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Home My WebLink About111 N Ennis St - Building CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98M~2 ELECTRICAL PERMIT ISSUED: 7/10/2001 PERMIT NO 7324 OWNER/APPLICANT PROPERTY LOCATION brad hoover 111 ENNIS N 111 N. ENNIS Lot: 6 (TW CARTER) Port Angeles, WA 98362 Block: 132 [] Long Legal 800/683-1173 Subdivision: TPA SHP 95 12 05 T: S: Parcel No: 063000560118000 CONTRACTOR ARCHITECT STRAITS ELECTRIC N/A P.O. BOX 2914 PORT ANGELES, WA 98362 , 98360-0000 360/452-9104 360/000-0000 PROJECT INFO Project Type: COML.REMODEL Project Value: $0.00 Occupancy Type: Construction Type: SERVICE CHANGE Occupancy Group: Zoning Use: cad Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 0 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES 2 separate services, 1 4 pack and 1 3pack including feeders and circui FEES ASSESSMENT Service: $347.60 Additional Feeders: $173.40 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $521.00 AMOUNT PAID: $0.00 BALANCE DUE $521.00 )M,~It .!~'I S, A('~I'I_ON NEE~DEt) ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 94 HOUR NOTICE. ITIS UNLAWFUL TO COVE, R, ,NSULA rE OR CONCE, I£ ANY WORK BEFORE IT !$ INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH SERVICE h~..~ .p/3/o/' .~7/~o/,~ ! ~.~ FINAL I /clJ/~ 1~4-~ I GENERAL COMMENTS: CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/03/2001 PERMIT NO: 12839 OWNER/APPLICANT PROPERTY LOCATION BJI,INC. 111 ENNISN 606E PARKAVE Lot: 6 (TW CARTER) PORT TOWNSEND, WA98362~, Block: 132 [] Long Legal 360/379-1735 .~/~IE-~ Subdivision: TPA SHP 95 12 05 T: INNOVATION BY DESIGN S: 'lll~ Parcel No: 063000560118000 CONTRACTOR ARCHITECT ALTERNATIVE TECHNOLOGIES N/A 1415 S. OAK PORT ANGELES, WA 00009-8362 , 98360-0000 360/404-7000 360/000-0000 PROJECT INFO Project Value: $3,500.00 SFD Units: 0 Commercial: 0 Project Type: COMM/REMOD SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: cad PROJECT NOTES ADD 10'X48' MEZZANINE IN EXISTING OFFICE FEES ASSESSMENT Building Permit: $97.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $101.75 Plumbing: $0.00 AMOUNT PAID: $101.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits ara raquired for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 heraby certif,/that I have raad 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 authodty to violate or cancel the previsions of any state or local law regulating construction or the performance of construction. 6-"5 ~ o f Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date \'\~ FOR OFFICIAL USE ONLY: BUILDING APPLICATION Da~ P.~.: PERMI.~ ~ B~iMi.~ P~mit - Pre~piic=tio~ ~ ~ out COniStOn. D~ I~d: ~ Plense ~pe or print In ink If you ha~ a~ qu~tions, pl=e tau 417-4815 Applic~t =~o~ A;ent: ~ ~'~ ;~ ~ ~ ~ ~ ~ ~ Phone: ~c~ng~cer: ~v~o~ O~ ~/~ Phone:~-41~- Con~ctor ~-~ ~ Lic~ ~: E~: Phonc:%~-~ Ad.ss: Ci~: Po ~ ~E~ Zip:q~ q PRO~CT~D~SS: ttk ~, ~/~ ~. ~ ~ ZON~G: LEGAL DE~ON: L~ Block:~ Sub~ion: ~ ~ P~CEL ~:vbLo~ ~ ~ oi ~ C~it Ca~ Holder Name: ~g Addr~: i Ci~:. Credit Card ~: -~ Exp. Date: ~A ~ OF WO~: S~UA~ON: ~ ~id~ o N~ Co~. ~ Re-mol a W~tove SF. ~ $ /SF. ~ Mulfi-~ily a A~fion = Move ~ G~ge SF. ~ $ /SF. = $. ~ C~i~ ~ ~cl ~ DemoUfion ~ Deck SF. ~ $ /SF. = $. ~ Repa~ D Si~ ~~. TOT~ V~UA~ON $ COMMERCIAL/RESIDENTIAL: Occupancy Group: ~'~ Occupant Load: No. of Stories: ~ Lot Size: % Lot Coverage: Existing Lot Coverage: /sq. fl. + Proposed Lot Coverage: - ~ /sq. fl. = TOTAL LOT COVERAGE: /sq.ft PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG.. DPW ESA/Wetiand(s): ~ Yes [] No SEPA Checklist required? [] Yes [] No Other: OI'I'IER. BUILDING APPLICATION SUBIVIITI'AL: Your a~pltcatlon andsiteplan must hefilled out compIetely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requh'emants. BUILDING PERIVIIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction plans ar~ to be submitted to the Building Division. 