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HomeMy WebLinkAbout1417 Evans Ave - Building CITY OF PORT ANGELES 1, PUBLIC WORKS UTILITIES DIVISION + 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 08 00000934 F Date 8/05/08 Application pin number 521348 Property Address 1417 EVANS AVE ASSESSOR PARCEL NUMBER 06 30 00 1 0 7510 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Application desc j Remove 2 tree s from A/W along Evans Ave Owner I Contractor I DOUG LINDE/ALISHA PARRISH OWNER 1417 EVANS AVE PORT ANGELES WA 983635127 Permit RIGHT OF WAY Additional desc REMOVE 2 TREE S FROM R/W e Permit pin number 131326 Permit Fee 50 00 Plan Check Fee 00 Issue Date 8/05/08 Valuation 0 Expiration Date 2/01/09 Qty Unit Charge Per Extension 1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 }� Special Notes and Comments Applicant to complete ,Waiver and Release prior to removal All debris to be removed Have traffic closed during activity Fee summary Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 / ^ Plan Check Total 00 00 00 00 V J Grand Total 1 50 00 50 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 i I Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T-\Po1icies\1102.15R[1/05] PERMIT rINSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A.MIN_IMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT.IN A CONSPICUOUS LOCA'T`ION. KEEP PERMIT CARD AND APPROVED PLANS.AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWERCONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION-CONTROL PARKING- SIDEWALK 1` CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE r u FINAL,INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL' DATE YES NO` COMMERCIAti' - '- DATE 4YES D NO' CONSTRUCTION RW /PW/ CONSTRUCTION R.W ENGINEERING, 4174807 PW/ENGINEERING FIRE' 417-4653 FIRE DEPT PLANNING DEPT 417-47:50 PLANNING DEPT BUILDING 417-4815 BUILDING T•\Poiicies\1IO2.15R[1/05j- CITY OF PORT ANGELES ° T PUBLIC WORKS ELECTRICAL DIVISION s, 121 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 05 00000353 Date 7/01/05 Application pin number 180166 Property Address ! 1417 EVANS AVE ASSESSOR PARCEL NUMBER 06 30 00 1 0 7510 0000 Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 18775 Owner Contractor DOUG LINDE/ALISHA PARRISH TWETER GROVES CONSTRUCTION 1417 EVANS AVE 163 MARITIME DR PORT ANGELES WA 983635127 PORT ANGELES WA 98362 (360) 670 3156 Other struct info TOTAL % LOT COVERAGE 3 00 CONSTRUCTION TYPE V N NUMBER OF STORIES 1 00 EXISTI-NG LOT COVERAGE 1782 00 LOT SIZE 94293 75 \ PROPOSED LOT COVERAGE 1080 00 TOTAL LOT COVERAGE 2862 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER WIRED/ GARAGE Permit pin number 52928 Permit Fee 1 78 70 Plan Check Fee 00 Issue Date 17/01/05 Valuation 0 Expiration Date 112/28/05 Qty Unit Charge Per Extension 1 00 78 7000 ECH EL RM 0 200 1ST SRV FEEDER 78 70 00 48 1000 ECH EL R OUTBD/DTCH GAR SEP 00 Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations 05/12/2005 04 50 PM SROBERDS The proposal will allow the construction of a detached garage for total lot coverage of 3% in the RMD zone No land use issues are noted Electrical load calculations and elctrical permits are required Public works utility engineering has no requirements for this plan review ^� Other Fees STATE SURCHARGE 4 50 �`p\ Q Fee summary Charged Paid Credited Due Permit Fee Total 78 70 78 70 00 00 Plan Check Total I 00 00 00 00 Other Fee Total 1 4 50 4 50 00 00 Grand Total 183 20 83 20 00 00 i COMME-NITS/ACTION NEEDED I ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M 404 M 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH ROUGH-INI COVER S-,Z6 -0 5' PCNs SERVICE FINAL