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HomeMy WebLinkAbout1500 W Ediz Hook Rd - Building CITY OF PORT ANGELES U •'ma. PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001218 Date 11/02/11 Application pin number 497400 Property Address 1500 EDIZ HOOK RD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 31- 00 -0 -0 -0000 -0000- on your state excise tax form Tenant nbr, name CONST Application type description PUBLIC WORKS UTIILITES to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning Application valuation 0 Application desc Beach nourishment RUP #11 -27 Owner Contractor CITY OF PORT ANGELES BRUCH BRUCH CONSTRUCTION INC PO BOX 1150 1706 W. HWY 101 PORT ANGELES WA 983620217 PORT ANGELES WA 98363 (360) 452 -5388 Permit RIGHT OF WAY Additional desc BEACH NOURISHMENT RUP #11 -27 Permit Fee 75.00 Plan Check Fee .00 Issue Date 11/02/11 Valuation 0 Expiration Date 4/30/12 Qty Unit Charge Per Extension BASE FEE 75.00 Special Notes and Comments No work on weekends or holidays. Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .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. /L Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T: \Policies \1 102.15 [10/08] PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. 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 NO PW UTILITIES (Engineering Division) U.; WATERLINE METER SEWER CONNECTION ts, SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T: \Policies \1102.15 [10 /08] ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 11- 00000136 Date 2/11/11 Application pin number 125064 Property Address 1500 EDIZ HOOK RD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 31- 00 -0 -0 -0000 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning Application valuation 0 Application desc Meter Repair Owner NA hl, Contractor ANGELES ELECTRIC 5 706 PO BOX 1150 524 E. 1ST ST. q 3C° 7`� V PORT ANGELES WA 983620217 PORT ANGELES WA 98362 ZO 0 C I 1 (360) 452 -9264 Permit ELECTRICAL ALTER COMMERCIAL Additional desc 8 Permit pin number 181412 Permit Fee 119.90 Plan Check Fee .00 Issue Date 2/10/11 Valuation 0 Expiration Date 8/09/11 p( Qty Unit Charge Per Extension 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 0 Fee summary Charged Paid Credited Due Permit Fee Total 119.90 119.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 119.90 119.90 .00 .00 8 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: p PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X c. i Date: G: \EXCHANGE \BUILDING FpoRT44, ELECTRICAL INSPECTION U WIRING REPORT G L r W °w Ks 417 -4735 DATE: PERMIT IN CTOR 2 (T9 <o1314%. OWNER CONTRACTOR 474 b ADDRESS 1 4 ;0 0 \71'Z F-' t'fs APPROVED NO DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: C 6 M O17C 1' 1 Si LL )1,11,V 01 1 CA. M.4 9ZDOF r r&1-ri.c 236 -0 2' f �p v i 4t-t v Li? h. 1.I 5 t b L i P `f& rz. o t9i-7? cnt4S7otxa r G WO O u 1"� +f- Pico 2 ra AN.?? 144/46_ gi1' /44j" 7 1 tG19E✓ b �i<Lc.,Dct� N 6 INSPEC�TOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE cnrYoFf .R i a_ :TA__: ";50.., e`L� WASHINGTON, tU. S. A. FAX TRAWSMrTTAL Department of Public Works /Utilities 321 East Fifth Street, Port Angeles, Washington Phone: (360) 4-17 -4735 -FAX: (353) 417 -4711 TO: FROM: I COMPANY: 1194 6 02....v., S LiT�F C T L S /vim �{�j a W A S H I N G T O N U. 5.A Public Works Utilities Department NUMBER OF PAGES INCLUDING COVED: f °r Trent Peppard Senior Electrical /Traffic Signal Technician lib Phone: S50-417-4735 I Email: tpeppard @cityofpa.us WS Website: ww.w.cityofpa.us Fax: 360 417 4711 TM 321 East Fifth Street P.O. Box 1150 Port Angeles, WA 98362 -0217 Oa t' `1`-JD `,`S L1u g 7JAJ 1 0 F owl 02/09/2011 16:17 FAX 360 452 9265 Angeles Electric Lj0001 /0002 RECEVEo' i F� .10 2011 Cityr of PovAngsIea Permit Application 1. t Q' DuIdlnp.DIV1016 l 1S1011b 111101one ELECTRICAL d East ll�l SfA t4PA: INSPECTIONS PorlAiip t PN'1>QO}t1T.f )4174711 Date: 1 N. •13 2 Single Famlly g L' C amlly orCcm neider oirf on l Mlbrat l Remodel l Raper Plen:Reyiea May R eq Please COm Plan Rerlaw nforrnf�hon Sheet Job Addimss 1, l Z .tJ 301101 gSquarefcdege', JeD i /1/!