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 Div. to comply with current fee scbedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and conslruction plans ere'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, this applieafion will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on writlen request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereb~ certi~ that I have read and examined this application and lmow the same to be true and correct, and 1 am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. PW-1102_13[rcvS./01] Applicant: "-'~,-/~ ~_~..~..,__ Date: "..c; . . ~ PERMIT NO. ~...../ 7 <. '7 //? ;f-[ . , CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 DATE ELECTRICAL PERMIT Si Addre~s: Sq. Ft. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: In. tailed By: 0\ ner/Business: Phone: o ner/Business Address: EL CTRIC HEAT o IBASEBOARD KW _ o 'IFURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW o RESIDENTIAL ~ COMMERCIAL tJ NEW CONSTRUCTION ~ REMODEL ~ ADD/ALTER CIRCUITS o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: - D1r/J D3r/J 0 SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS 0 TEMPORARY SERVICE FEEDER SIZE AMPS De ilslDescription: /l)v / tOA2 pJ., 1(J!,(.t.1- , ~ V~) w.~ ' No. SERVICE SIZE DATE ENGR. CA ACITY: o O.K. o NOT O.K. o OVERHEAD SERVICE APPROVED AC ION REQUIRED: o CHANGE TRANSFORMER o CHANGE SERVICE WIRE o INSTALL SERVICE POLE o OTHER 0 itch Inspection O.K. ~rOUgh-in/cover O.K. o CD.K. to connect service I ~f1i,'inal O.K. Sit~ Address: . "7---- lit.. , Permit/Receipt No. SI7L . New Meters Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered bef9re inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Per' HONE 457-0411, EXT. 224. .4 I NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ 15' 3 () e:lectricallnspeClor Permit Fee WHll:r- File by address OLYMFT PRINTERS INC. PINK - Top: Eng, Bottom, Customer GREEN - Top; Meter Dept., Bottom: City Hall I.... . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. ~/.y,/ 7/Z 7/1.r . DATE Si e Address: /II 0/ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: In tailed By: 0\ ner/Business: l<.. . C~-+1f1 ar~ Phone: o ner/Business Address: Sq. Ft. ELECTRIC HEAT o IBASEBOARD KW _ o FURNACE KW o IHEAT PUMP KW- o FAN/WALL KW o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL "lil' ADD/ALTER CIRCUITS b SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER "" OVERHEAD SERVICE tJ UNDERGROUNfj. SERVICE VOLTAGE: /2(?/;l~ ~1115 D3115' SERVICE SIZE ~ AMPS FEEDER SIZE AMPS . De ailslDescription: 1 1 I -I -I I W.S. No. I CAfACITY: I 0 O.K. 0 NOT O.K. A . ION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE I}-)J 9 ~ L~: . / d ~~ ~M. .Jo SERVICE SIZE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o iitch Inspection O.K. Dough-in/cover O.K. .0 .K. to connect service 10'\ ~ inal O.K. Site Address: , permit?"l8~ New Meters /f,$- . Not Port Angel s City ight by Street Address and Permit Number when ready tor inspection. Work must not be covered bet re inspection and O.K. tor covering has been given by the electrical inspector in writing on either the Wiring Report or n the Building Permi!. PHONE 457-0411, EXT. 224. <- ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 1/ ?...... gu f'~ Electrical Inspector Permit Fee WHI [- File by address OLYMPr PRINTERS INC PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall CITY OF PORT ANGELES tIGHT DEPARTMENT ELECTRICAL PERMIT N~ 18366 Port Angeles. washlngton...::".:2=::-:::.._...Ln~.=......m....mm., 19.f?L 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;t/!:.n../l.L.n!l!.mn;;:.!JLNLr;;:AfJ:!'::..,.~occUpanCy..~q::::~nn=n.~~ Owner Ud1.~'-"7J1:tJ:::'td.~L'i!.!I.::.f.!. ~Ten,nLVn~n'~'_.c;,.m::'..nnmmn......nmmn Wiring Contractor .....L'€7d'F..~...gt&4f.;r.:;. B1'~gC.(:::;".~~~:~....n---.......