •i Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 79 50 79 50 00 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVED INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVIC$ FINAL INSPECTIONTYPE GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES I NO va,z3zzaP-1 .I I 1 1 1 1 1 I COMMENTS rw -I 16.1514'96) FROM N. "N�Installation description Job wired by ,leetried Contractor O Owner O Commercial 1irRetadentlal Electrical contractor name License number Date Expires JEFF 4/P-V I e P FA/g/ ftWir Purchaser's mailing address _1L<- A/RSNiwM Ad oe/Or State ZIP City /v /til T number Premises owner's name 5i1 /4 e s f Address of inspection i$ City 44'& -s1_C$ Phone slumber to schedule Inspection: Owner as defined by RCW.19.28.261 •(l) Owner will occupy the structure for two years alter this electrical permit is finalized. (2) Owner is required to hire an electrical contractor (f above said property fs for sale rent or lease. After reading the above statement, 1 hereby certify that 1 ton 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 296.463, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical coot ractor or electrical administrator Date: 7/Z347 X El cal Lod Additions and cgiOtractiong -a LOAD CHANGES O Baseboard KW O Furnace KW Hest Pump Ton LAR 0 Fan -Wall KW SAME DAY INSPECTION. CALL BEFORE ROUGH.IN inspection Date R E6-MALE t.) JUL 2 3 2007 LIGHT DEPT. FAX number gay FAX NO. 6814254 r` .4215vorhead Samice 0 Tamp Service 0 Underground Service 7:00 AM 360- 417 -4735 THERMOSTAT Arca, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION O New ,S..41/.422. DA- Ow S77 SS //P, 2px t 7-a) sF �/1+t1EL 1- 4CVMEa'P"' O Cash O Check .Z6edit Clad Visa Mastercard Discover Card w Expiration Date of card Dare Page Jul 23 2007 09 05AM P1 O Altered/Addltlon ..$�75: ov fitadmuniammum Voltapa Z tf0 Phase% 1 0 3 Service Size: Feeder Size: SERVICE Anwevw ey J *FEDER 1 Action Takeo A peeved 6y Electrical Inspector 4aA- k.„0 PREPARED 10/18/07 9 30 17 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/18/07 ADDRESS 1521 W 5TH ST SUBDIV CONTRACTOR LAWRENCE ENTERPRISES PHONE OWNER LARSON SHIRLEY PHONE PARCEL 06 30 00 0 1 2655 0000 APPL NUMBER 07 00000816 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 8/29/07 PB PLUMBING ROUGH IN TIME 09 00 8/29/07 AP 08/28/2007 10 38 AM LPANGRLE STEVE 253 261 5375 ROUGH IN PLUMBING JIM OK D THEIR REQUEST FOR A MORNING INSPECTION SINCE THEY ARE COMING FROM OUT -OF TOWN 08/29/2007 11 59 AM PBARTHOL PL99 01 10/17/07 PB PLUMBING FINAL TIME 01 00 10/17/07 DA October 15 2007 2 23 42 PM 1pangrle STEVE 253 261 5735 PLUMBING FINAL EARLY WED AFTERNOON INSPECTION October 17 2007 4 40 31 PM pbarthol air gap for dishwasher PL99 02 10/18/07 L PLUMBING FINAL TIME 01 00 October 17 2007 3 16 15 PM 1pangrle STEVE 253 261 5735 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 10/17/07 9 27 37 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/17/07 ADDRESS 1521 W 5TH ST SUBDIV CONTRACTOR LAWRENCE ENTERPRISES PHONE OWNER LARSON SHIRLEY PHONE PARCEL 06 30 00 0 1 2655 0000 APPL NUMBER 07 00000816 RES REMODEL PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 8/29/07 PB BLDG AIR SEAL TIME 09 00 8/29/07 AP 08/27/2007 11 26 AM LPANGRLE STEVE 253 261 5375 AIRSEAL REQUESTED A MORNING INSPECTION HE IS COMING FROM KENT WA 08/29/2007 11 59 AM PBARTHOL BLI 01 8/29/07 PB BLDG INSULATION TIME 09 00 8/29/07 AP 08/27/2007 11 30 AM LPANGRLE STEVE 253 261 5375 INSULATION REQUESTED A MORNING INSPECTION HE IS COMING FROM KENT WA 08/29/2007 11 59 AM PBARTHOL BL99 01 10/17/07 JLL BLDG FINAL TIME 01 00 October 15 2007 2 21 58 PM 1pangrle STEVE 253 261 5735 BLDG FINAL EARLY WED AFTERNOON INSPECTION PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MEF 01 8/29/07 PB MECHANICAL FURNACE TIME 09 00 8/29/07 AP 08/28/2007 10 36 AM LPANGRLE STEVE 253 261 5375 HEAT PUMP JIM OK D THEIR REQUEST