/ �J/ A 'vE�s' Nome:, wrd. ;,Mqt fl f 9 iN. i YP MallkAddre S ae SW Sr City° Stab: ��1� Zip; 3 45 City: 5*r S Statw ilp• f124 Phone:. Phone; z-P.L V Fa�c 44S Ueense #Y -Eq. License Exp. X 4 &f Unit terc8 h Mid9ohed b' unit chamlll `•sf;19:90' 6 J rr" s«wbe1 a4srlCOAmp.. i :6':115.50' SancolFiader201400Nap. *204.10 Berke/Feeder 401400 $25220 6 Savbarlsdar 0011000Mip. :.'5372:50 SonkelEoed or*am1000kap. 8 '210 8 Branch Cra dt1WSWWm Fade i .73.50 8 Broth Omit W10 Senlao Fade ..:210 Each AddlOanl 41iiSi rAa 6., 8230 1 Tarp. Sr,W Fada 200Mip. •.'$•110.:0. 4 Tamp. Woken** 201400 Amp. 4 14510 s Temo.SeMeefFeedr401400MO. t67,10: 8 Tang. SetrioelFeadw8011000 Amp. .$'95.80 PcdalbPdrlelHewty •Y a 510 8 95:90 Mind MOM LIa16rd ENw -Pantroodat Aed9O nd 11006100 1;43.83 6 SIOnd Mo d►thllsd Erilo.1 a 2 Font/ Doling 8 3 Mind Cacti Ledtad-Ene9►_ wdh oaq 6119.90 6 blerwraehusd'Floma Cainedlan I 1,02:80 8 Ronal* SetalEnal9y 510/A Spawn ar Lau 110:30' Fht 1300 Nuys FL .s_3sso or M ac� Gawp i °3 Wi 7-1 '.OgmnerddbredhyRCM:1A2L2I1 (1) Doer WI wax* the Oman krNora+e Or a 1pnrnitl $vDied Q) Omens nqu&pdtoNa leleeklc a r6eator eeenialciiig61 01*Oh/ ofloar !ent* arpfros after slranontluoflnt*pa," i _ARatjwdino the abootahbonord, l herby i.that I am tha only of tha anew named properly ors Uamed eNeblol aorltracbr. I am 1M *ctrl brago o aiwr�di *1111110 :41 Mrs, &LC, Rat Chapter 192/,YYAC. Chlphr29/'11D) lb* C V of PeRM9da OShckpal Code, UMW D Calk r$ 1ppplla dooblealooranabraralaetrkalEkiIstrator DCbNk W f7od DA/ L CERTIFICATE OF OCCUPANCY ,C'ity of Port Angeles ,,; . Building_pivision:' " This Certification issued pursuant to the requirements o./,Section 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction ,or use. For the following: ~y"'r{!;;;~:~'~:lJ ""'r', . ~>,~: , , , Building'P~~itNo,: 05::-]!082)~;~:i _ .. __)l~e Libertv Security Patrol TypeOf~~;i~~~f;1(~gt~~~~~~:;:;::~~~~~C~tUsezone: C:J\ Use Classification: Group: -L Owner of Business: LOnrlieSteele Address: 1500 Ediz Hook Rd. 'Port J\ngeles, W A 98362 Port J\ngeles, W A 98362 January 24, 2006 Date . .:. .:::'!....~.-::. ...., ~-- . "":;\> Post on th'Efpre~ h n cons'picuous place. Shall not be remov'edexcept by Building Official. ..... 4=P .05,.lc;:,-..::: ROUTING SLIP Certificate of Occupancy $50.00 Certificate/Inspection Fee DATE II - () "3 - ,;? 005 Address of Proposed Business ~ LIr;€fL-rV 'SEc.-c.,){UT!I f)Airtol... , ( Applicant 'LCJAl4.lI~ s:"rr~l..r Address 1500 E'd /2 l.fo~/< ;1d POI'l.-r J4I1.JQ" ~~ uJA- q R,3 Y 3' .J Phone: business Y 17 ~I (. t Z home ~2 g- -I (j 11 '2 Brief description of proposed business: legal Description: lot Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? Construction changes . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mechanical (heating, cooling, stoves) ............. Plumbing changes. . . . . . . . . : . . . . . . . . . . . . . . . . . . . New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Admission charged to patrons ................... Is this a home occupation? . . . . . . . . . . . . . . . . . . . . . . Excavation ot tilling ot lots. . . . . . . . . . . . . . . . . . . . . . . Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings ........................ A grading plan tor site drainage . . . . . . . . . . . . . . . . . . (parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . Are the existing streets paved? . . . . . . . . . . . . . . . . . . . Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . Other....................................... . ..s ~ c: UIZ./IV , Block YES NO -~ --X- -~ - ---$.- --)L -~ -~ -~ -~ -~ -~ -$-- -~ -~ - -'JL ----X- _ _ --X- - --X- -~ I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. APPROVED REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. ~ New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . Transfer of Business location . . . . . . . . . . . . . . . Change of Ownership ..................... New Building ............................ Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '. Temporary Business. . . . . . . . . . . . . . . . . . . . . . . Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ,/JA-rJ1...0 L Subdivision THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 1 7) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other ,,~ORT All\< $....o~o~('1'I' ~~!<P L~ c=- ~ "'veLie wo,,'f.~ (X ) ( ) ( ) ( ) ( ) ( ) ( ) Comments / Conditions A-J~) 0 " . ~ n . ~ -H'An + l~ '--Yl ~ - ~ L ~. .a 1- (^ ,; +\'h ~~ ~J\. ~ ~~ Q .~. M0\ 0 - , \ .~ ~ ~^' ~r) ~ +D^--o_l\~ Date: 11- 0'3 - 7'.-00 S /M~ .,. Signed: . . i41~ ~ 03- 1062 ROUTING SLIP ~O~Q~ " . ~ Certificate of Occupancy ~~j. v.... t:::t::::::.D' '=- $50.00 Certificate/Inspection Fee ~ ~8LICWO""f.? DATE //- ~ ~ - ~t:JoS New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . (,><' ) Address of Proposed Business Transfer of Business location ... ... .... ... . . ( ) " ~ 08 L./~EL"'<<! SE e~L(i'll IJ A-T1/..() l. Change of Ownership .. . . . .. . .. ... ... . ... . ( ) ( Applicant . L. t!JAI~/G' s.'TTA.~ New Building .. . . . ... . ........ .... .... . .. ( ) Address 18<'0 Ed /2- ,-It:) 0 J< Ad Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) floJt.r 1/-~A7.~~ i.UA qR~Y3 Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business Y/7-/ t '-2. home '2~-'(J~2 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: .s ~ e Un..IIV {JA-IILLJ L , legal Description: lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes . . . . . . . . . . . . . . . . . . . . . . . . . . -~ PERMITS BUSINESS LICENSE Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --X- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ............ . -~ 2) Plumbing 2) Peddlers Plumbing changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . - --JL 3) Electrical 3) 2nd Hand Dealer New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . - --JL- 4) Mechanical 4) Pawn Broker New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 5) Sewer 5) Dance New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . --X- 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons ................... -~ 7) Driveway installation 7) Fireworks Is this a home occupation? . . . . . . . . . . . . . . . . . . . . . . _--L 8) Curb installation 8) Ambulance Excavation of filling of lots. . . . . . . . . . . . . . . . . . . . . . . -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way . . . . . . . . . . . . . . . . . . . _L- 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . -$-~ 11 ) Fire New driveway openings ....................... . - ..$- 12) Occupancy A grading plan for site drainage . . . . . . . . . . . . . . . . . . _ --X- 13) Sign (parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . --$- 14) Shoreline Are the existing streets paved? . . . . . . . . . . . . . . . . . . . ----X- - 15) Home occupation Are there existing sidewalks? .. . . . . . . . . . . . . . . . . . . - ---'IL 16) Conditional use Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . - --X- 17) Other Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -->L I hereby apply for a Certificate of Occupancy and acknowl- / / - 0 -s - :::.s edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: //~ v ( j;PP/~ REJECTED Comments / Conditions Building Section ') Public Works Department lOO- Planning Department Fire Department ~-2-oS-6U City Clerk P.B.I.A. \ '0.'