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HomeMy WebLinkAbout1220 Caroline St - BuildingElectrical Permit 1220 Caroline St 12-1627 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001627 Date 12/14/12 Application pin number . . . 205293 I RESULTS: INSPECTOR: Property Address . . . . . . 1220 CAROLINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -3 -1020 -0000 - Application type description ELECTRICAL ONLY OAF Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Furnace, Heat Pump ---------------------------------------------------------------------------- Owner Contractor SCHOENFELDT,TTEKAREN JO BLACK DIAMOND ELECTRICAL CONTR 1220 CAROLINE ST 502 BLACK DIAMOND RD PORT ANGELES WA 983624206 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 68.00 Plan Check Fee .00 Issue Date . . . . 12/14/12 valuation . . . . 0 Expiration Date . . 6/12/13 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) nw 171n rz -- INSPECTION TYPE DATE: I RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN OAF FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING N O N 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 oral ation in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Munici al e, d tility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature w r, el cal contractor or electrical administrator: ❑ Cash Kch eck ❑ Credit Card ## X /� I Dated: ` Z `(3 "(� 01/0112012 L'r�/( � .0 l``1yo� ';' 4 4 �p gn�r CITY OF PORT ANGELES PERMIT APPLICATION� Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 �— Ph: (360) 417-4735 Fax: (360) 417-4711 EL2C-1i1lul;� Z" Date; l Z 3 - _ 1 & 2 Single Family Dwelling INSPECTIONS * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1220 CA ofr.�C Sr— Building Square Footage: Description of above AA -.-IAC. &4. D Owner Information Contractor Information Name: Lw xo� Se -W. � n� I;= e-wr- _ Name: `& D fc Mailing AdAss: Mailing Address: -S'bz &Ac..fe DI AN'%ft,0 City: State: Zip: City: State: Zip: Phone: Fax: Phone:.p Fax: License # / Exp. License # I Exp. LAC04 PA jn� Item Unit Charae Qtv Total (Qtv Multiplied by Unit Charqe) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 l $ 6 3 Each Additional Branch Circuit $ 5.00 1 $ s Branch Circuits 1-4 $ 75.00 $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ i (v �— Q $ Total Owner as defined by RCW.19.28.261: (1) 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. 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 oral ation in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Munici al e, d tility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature w r, el cal contractor or electrical administrator: ❑ Cash Kch eck ❑ Credit Card ## X /� I Dated: ` Z `(3 "(� 01/0112012 L'r�/( � .0 Electrical Permit 1220 Caroline St 12-1567 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001567 Date 12/04/12 Application pin number . . . 175645 Property Address . . . . . . 1220 CAROLINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -3 -1020 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T -stat 2 ton heat pump ---------------------------------------------------------------------------- Owner Contractor SCHOENFELDT,TTEKAREN JO ALL WEATHER HTG & COOLING INC 1220 CAROLINE ST 302 KEMP ST PORT ANGELES WA 983624206 PORT ANGELES WA 9-8y3-672 -------------------------------------------(360) 452-9813 C I e _16 -_1----- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 56.00 Plan Check Fee .00 Issue Date . . . . 12/04/12 Valuation 0 Expiration Date . . 