--... L~ght Outlets..............................._......... Service, volts m'mm__m.......__............... Type of Wiring: R~ceptacle Outletsm__.....................__... No. wIres .__.................................... Armored Cable .................m......... Dryer, KW __unnh...n........................... SIze wires..........................__.........__ Rt..nge, KW hn...h__.......... Main fuse m.m.mm__mm__......m...... Water Heater: Enclosure ..............................._....... KW............................................. Type of wiring: Entrance Cable ......._.....m............. Haat: KW.......................m.m__.m.._____ Motors: size. volts and phase: Rigid Conduit ................ Meta1l1c Tubing ___.m__ Current transformers: No. & Size.............mm......... Ser. No.__...................__.__....__.............. Sel'. No.......__".................................... Sel'. No.....__...................................._... Non-MetallIc ............m.................. Knob & Tube............__...___.....___...... IUgld COOlduit ............................... MetalIlc Tubing h...........m___.____. Raceway ........u....................._......_ Circuits, Light....................................... Utility............................................. lIeat ......................................._...... Range ............................__........__..... Water Heater ...............m..______..... Motor ...._............_........................... Dryer.............................................._.. Furnace .........................._......_.._. ....., /ku) Total Load____...____.................. Sel'. No.................._........__............... Total ...................1.................. Rl'marks: ./J.&.~=-.mr2.(2n__.~__um.~~Lu._n-:c~.__~n__ ....._nn____.n.________m__n._mnn__nmnnnnmmmmnmm__mn.m.mn__mnmumu.mumn.mmL......mnmm.uu.__:!:.____m__n ___.._n_n_._nnn_n_____n_n_.n_____nn_____nn_....n_nnnnnnnn__n.nn_hnnn_nn.unn.nn...n_n__nn_n___uu_uuu..____n.nnn_nnnnn.n... , :'~~J:~nmmm__ ::~~Q.~.j.~!-f.nn. By .--;li~.~~~ NOTICE-Current must not be turned on ~-l-' Certificate of Inspection has been issued. If work isVto be con- cen.led 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~ 1 8 3 6 6 ELECTRICAL PERMIT Address Iu--.-----~:L--....t;.~./.~f~4J..----:fi:~L Date...~~:./....~=.._~.~ 1.1 ' .. OWner ..{i.--i'!..~'dd...r.:::t.r.::.I!:.____!.11.tB2..../!..-::./... ../..LJ..1i.~!~enant.....~~..=.--:;)..--..--.------.-.-.. . . ~4. . ,/ - /. .. Wiring Contractor..___~-...m---------. zK.'~_____________~__________..___________.._____..___.. BY.___________c!<./!_____&:.....e.......... .---; . NOTICE-Current mul not be turned on until Certificate of Inspection has been issued. If work Is to be con- ce:.1.led due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMEN1' ELECTRICAL PERMIT Nl! 16936 'I... -) .~ 'h,1"? Port Angeles, Washlngtonm..L.:m...::'::~.E..m..m...__....m.m...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- mis$ion is hereby granted to do electrical work as listed below. Address ..__?711!../r~--.~~~~;;t~.--n..---.n-- OccupancY.n",,!..,<:'-,~'''-...m...__.__m_____.... ~:::~ ~:::;~~~~!:~:::.:::::::::::::....~~.~~~~;'.'.'.'.'.:::'.~.'.:'.'~~~~~::::::::::~::::::::::::::::~::::::::::~::::::::: LIgllt outletsm..m.m.m.::..::~.:::.:~~~:m .--..' s~rvlce. VOltS_/~'2.9,_:~7..'::q Type 01 Wiring: , 3" No wires - Armored Cable ....m...._m..__......__._ . .mZ7-.'7rm---........... .7./"(./ ('.t! .;/ Size wlres__..__....no...:...m..;_~_....._.. 'j.~C,l/.'? Ii :::::::: ::':::':;;;:::::::.::::::::: Rec~ptacle Outlets.m.....__...__......__...m. Dryer, KW..........--_.....................---..--. RanGe, KW h_n..h.__......... Water Heater: KW....------.------u---.---m7T He..: KWm....3...m.L.Y.~._l1..__._ Type of wiring: Entrance Cable ...______m__.___m..____.. Mo~ors: size, volts and phase: Rigid Conduit um...m__._.uu__ .!