GENERAL COMMENTS: PW-1102.15(4961 PREPARED 6/29/05 12 55 09 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/29/05 ADDRESS 1417 EVANS AVE SUBDIV CONTRACTOR TWETER GROVES CONSTRUCTION PHONE (360) 670 3156 OWNER DOUG LINDE/ALISHA PARRISH PHONE PARCEL 06 30 00 1 0 7510 0000 APPL NUMBER 05 00000353 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/03/05 JLL BUILDING FOUNDATION FOOTING 6/03/05 AP 06/03/2005 11 19 AM DYASUMUR DOUG 670 3156 06/03/2005 04 17 PM JLIERLY BL3 01 6/27/05 JLL BUILDING FRAMING TIME 17 00 6/_27/_05 DA 06/-24/2005-05--00--PM—DYASUMUR DOUG 360 670 3156 06/27/2005 04 19 PM JLIERLY brace ridge splice w doubled beam and strut/ridge ends to be suported by strut or cripple/jll BL3 02 63/29/05 JLL BUILDING FRAMING 2005 11 AM DYASUMUR DOUG 67 DOUG 670 3156 COMMENTS AND NOTES PREPARED 6/27/05 12 37 33 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES �:, 'INSPECTOR JAMES L LIERLY DATE 6/27/05 ADDRESS 1417 EVANS AVE SUBDIV CONTRACTOR TWETER GROVES CONSTRUCTION PHONE (360) 670 3156 OWNER DOUG LINDE/ALISHA PARRISH PHONE PARCEL 06 30 00 1 0 7510 0000 APPL NUMBER 05 00000353 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ELI, 01 6/03/05 JLL BUILDING FOUNDATION FOOTING 6/03/05 AP 06/03/2005 11 19 AM DYASUMUR DOUG 670 3156 06/03/2005 04 17 PM JLIERLY BL3 01 6127/Q5 - BUILDING FRAMING TIME 17 00 06/24/2005 OS 00 PM DYASUMUR DOUG 360 670 -3156 COMMENTS AND NOTES BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at tql � Ey s I Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction 7-5� r I I These I orre-tions must be made and are not to be covered until reinspection is made When corrections have been made, please call 0:2 -- t/&< - for inspecltion Date i o Inspector for Building Division I Inn NAT IRFIMAVF TNIR Tef: A/ d�°''°"''"� ELECTRICAL WORK PERMITAPPLICATION ❑Electrical Contractor >(Owner T r ❑ Annual Permit ❑ Alarm ❑ Carnival ❑ Commercial )(Residential O Residential Maint. ❑ Signs ❑ Thermostat ❑ Telecom. Installation description �r r_ I Job wired by ❑Electrical Contractor ,Kowner 1 0 Electrical contractor name License number zee Purchaser's mailing address City State ZIP Telephone number FAX number Premises owner's name Address of inspection city ❑ Cash ❑ Check# I hereby certify that I am the owner o f the above named property or a licensed ❑Credit Card Visa MasterCard Discover electrical contractor(or the firm's authorized agent) and am malting the electrical installation or alteration in compliance with the electrical law Chapter 19.28 RCW Card# ---------------- Signature of owner, electrical contractor or electrical administrator Expiration Date X ��~ 'Y/yof Card Inspection fee tv j WALLS CULING THERMOSTATEDate VICE Insulation Only Insulation Only Date Approved ByApproved ByDate Approved By Date Approved ByCover Cover DITCH DER Date Approved By Date Approved By Approved ByApproved By Electrical Load Additions and or subtractions Service Information ❑ NO LOAD CHANGES ❑ Baseboard _KW Voltage 0 ❑ Furnace _KW ❑ Overhead Service Phase 9 1 ❑ 3 ❑ Heat Pump _Ton LAR ❑ Temp Service Service Size: ❑ Fan-Wail _KW underground Service Feeder Size: Inspection � (C Area,Buildingor Equipment Ins ected Action Taken Electrical Date Inspector -_ Dl� I PREPARED 6/03/05 13 02 25 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/03/05 ADDRESS 1417 EVANS AVE SUBDIV CONTRACTOR TWETER GROVES CONSTRUCTION PHONE (360) 670 3156 OWNER DOUG LINDE/ALISHA PARRISH PHONE PARCEL 06 30 00 1 0 7510 0000 APPL NUMBER 05 00000353 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 BUILDING FOUNDATION FOOTING 06/03/2005 11 19 AM DYASUMUR DOUG 670 3156 COMMENTS AND NOTES 'o