6/02/13 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT ---------------------------------------------------------------------------- 56.00 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 I 49 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) IINSPECTION TYPE I DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING po; r f� s `I 11/30/2012 12:20 13604525177 ALL WEATHER HEATING CITY OF PORT ,ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street - P.O. Boat 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 pate: 11/30/12 x 1 & 2 Single Family Dwelling PAGE 04/05 "Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1220 Caroline Street _._ ....... Building Square Footage: 908 _ Description of above - -- Install heat pump and sir handler — Owner Information Contractor Information Name: Karen Schoontbldt Name: All weather Heating & cooling Maliing Address: i 72n r w o— qr-, Mailing Address: V2_Kemp_sur-t City:Port n„gges State: ..—Zip: 95362 City: Port AngeloR Stale:WA Zip: 98362 Phone; 45i-zt10 Fax: Phone:452-9813 Fax: 452-5177 License # I Exp. License # l Exp. ALLWEJC 150rcu 9/113 M ServlcelFeeder 200 Amp. Service/Feeder 201-400 Amp, Service/Feeder 401-600 Amp Service/Feeder 601.1000 Amp. Service/Feeder over 1000 Amp, Branch Circuit WI Servloe Feeder Branch Circuit WIO Service Feeder Each Additional Branch Circuit Branch Circuits 1.4 Temp, Service/ Feeder 200 Amp. Temp. Service/Feeder 201400 Amp. Temp. ServicelFeeder 401.600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal Circuit/ Limited Energy -1 & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5.00 for each additional T�Stat NEW CONSTRIICTION ONLY: Flrst 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge fit Tota( (Qty Multiplied by Unit Charnel $120.00 $ $146.00 $ $ 205.00 $ $ 262.00 $ $ 373.00 $ $ 5.00 $ $ 63.00 $ $ 5.00 $ $ 75,00 $ $ 93.00 $ $110.00 $ $149,00 $ $168.00 $ $ 96.00 $ $ 64.00 w $ $120.00 $ $102.00 $ $ 56.00 I $ 56.00_ $120.00 $ $ 40.00 $ $ 74.00 $ $110.00 $ $ 56_oo Total Owner as defined by RCW.19.28.261: (1) 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. 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 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatureof wner, electrical contractor or electrical administrator: ❑ cash O cheek ❑ creast caro p Dated: 11130/12 o1ro1@o12 u OF pORi.y_CITY OF PORT ANGELES /�'" DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 'rte 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 03-00001160 Date 12/10/03 Property Address . . . . . . 1220 CAROLINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -3 -1020 -0000 - Application description . . . ELECTRICAL ONLY Subdivision Name . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SCHOENFELDT,TTEKAREN JO OLYMPIC ELECTRIC 1220 CAROLINE ST 4230 TUMWATER PORT ANGELES WA 983624206 PORT ANGELES WA 98363 (360) 457-5303 ---------------------------------------------------------------------------- Permit . . . . ELECTRICAL NEW RESIDENTIAL Additional desc MOVE O/H SERVICE TO GARAGE Sub Contractor OLYMPIC ELECTRIC Permit Fee . . . . 76.30 Plan Check Fee .00 \ Issue Date . . . . 12/10/03 Valuation . . . . 0 ` Expiration Date . . 6/08/04 (}� Qty Unit Charge Per Extension 1.00 76.3000 ECH EL -RM -0-200 1ST SRV FEEDER 76.30 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 76.30 76.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 76.30 76.30 .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 construction. Signature of Contractor or Authorized Agent T \PLANNING\FORMS\1102.15 [11/14/20031 Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE I ACCEPTED COMMENTS I` YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH -IN I I I PLUMBING UNDER FLOOR / SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE I BACK FLOW / WATER IAIR SEAL WALLS I I I I` CEILING FRAMING JOISTS/ GIRDERS SHEAR WALLMOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION WALL / FLOOR / CEILING I I IMECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY I HOOD/ DUCTS i PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA: PARKING/LIGH SCA ING TING LAN ! I I SHORELINE FINIAL INSPECTIONS REQUIRED PR]OR TO OCCUPANCY/USE RESIDENTIAL DATE YES I NO COMMERCIAL DATE ELECTRICAL - LIGHT DEPT CONSTRUCTION R W. / PW/ ENGINEERING IFIRE PLANNING DEPT. BUILDING T.