\fetaUic Tubing m.m____n'" Current transformers: No. & Size_....__.....__.......____...__._...___. Ser. No.___.___...___......____.....____...___....... SerA No. .-.--....---......--.....--.......----.------ .........-.................................-.-.........--.. Ser. No...----..........--...............--.-......--. Non-Metallic ..--............................. Knob & Tube.___...............m.mmm_ ... RIgid Coodult ...___........m.............. Metallic Tubing .m..non................ Raceway ............_.........._......__..._ Circuits. Llght...............m___.......m....m. Utility .....m___.m...m_.....___m.......... Heat .............-.........................-..- Range ._.............................--...........- Water Heater .....--.....--....--........... Motor __._.._........................._.........._ Dryer................-...............................- Furnace .-..........-............'_.........-......... Remark:~tal__~"~~~:~..~:;.-;;;::.n___.__~~~~:!.:~::.::.~:.i.~.;itlP~?:~~:;::..~=;:~ _._.___._____.___________.._____._______.__._.____.._____...___.__..__...._____._.__.__._.___.__.______.____._____..____._________._n______._.___.______..__.______--...--..-- \ .;::;~.;~~.m.n--..m--m...mm.;~~~~:.~~~~;~~--.m.m---.n---.n..m--.m..n7?;fj;;"i:='Z~ $.__m......m..m________..__m__. NO..___.___..___...___..m___. By n__.'___um__mm...um..m....mm._m.....m__.m....._ 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 N? 16936 A4dress..................._._................_.__........................__......_..................................._........_...............Date...___...._.._..__._..........-......-......-......... Owner......................____..._____.___...._.__......_......_.._........._..........................................._____.Tenant........................____....._.-......--.....--..-.....-........ i W1ringContractor........................---.....---.---......_.._..........................._...................._................._....._By.___.__....................................................... I NOTICE-Current must not be turned on until Certificate of Inspection bas been isaued. If work is to be con- cealed due notice must be given the Inspector 80 that work may be inspected before concealment. . I , \ ...._ 1M Olympic Printers, Inc. 16764 Port Angeles. wash1ngtonm_m__L_..-.:..:::.._!:.._________mmm___mm__, 19.P? CITY OF PORT ANGELES LIGHt DEPARTMENT ELECTRICAL PERMIT NI! In ac<:ordance with the City Ordinance to regulate the installation, extension, or repair of elec- tricai equipment in, on, or about any building or other structure in the City of Port Angeles, per- :~::s: i::~:::7J~Z.::~::::__~_O?l~~n~~~-IO~~~ci3:-~:-~,------L----_________________ O~~er -----:i-;~~,!.-:J2it:.~:_fo/tv.fif:::./&~1!---..--ooo-ooomooo---mooo=-----m--n-ooooooooo_____000_...___..__ Wmng Contractor __n___n_'____!]________ooo..:______.____ooo___________________ By__nn_____._____ooooooooo_ooo_oooooo_ooo___________ooo___ooo____m._ I I LIght Outletsm_______m_m__m______m____m__ , Service, volts ..hh_n....h........__......~....... Receptacle Outlets_____.__u..................... Dryer, KW.........___n.__....___..._______n_...__ Rang~, KW ____..__m_________________ Wator Heater: No. wires ........._......____..._.__....._______ Size wires..........__.....u_.......___._n.__. Main fuse n......................___............ Enclosure ._m__nnnnnn_hm...m...mu KW._m__________m___ Type of wiring: Entrance Cable ..............___....__ Heat: KW...........................................n MotQrs: size, volts and phase: Rigid Conduit Metallic Tubing .................. Current transformers: No. & Size.............................. Ser. NO.....n........................................ Ser. No. ............................................. Type 01 Wiring: Armored Cable ............................