IL- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 05 00000353 Date 5/18/05 Application pin number 180166 Property Address 1417 EVANS AVE ASSESSOR PARCEL NUMBER 06 30 00 1 0 7510 0000 Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 18775 Owner Contractor DOUG LINDE/ALISHA PARRISH TWETER GROVES CONSTRUCTION 1417 EVANS AVE 163 MARITIME DR PORT ANGELES WA 983635127 PORT ANGELES WA 98362 (360) 670 3156 Other struct info TOTAL % LOT COVERAGE 3 00 r CONSTRUCTION TYPE V N NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1782 00 LOT SIZE 94293 75 PROPOSED LOT COVERAGE 1080 00 TOTAL LOT COVERAGE 2862 00 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc 1080SF DETACHED GARAGE Permit pin number 49171 Permit Fee 330 75 Plan Check Fee 132 30 Issue Date 15/18/05 Valuation 18775 Expiration Date 11/14/05 Qty Unit Charge Per Extension BASE FEE 92 75 17 00 14 0000 THOU BL-2001 25K (14 PER K) 238 00 Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations 05/12/2005 04 50 PM iSROBERDS C The proposal will allow the construction of a detached ` garage for total lot coverage of 3t in the RMD zone No land use issues are noted Electrical load calculations and elctrical permits are `^ required V" Public works utility engineering has no requirements for this-plan review- - - Other Fees STATE SURCHARGE 4 50 C Fee summary Charged Paid Credited Due Permit Fee Total 330 75 330 75 00 00 Plan Check Total 132 30 132 30 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 467 55 467 55 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 ` I' Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T-\Policies\1102 15 building permit inspection record05.wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD 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 INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS �LL WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS 47 lab V SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING �ij juL DRYWALL(INTERIOR BRACED PANEL ONLY) T BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 1 PLANNING DEPT BUILDING 417-481.5 BUILDING T-\Policies\1102_15 building permit inspection record05 wpd[1/4/200 FOR OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK.Your application and site plan MUST BE ate Approved. -mum COMPLETE to be accepted for review If you have any questions, call Date Issued. J PERMITS (360)417-4815 FAK(360)417-4711 Applicant or Agent: D 71el) S� Phone. 6 7-0 `"S Z5 Owner- / l Phone. 7 7T,740 Ci oY/ � Zip Address. �'� Architect/Engineer, Phone ContractoriwC;-�Q� 7✓1�11�5 1257. State License#• W O Exp Or-C&-C-6Phone67d- -- Address —City I/(f Zip PROJECT ADDRESS 7 E ONING M_D LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: City Credit Card Type VISA MC # Exp.Date: TYPE OF WORK. SIZE/VALUATION ❑ Residential E3 New Constr. ❑ Re-roof ❑ Stove SF @$ /SF =$ ❑ Multi-family 11 Addition ❑ Move , Garage -�-��—SF @$ /SF ou ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF @$ /SF =$ _ 11 Repair ❑ Sign El Other TOTAL VALUATION $ 73 BRIEF DESCRIPTION OF THE PROJECT ed2gder P� r� e. a 6 COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type: No. of Stories: Lot Size:q z33j5-Existing Sq.Ft. _&Proposed Sq Ft. 16W =TOTAL Sq Ft. Total lot coverage APPROVALS. PLANNING USE ONLY PLAN I BLDG I DPWU FIRE. ESA/Wetland(s): ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other- 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 tune the building perimt application and construction plans are submitted. All other permit fees are due at the time of penmt issuance EXPIRATION OF PLAN REVIEW If no pern-dt is issued within 180 days of the date of application,the application will expire. The Building Official can extend the true for action by the applicant up to 180 days upon written request by the applicant(see Section R105.3.2 of the International Builduig/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 i t the ZZ - ' hat I must obtain such permits prior to work. �RVF-SS�BLDG-forms-brocliures�2004-Buildingpermit.wpd Applicant: Date. 