\PLANNING\FORMS\1102 15 [11/14/2003] 417-4735 3 417-4807 417-4653 417-4750 417-4815 ELECTRICAL Ac LIGHT DEPT CONSTRUCTION - R.W. PW / ENGINEERING FIRE DEPT. PLANNING DEPT BUILDING ACCEPTED YES NO d rwr " CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST" 5TH STREET, PORT ANGELES. WA 98362 Application Number . . . . . 05-00000116 Date 2/22/05 Pin number . . . . . . .758500 Property Address . . . . . . 1220 CAROLINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -3 -1020 -0000 - Application description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use. . . . . Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SCHOENFELDT,TTEKAREN JO OLYMPIC ELECTRIC r 1220 CAROLINE ST 4230 TUMWATER PORT ANGELES WA 983624206 PORT ANGELES WA 98363 (360) 457-5303 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc OLYMPIC/ HOT TM Sub Contractor OLYMPIC ELECTRIC Permit Fee . . . . 48.10 Plan Check Fee .00 Issue Date . . . . 2/22/05 Valuation 0 Expiration Date . . 8/21/05 Qty Unit Charge Per Extension 1.00 48.1000 ECH EL -R OR RM 1-4 ALT CIRCUITS 48.10 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS- PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE- ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFOREIT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPIC DATE ACCZFM CoNau NTS I yES I No DFrCH KUUUH-IN / COVER SERVICE FINAL GENERAL COMMENTS: PW -1102.1514" s CITY Or PORT ANGELES LIGaT DEPARTNOW ELECTRICAL PERMIT M 17171 . . Port Angeles, Washington ------- _.......... .-- ------- •....... -.•---_•_.._..., 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 electri� work as listed below. Address ..... ..I��. s - - _ .------ Occupancy.------ ------ -•----. --.... - Owner....--- ... �. r_. - •------------- enall--•-----------...._---•------•..-_------------------------ Wiring Contractor,Vy.. - -------- Light Outlets..._ .......................... .._..... Receptacle Outlets-.... ......... ......... ...... Dryer, KW.....--.. Runge, KW........ Water Heater: KW............ ------- y--- Neat: KW.....L..�_ Motors: size, volts and phase: Total_ Remarks: _. Service, volts/ No. wires ...............................:^... Size wire Main fuse Enclosure ... Type of wiring: Entrance Cable Rigid Conduit ..------- - .................. .. Metallic Tubing --- _------ ....... .-._..... Current transformers: No. & Sim ----------------.................... . Ser. No...... _ ....... .._.... ......... __........ Ser- No_-_____ ... ...... . . __ ...... ... - Ser. No ..... ............ ....... ..................... . ell, Type of Wiring: Armored Cable ......- ...................... Non -Metallic .......... _._........ ___ Knob & Tube... ........ _ ------- -._._..-- Rigid Conduit ............................... Metallic Tubing ... .. ......... ........._.. Raceway ...-_.... Circuits, Light ------ __.................. .......... Utility... .......... ......... ........ ............. Heat---- ......._---- ___ _.._.__.m..... Range .............. _............... ............ . Water Heater ............................... Motor_._. ... .__.... .... ........... ._...... Dryer.................. ......... .............. .------ - Furnace.... ....... __........ ................... Permit Fee Tress. Receipt )// , /% t W I NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If 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 ELECTRICAL PERMIT Address N° 17171 ..................... __....... Owner............... .------- _.......... ....... ........ -....... _.._...------- __.......... ................... ....... ........ Tenant ...... ........... _....... ........... .......... ......_............ -.4 firingContractor_.....:......._--..............------._.............._........_........_......---......_...._-.........---..... By ................... .......... ................... ....._...... r NOTICE—Current must not be turned on until Certificate of Inspection has been issued. it work is to be can- eealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Prinierak Inc. `i 02/21/2005 15:19 3604523498 OLYMPIC ELECTRIC PAGE 01 ELECTRTCAL WORK PERMITAPPLICATION ' p ❑RequestTnspection @'�leetrieai Contractor ❑Owner Z q.r^"` _�/ �- Annual Permit O Alarm Cl Carnival 0 Commercial OYResidential 0 Residential Maint. 