~. sfi<l~~ D!I "";:;,.. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pln number. Property Address ASSESSOR PARCEL NUMBER. Appllcation type description Subdlvlsion Name Property Use Property Zoning Application valuatlon 05-00001272 Date 12/28/05 805376 1500 EDIZ HOOK RD 06-31-00-0-0-0000-0000- ELECTRICAL ONLY o Owner Contractor LIBERTY SECURITY 1500 EDIZ HOOK RD PORT ANGELES (369) 417-1662 WA 98362 ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452-9264 WA 98362 Permit Additional desc Permit pln number Sub Contractor Permit Fee Issue Date Expiratlon Date ELECTRICAL ALTER COMMERCIAL ANGELES/ STAINLESS METERBASE 67801 ANGELES ELECTRIC 66 90 Plan Check Fee 12/28/05 Valuatlon 6/26/06 00 o "- ~ Qty 1 00 Unit Charge Per 66 9000 ECH EL-COMM ALT- REPAIR METER/MAST 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 ~ ~~ ~ ~~ \"~ t~ " 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 TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.lI02 15(<1196) . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO.' 1/"17CP DATE ~//~~...s-- o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS XSERVICE UPGRADE/REPAIR D TEMPORARY SERVICE Details/Description: . W.S. No. SERVICE SIZE CAPACITY: , D O.K. D NOT O.K. ACnON REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D OVERHEAD SERVICE APPROVED D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. J\r""~O.K. to connect service /v D Final O.K. Site Address: New Meters Installer: . J~ Electrical Inspector 1 ;f 70 Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC 12-23-205 6,50PM FROM ANGELES ELECTRIC INC 360 d52 9265 P.3 f! ~~~;t ELECTRICAL WORKPERMlT APPLICATION Job wired by 'lectrical Contractor 0 Owner a Residential E.tecJiic~l. ~ntr~c~r n~c _. _. _ License number Date Expire!> ~ ~ ~P-YboJ::q, P",'...ec"~f/tl!. Ife.sr ~ City W #66t-Jf- ~ Stat, ZIP ;? f'36Z-- Telt:phorlc number I FAX hUnlber CJ New 0 Altered/Addition ~/&~ fr'emise$ owner's name LIIP'~ Addreu of in.li:pee:ho , J 5"tJO EPIL City flf , ~J!..'7 Mol:: Phone.numbel" to schc~dulp: inspe7tion: t '.' 5 . - Own.er' as cJ~(in('d by ftC'W 19.2R.JM :(1) Owner will UCClIP,}' ih(' Strv.Ctl11't; fn]' two year.I' after Ihi~ electrical pami' is finrAi;;ed. (2) Owner i.~ required UJ "iN: un ~Jec'ri('.1JI contractor if "bUll!' Stljd l'rnperry i.f inr .~a1e. relit IJr le<lst~, After reading the <1bove stalenlel1t, I hereby cenify tn:lt I a.m (he owner of the above named property or a licensed clt:ctric.a\ contractor. 1 <lm making tht: t:lct:trica] in!'ltal- l..lion Or alt~fa\io1'\ in co~pli.ance with tbe eh:ctric31 laws, N.F.,C., RCW. Chapter guS-,- WAC. Chapter 296-468, Thc City of Port Angeles Municipal Codc, and Utility SpecifiCMions. S-il:luHur'e of OWller, e1lectrlc:al contrllctur or electrical adm'ni.strator I o Cash 0 Check # ~ard Visa Mastcrcard Discover Card# ____-_P/.S/_-A~-____ x Date; /2Z3 Expiration Date of card ~nspect{;2e ?lJ Service InformatioQ Vo~age ~ufi.-u> Phase D 3 Service Size; ~ Feeder Size~ _..~..l2.. ~iot!rf'(oad Addi~ions and or o LOAD CHANGES o Baseboard _ KW D Furnace KW CJ Heat Pump Ton o Fan-Wall KW LAR o Overhead Service o Temp Service o Underground SBNice , SAME DAY INS~ECTION. CALL BEFORE 7:00 AM 360-417-4735 , ROUGH-IN THERMOSTAT /" SERVICE "- .oil";' ^ppr<lvell By -~ Appr.:.ve<l By "- Dille Af.1lro....ed Dy /" FEEDER f1NAL DITCH J-&J"O~ ..ItQ lhtt Appr.:lvellDy./ (lAIc Appravecl Dy DAle Appn1ved By IllSpcction , Electrical , Are<J.! Building or Equipment Inspected Action 'I"akcn Date Inspector . . ) - , /1%.) /_ h _I... , -,