FOR A MORNING INSPECTION SINCE THEY ARE COMING FROM OUT -OF TOWN 08/29/2007 11 59 AM PBARTHOL ME99 01 ;0/1 /07 JL L MECHANICAL FINAL TIME O1 00 /y October 15 2007 2 23 08 PM 1pangrle STEVE 253 261 5735 MECHANICAL FINAL EARLY WED AFTERNOON INSPECTION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS I PL2 01 8/29/07 PB PLUMBING ROUGH IN TIME 09 00 8/29/07 AP 08/28/2007 10 38 AM LPANGRLE STEVE 253 261 5375 ROUGH IN PLUMBING JIM OK D THEIR REQUEST FOR A MORNING INSPECTION SINCE THEY ARE COMING FROM OUT -OF TOWN 08/29/2007 11 59 AM PBARTHOL PL99 01 10/17 07 J PLUMBING FINAL TIME O1 00 October 15 2007 2 23 42 PM 1pangrle STEVE 253 261 5735 PLUMBING FINAL EARLY WED AFTERNOON INSPECTION I COMMENTS AND NOTES PREPARED 8/29/07 9 07 20 INSPECTION TICKET PAGE 17 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/29/07 ADDRESS 1521 W 5TH ST SUBDIV CONTRACTOR LAWRENCE ENTERPRISES PHONE OWNER LARSON SHIRLEY PHONE PARCEL 06 30 00 0 1 2655 0000 APPL NUMBER 07 00000816 RES REMODEL PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 8/29/07 JLL BLI 01 8/29/07 JLL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLDG AIR SEAL TIME 09 00 08/27/2007 11 26 AM LPANGRLE STEVE 253 261 5375 AIRSEAL REQUESTED A MORNING INSPECTION HE IS COMING FROM KENT WA BLDG INSULATION TIME 09 00 08/27/2007 11 30 AM LPANGRLE STEVE 253 261 5375 INSULATION REQUESTED A MORNING INSPECTION HE IS COMING FROM KENT WA MEF 01 8/29 07 JLL MECHANICAL FURNACE TIME 09 00 08/28/ 2007 10 36 AM LPANGRLE STEVE S 253 261 5375 HEAT PUMP JIM OK D THEIR REQUEST FOR A MORNING INSPECTION SINCE THEY ARE COMING FROM OUT -OF TOWN PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 8/29/07 JLL PLUMBING ROUGH IN TIME 09 00 08/28/2007 10 38 AM LPANGRLE STEVE 253 261 5375 ROUGH IN PLUMBING JIM OK D THEIR REQUEST FOR A MORNING INSPECTION SINCE THEY ARE COMING FROM OUT -OF TOWN COMMENTS AND NOTES doe Ponr,�,y�c Sw F I v_ 't 'el/C V0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation LARSON SHIRLEY 1521 W 5TH ST PORT ANGELES Signature of Contractor or Authorized 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 07 00000816 997472 1521 W 5TH ST 06 30 00 0 1 2655 0000 RES REMODEL RS7 RESDNTL SINGLE FAMILY 40000 Owner Contractor LAWRENCE ENTERPRISES 26821 137TH PL SE WA 983631810 KENT Date 8/28/07 WA 98042 Permit MECHANICAL PERMIT Additional desc HEATPUMP Permit pin number 109686 Permit Fee 64 70 Plan Check Fee 00 Issue Date 8/28/07 Valuation 0 Expiration Date 2/24/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 Permit PLUMBING PERMIT Additional desc TWO PLUMBING DRAIN VENTS Permit pin number 109694 Permit Fee 64 00 Plan Check Fee 00 Issue Date 8/28/07 Valuation 0 Expiration Date 2/24/08 Qty Unit Charge Per Extension BASE FEE 50 00 2 00 7 0000 ECH PL- EA REPAIR/ DRAIN VENT 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 128 70 128 70 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 133 20 133 20 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 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 constructlo At 7 Dad Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTION S CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COWER, IA'SULATE OR CONCEAL ANY WORK BEFORE Q INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS W ALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN (HEAT PUMP )FURN /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T' \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] YES R 19 r I I I I g l o L_L I ACCEPTED COMMENTS NO FINAL l 0 `1r O r DATE SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL I ff FINAL 10 1 R "O �L t- ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY ACCEPTED BY. 0 C' Lz 7 ACCEPTED YES I NO 1 I- •-s F CITY OF PORT ANGELES La DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION L..1/ 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000816 Date 7/11/07 