0 Signs 0 Thermostat O Telecom. I s/Installation description >Job rPired by Electrical Contractor ❑Owner P„Iectrical contractor name License number Purol ase mailing address Cites State ZIP Telephone numbei FAX number Premises owner's name Address of Inspection 17 Casb 0 Cbeck # I hereby certify that I am the owner of the above named property or a liconsed electrical contractor (or the firm's authorised agent) and am making the electrical Crcdi[ Card Visa Mastercard Discover installation or alteration in compliance with the electrical law, Chapter t9.26 RCW. Card # 00 Signature of owner, electrical contractor or electrical administrator \ Expiration Dateon - X %J7p,. �� �1 ,. /,of Dara �$ apy K jp . %// // WALLS C TIMING Insulation Only Insulation Only CTriERMOSTAT SF,R"CF, Dnoe APPrvrcd err J Dne A,1 1 ay J on,n amrorrn ay Dn,c nPnroKd \ /� \ Cover Cover Dy DTTCMJi I` J i Dnin nwrv•cd BY nn,e nPM^ved ay `– � Onoe __ - Arvmved Dy Dam Apmnrad DY l� Electrical Load Additions and or s-ubt[21et14D€ Service Information 0 NO LOAD CHANGES gAl 0 Baseboard _ KW 0 Furnace —KW 0 Overhead Service 0 Heat Pump _ Ton _ LAR 0 Temp Service Cl Fan -Wall _KW O Underground Service Inspection Date -/Z"9Igo /n 0k— — /% /' 1.4-L Area. Building or Equ+pmcntl!Inspp/ect__ed Voltage Z va Phase M 0 3 Service Size: -1 Feeder Size: Action Taken I Electrical inspect t 12/0412003 11:55 FAX 3604523493 OLYMPIC ELECTRIC Q)01 ELECTRICAL PERMIT APPLICATION �.,cva usEo cv C� The E leGbtotl Pemc,tAPPliMtban must be filled Out mmdehh. Pigs** type a rspAnt In kdi. if you hew any avestkme. pies" call (16) 4,7.1713 /'t /�"• �� a Fax cumber. (3011) 417d711 o.wturElseConrtacumAgent Olympic Electric Co. , Inc. Phone: 457-5303 Fax 452-3498 Prapanyoww� (C'areti-1 ShoeyrFelc(�- Phone: 41-5-7-31S_7 Address: /¢eles _ zlw. gp3to 2 - Olympic Olympic Electric Co., Inc, Lkeneed: ELY4`EE2B5D1E.p: 3/31/03 Prime: 457-5303 Addraa 4230 Tumwater rJM Port Anqeles aP: 98363 INSTALLATION WIRED BY: ❑ OWNER it ELECTRICAL CONTRACTOR Credit Card Holder Mime: Charles I. Burkharct, Olympic Electric Co., Inc. 61111ing Address: Same City: Credit Card Numbrr: 2209 Exp. Data: ZJp: VISA: x AfC:_ PRojecTaoDRF.ss: 2 20 C .ovIl-n e. TYPE OF WORK: Check QH that appy: ❑ NOW �AlterOUWAddltion 7,ReSldentiai O Mutt-famfty ❑ Commoicial ❑ Mobile Horne sq. Ft A O Remota Meter O Detached garage ❑ Hot Tub ❑ Swim Pool ❑ Septic Pump ❑ Low Voltage O Teieoom. o Slg cNumber of Circuits aWad or altered: C DESCRIPTION OF THE ELECTRICAL PROJECT: %n-sr<a ntsw 0lk gieterbase on qa-*4e, , -twO V Mass , Mefcr pass on exisfi" mf -{ . /k/v_ Electrical load A MMons and or aghtracdonr � $�tYl� Infortrlation ❑Baseboam o Fumam _KW �- KW `640varhaad Service VWhige: 1 1245 Phase: IR 0 3 O HOW Pump TON— LAR O Tamp Service Setvioe ha: 2 0 A ❑ Fan -Wali _ KW ❑ Undetgrcurd Service Feeder Size: PAMC 14.05.Wo(B): Far tndusolei. can mercW, 6 "m1danaal p octs larger than a duplex, a one - Un s drawing of the Eleci rical Service 8 Feeders. bualdhg stze (sq. ft.). 10517 eaicuWans. and Me ly Pe b of mnducirm andtor raceway Is required and shag seam parry the Elegcd®a Permit eppilcatiar, 1 hereby certify that I have read and examined this application and know that same to be true and Corred, and t or authorized to apply for this permit J understand it is not the City's legal responsibility to determine what permits are required, it remains the applicants resp/o^nnsibifit to determine determine what permits er mitsr�am required and to obtain such. 14016 3 t� �r ,.C�—/�� qA5 �\ / cndlt Card Holders agrcabe.: /l Harv: / z �I ° 3 Owner WElec. Cemt Monsters: [ �} I �/%, ""1r Date: /Z-/ 4 D 3 PW-9ptaRJ0.9 L1 �r PERMIT FvEE.$ 7(o. 30 GUork SCltedola -Pvr� 12110103 Xe1CV 19'►se, �,t Ur>!! hPPai �r`�Lf fa reconrlecf 174 nese