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Ile V+/�G� Al v siS�treel 1 ay " over 1AP ,�------3� n -13� - O 0 o q o , \ r f. 1 I r i01.24 �'✓� f f ! i - /,s* k Ape — - - - - � To yVe- - r i z 14 o.e.. . Oi s 4.- CIZiRJ�e-- 1MV- }� Ox'I 00 20 �4��dlckl oet i4r �j II 36 a. RESIDENTIAL CONSTRUCTION GUIDE 2 8 2x TOP PLATE TEXT M-OH HEAD •I:I I•I' PAKTEN W Ad LQ#1CN ;i:� I:I; •9 Oa.EACH Mkr I' W] .STTDS APA RATE)SIEATHINS 3/e•MINIFIl1•2410 E>d' y'I I.I P Ed C.OhfiON 2 j'OL. STABfrEIRM AT ALL . '.. PLATr3 Ado ST1AS NOTE, r R. FOR L5E IN GAPA6L'am K41S AS WOM IF A FLOOR IHTLRVEB EE NEM FOLMATION Am mA im PA18..FLYHWD SHALL OVB4AP DOLIBL-E STIVS o All RR1 jAISTO AND M.L PLATES FRO1/IPE HMM" 06 SEARS AMU 194" COLTS AND PLYHOOD NAQJNS AS 9HOHl PROVIDE 5PECIAL DETAIL IF ABOVE FIRST FLOOR. a ABP PILL All HOLM @SENT WALL AS PER K4 PALTLR9tS SFfLIFICATIONS 54FVSM N75A APPROVM HOOK-EM 11OLOO1,M TYPICAL.. W SS"MN.CAPACIT'C W 2 x PLATES AT 24'TO 4D'PAS REDUCTION TO AT 2 18•TO 4D'PARFAICTICH TO g A1EATHNISi TO EACH STLD HD]A HOUX"45 A11.014". HD2A"MXMn"6 AUD64V. MXTW HOLVC"6 ALSO ALLO1®. ALL OI}4R c.Ni-a T5 ST"APPLY AC-UPTID ALTHtNATE SST I =i?F MINIMUM LATERAL RESTRAINT PANEL 1"KP,,a 56ALE AS NOTED r o� PORT q�c� CONVENTIONAL BRACED PANELS RESIDENTIAL CONSTRUCTION U CmA � O SHING BP (Braced Panel) 4' WIDE, 3/8" WOOD STRUCTURAL PANEL,NAILED 6d @ 6" 0 C , NO HOLD DOWNS IBP (Interior Braced Panel), 4' WIDE %2" GYPSUM BOARD (Both sides of wall), NAILED 5d @ 7" 0 C BLOCK ALL HORIZONTAL JOINTS OR NAILED 5d @ 4" O C WITH UN-BLOCKED HORIZONTAL JOINTS 8' WIDE PANEL REQUIRED IF SHEET ROCK IS INSTALLED ON ONE SIDE. NO HOLD DOWNS REQUIRED �AP'(Alternate Braced Panel) SINGLE STORY RES I 2'-8" WIDE, 3/8" MIN WOOD STRUCTURAL PANEL, NAILED 8d @ 6" O C BLOCK ALL EDGES, TWO ANCHOR BOLTS @ QUARTER POINTS, 1800 lb CAPACITY HOLD DOWNS @ IPANELEND (SEE ATTACHED DETAIL) ABP (Alternate Braced Panel)FIRST STORY OF A TWO STORY RES 2'-8" WIDE, 3/8" MIN WOOD STRUCTURAL PANEL BOTH SIDES OF WALL, NAILED 8d @ 6" O C BLOCK ALL EDGES, THREE ANCHOR BOLTS @ 1/5 POINTS, 5000 lb CAPACITY HOLD DOWNS AT PANEL END (SEE ATTACHED DETAIL) T•\ROGER\BLDG-FORMS-BROCHURES\BRACEDPANELS.WPD IL.. of poor 4NC CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 ,/ ® o�t (206) 457-0411 PERMIT NO. Z�t<f Y LIG DATE ELECTRICAL PERMIT Site Address: ❑ READY FOR ElWILL CALL FOR 7J7L INSPECTION INSPECTION Installed By: License Number: Phone: Owner/Business: / ' ' Phone: W. ^ Owner/Business Address: Sq. Ft. RESIDENTIAL ❑ TEMPORARY SERVICE ❑ OVERHEAD SERVICE COMMERCIAL ❑ PERMANENT SERVICE UNDERGRO�1�1 S VICE C BASEBOARD KW C3 NEW CONSTRUCTION 'VOLTAGE' �C C FURNACE KW ❑ REMODEL SINGLE PHASE C FAN/WALL KW ❑ ADD/ALTER CIRCUITS THREE PHASE. ❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ SIGN D❑ SPST IAL LEQUIPMEN/T Details/Description: /Zs `telfhG e • W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER l Ditch Inspection O.K. ❑ Rough-in/cover O.K. fAt&&3&O.K. to connect service /L ❑ Final O.K. Site Address: Permit/Receipt No. i fL�., cup 3 96 Installer: New Meters Date: /8 9� Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must of 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. _ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /749 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.