Application pin number 997472 Property Address 1521 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2655 0000 Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 40000 Owner Contractor LARSON SHIRLEY 1521 W 5TH ST PORT ANGELES T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] LAWRENCE ENTERPRISES 26821 137TH PL SE WA 983631810 KENT WA 98042 Permit BUILDING PERMIT NO PR FEE Additional desc NEW INSUL /DRYWALL /HEATPUMP Permit pin number 106799 Permit Fee 569 25 Plan Check Fee 00 Issue Date 7/11/07 Valuation 40000 Expiration Date 1/07/08 Qty Unit Charge Per Extension BASE FEE 417 75 15 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 151 50 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 569 25 569 25 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 573 75 573 75 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 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 constructio �I 4/1-7' s ignature of Contralor or Authorized Agent ate 7 7 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. FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD INSPECTION TYPE DATE ACCEPTED YES I NO k0,°1107 I I' (3 17,5 1. 16.1 emu. I PLANNING DEPT 417 -4750 I I BUILDING 417-4815 11 0 11 o I` r '\I T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 4735 ELECTRICAL LIGHT DEPT COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES I NO 0 co N u) CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW ENGINEERING 3 FIRE 417 -4653 I I I I FIRE DEPT I I I p I PLANNING DEPT I I I BUILDING 1 I I I Applicant or Agent: 57 J 1 R.,o Cr Owner Address. Architect/Eng veer• Contractor Address: 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 PROJECT ADDRESS i 7 LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. Block. TYPE OF WORK. esidential New Constr Re -roof Stove Multi family Addition Move Garage Commercial emodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT "7 COMMERCIAL/RESIDENTIAL. Occupancy Group. No of Stones: Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY T Applicant: BUILDING PERMIT APPLICATION City Phone: State License LA &f ()O/ xp City ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other FOR OFFICIAL USE ONLY Date Rec. 7- I I c- Permit 07 1 Date Approved:.' 11 C. Date Issued. 1 I k ^C� Phone: 2 5 3 -26/ S' 7, Phone. J O yc ?2/ Zip Subdivision. Phon .�S r- 6 ('_S 5- Zip ZONING Ca,ll4 it win SIZE/VALUATION P Io r''b'''�9 ?1 1i r 1 Arai P. Ve.4117c 4 SF /SF SF /SF e Po TOTAL VALUATION -4/0 400, ��c 4 4 L Q/ 1- l� c4 t ti t u Lr r r (CO2 Q C 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 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 Buildmg/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: . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 0 oz..D DATE S--j/'l / y.3 . Site Address: /0'';;? J .s-/4 o READY FOR o WILL CALL FOR W. INSPECTION INSPECTION Installed By: /T?..s ~/~(":..- I license Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ~ RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FANfWALL KW o HEAT PUMP KW o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADDfALTER CIRCUITS Ji'f SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ~ OVERHEAD SERVICE o UNDERGROUN~SEAVICE VOLTAGE: ~.;:>& .;:z.~ L-J ,8J SINGLE HASE o THREE PHASE SERVICE SIZE dOt? AMPS DetailsfDescription: r::/&O /9-Jvl/) /Dffi,1c / I f/ /19 ~W #1' ~,6' 7r 0 ): W ~ /J-<..<-rJ (;( . IA.J.<; h-// ~N>k/l ..-L;tI s 4// 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. o Rough-infcover O.K. 11J4flTflJ. O.K. to connect service o Final O.K. Site Address: 'S"'.;2! tv. ~ Et CC/e.; c- Permit/Receipt No. L//zO 5 Installer: New Meters . 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 ~u~ermit. PHONE 457-0411, EXT. 224. ~. -- /~ NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT $ Ij6 ~D Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. /J