_ Non-Metallic ................................. Knob & Tube................................_ Rigid Conduit __________._h_____hm____n Metallic Tubing ........................... Raceway ......................._.....____ Circuits, Light....................................... Utility __mm__m_______m_h_____m_m_m__ J-Ieat ............................................... Range ...................................__........ Water Heater ............................... Motor .............................................. Dryer .................................n.......h..__ Furnace .........................'_................... ,1 Ser. No.........................................:..... \. '~_' Total Load.......~........n........... Ser. No.............................................. Total....................................... ~:::~~~~ooo::::::::~:~:~::::~:~~:::::~:~__::~:::~:.~:~~~::::::~:4t::~~~~:::::::::::::::::::::::::::::::::::::::::::::::: ....._....n...n....un...n.hn_h..dh..__..u_n.n....u.nn.nnuu.u__n....n....n__u..u.....u.u_;j._.;,~.n.7_n..___.:...h....nn.nn:--nn"nO"__.. Permit Fee Treas. Receipt (;" (j..' /".;- r ..) ./+ f /-". 'J ../: _ /,r $___..____000__000_________000_________ No._.......__........._........ By __u;;l_l____[l________:ooo:_:__!::__Looo~:.:__ooo:__!.:.__:_:,O:' ,,' . ""'- NOTICE-Current must not be turned on unttt Certificate of Inspection has been issued. It work is to be eon. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16764 ~tress...................-..............n..........................................n.......................................................Date..._......_.._.........................._................. Owner..........................................._.._......_......_.._...........................................................Tenant.................................................................... }I ,. _, Wiring Contractor___hh_h_hnm___m_m__mmh_______mm____m______rm_____m__m_n__m__m__n_m__.m_ By-hmmm_m__________mm_m____nmmmm__7/ ~ , NOTICE-Current must not be turned on untU,.,Certltlcate of Inspection has been Issued. It work is to be con- \. cealed due notice must be given the Inspector so that work may be inspected before concealment. - .;.' ~ ! W ," I 1M '- Olympic Printers, Inc. FOR OFFICIAL USE ONLY: Date Rec.: Pencit #: "7 . -1 2- 'f Date Approved: Date Issued: -, / / (.; /'=-...1 I' , ELECTRICAL PERMIT APPLICATION The Electrical Permit Application musl be filled oul completely. Please type or print in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Contractor 5 TR,1J i rs E1eck"~Phone: IL3rt:Ad ~ov'~ City; License #; If.s-z - "11tJf./Fax # 'Is 7 - ~0 9' Applicant and/or Agent: Property Owner: Address: Phone: Exp: Zip: Phone: Zip: Address: City: Credit Card Holder Name: .s"H{ttaT~ E-.1E.c.'kit.. / BiUing Address: P. O. g Ox .:2. '111 I Credit Card Number Permit Fee: 5- ..{ I. ~ c h I{ i~f1 c.. """ht.c.. k ( If CifY.P,,~fAv,~h{ Zip: '1J'j~~ Exp. Date: . VISA$- MC _ PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: /// "u. C:/1. V1 (.--5 ZONING Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Residential 0 Multi-faillily 0 Commercial 0 Mobile Home Electrical Permit fees are based on WAC 296-46-910 /? BRIEF DESCRIPTION OF THE PROJECT: (t! nf M _ / - 3 /J,:x-c- Ie". /::::- e..e-d e.v- J / /e-t-'t Del<=- L ;{ /- ~eteu"(e. 5 C/ /O-c-Ic I Electrical Heat Load Additions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall KW KW KW KW o Riser o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 I 0 3 Service Size: Feeder Size: Comments: I ".",by cerfl/r tMt / hal'l ",ad and examlnfd thl" appU",lItlll rind ktto for this 1"$17"'1. J IJntumand 1/ Is nor Ih. City" T,pT rvpotll1b11lty I der, l'esponrllJlllry to ,determine ..mot permlll ore reI/liTre" rind 10 obral lueh. . ,"'. ami eom", fJl!d / am aurnom.d 10 opply penn/II on I'CqulTed; Ir /'I_IIU I'"~ applica.,~ PW-IIOI.2) 11'f'1/,OGJ Dllto: S/l//oo