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Home My WebLink About1132 Hazel St - Building CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DiVISION 321EAST 5TH STREET, PORT ANGELES, WA 98362 DUIL./JI/~ /"/-/~MI I ISSUED: 3/08/2002 PERMIT NO: 13274 OWNER/APPLICANT PROPERTY LOCATION 1132 HAZEL ST C.C. HOSTELRIES 1132 HAZEL Lot: W 1/2,5 ALL 6-10 Port Angeles, WA 98362 Block: 11 [] Long Legal 360/452-9663 Subdivision: PENN PARK T: S: Parcel No: 063008581107000 CONTRACTOR ARCHITECT SCHOENFELDT CONSTRUCTION N/A 682 BUCHANAN DR. Port Angeles, WA 98362 , 98360-0000 206/457-1695 360/000-0000 PROJECT INFO Project Value: $500.00 SFD Units: 0 Commercial: 0 Project Type: FLOOR REPAIR SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES /'-{ LOWER 4' X 7' SHOWER FLOOR (.~ RECEIPT#8810 FEES ASSESSMENT Building Permit: $23.50 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: $28.00 Plumbing: $0.00 AMOUNT PAID: $28.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, S EPA, 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 pedod 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[ aws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not )resume to give authority to violate or cancel the provisions of any state or Ioca_~l la~/~ul~g~r the performance of ;onstrucUon. --'~/ ~/~~~////, //~ /~/// Signature of Contractor or Authorized Agent ~ Signat[Jre of Owner (if owner '~il~er) / Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROV1DE A MIN1MUM 24 HOUR NOT1CE. ITIS 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 S1TE INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB i ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION S~;~L / FLOOR / CEILFNG I I MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK ( Engineering Div~ sion) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING BEFT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING BSA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL BATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEFT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R,W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 '~- BUILDING C:~APPL,WPD . Sito Address; Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW ~ o FURNACE KW ~ o HEAT PUMP KW ~ pl FAN/WALL KW -3-- . DetailslDescription: A-v. A-r~ - ~ ~5 ~cV CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. .S-dl7J '7/26/p.s:- DATE ELECTRICAL PERMIT o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: 1:S. Phone: Sq. Ft. ~ RESIDENTIAL 0 RISER o COMMERCIAL 0 OVERHEAD SERVICE o NEW CONSTRUCTION 0 UNDERGROUNI}SERVICE $ REMODEL VOLTAGE: ptJp~ o ADD/ALTER CIRCUITS ,/, II. o SERVICE UPGRADE/REPAIR ~ 1 'fJ 0 3 'fJ /"_~ SERVICE SIZE CPrX/ AMPS o TEMPORARY SERVICE FEEDER SIZE /tfJ() AMPS /&0 ~ ~d /0 Ituv- ~ aJ~~ A v.u- . . . ~ W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. Ji\ ~ Rough-in/cover O.K. V' '" O.K. to connect service o Final O.K. Notify Port Angeles City Light by Street Address and Permit Number when 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 Building ~it. PHONE 457-0411, EXT. 224. ~ .. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .~ $ Electrical Inspector Installer: . ~ WHITE - File by address OLYMPIC PRINTERS INC Permit/Receipt No. :YcP73 New Meters ---- #40 Permit Fee PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall CITY OF PORT ANGELES LIGHT DEPARTMENT N: 18303 ELECTRICAL PERMIT Port Angeles, wasblngtonmm....____.._.1i:.:.?Lmm.mmm..m..m, 19__S.!: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 d6 electrical work as listed below. Address __njj)k.mml::f~.~Jf..~m__J__fp.t!__mt'!:N..t;,!f.H.$.. Occupancy____~{P.Ilf..m1iQ.mjf.mm____ Owner tll:t-H.P.,rr1_.__J:ll.:m..HOsn:~.i~~m______m TenanL__:Ff.J:r!!JL__~.___bW.N.titl!.____mm.m__.__ Wiring Contractor .__OJ,:fMf.J.f:..m./i./,,If.!:.rr.il:<__._____.______.__ By__.n.;;;r:aJ:f1J.m..:cV."-~.#J5,m.mmm__n__.__ LIght OUtletS.mnnnm...m'l...m._.._n... Service, volts .n...I.:z....Q..'~.'.k~J..Q.mn. Type of Wiring: Re-ceptacle Outlets________.._!..f?....n....... No. wires ..0......00.0..':1...________00..._...._ Armored Cable .............................. Drye,. KW mm__.........__t/;..I1.....n...... Size wlresn...::l!I.~n:::ni...f?n_n Non.Metalllc m.__m...~.m...mm__ ,J'j A ~ ~ Knob & Tubenmnnnm...nn...mnm. Range, KW....__nn......n.fV.. .rn. Main fuse ...0000...........0000...........00.... If, RIgid Conduit .h.....hhh...m....hhm Water Heater: Enclosure n._.___~~~n:..L..._....... Metallic Tubing mn........_._.n........ KWh.__nn...nh.hh./!jP.....m Heat: KW.h.nn._....h.....~.m____..___... Type of wiring: Entrance Cable ....n....h_...m.......___ Ser. NO.nnnn___hn..__n 00...._................. Raceway _._.___________..__.........._........._ Circuits, Llght..nnm.m~..mm.mmmm Utility ...................::=::...00_..0.0......_. \ Heat nnn.m..mm....!..__m..mm...mm , - Range ..............................__..........._. - Water Heater ....._..._____........._......_ Motor .___..__...__.._____~__._......._..._... Dryer _..._hn..n._h.nnnn~n.n_...n.....n. Furnace -.----._............=:._.....nm._mm. Motors: size, volts and phase: ....mm....n...nt/jA..'..........nnnm h....n...nnmm:::(nnhn.......m.m.hh..m ......:n...n..m.m.f...n.n.m...m.h...h...... Rigid Conduit .......n___mn V'" Metallic Tubing .....___00........ Current transformers: No. & Slzenn.......#/P.mh........h... Scr. No...................... .0000.00......_........ \~ Ser. NO....nn....h.n_...n_.n................... Total Loadnm...............h..h_.. Ser. NO..n._.n____._.... .......h___nn___..._n Total .__m.........~Lnh............. Remarks: --n--M:.m.4.f.r..!j!f..r:.__m.t)~~nnn.l5!!<:it.m.~S"..__n.MJLm.H:~.~};fk__m~'_:::____mm.m____ --f:i:o.--A1tJ.f!..mme..I;f.Jf.QC'.f._____.':rP.mmm~Il.~fl!!-Jl!i.k__jt/..m.NA.w..nmG.&r.!?y?.=mmm____....... n;FTJ!Y.~.r;.lim.STXJ/..e.'iJ/.yJ!.mh_M:..nn__E~:rnnnJ:NP.h__...(2€!'..mm.l!:.~.CL~.J.'T':J.____m__mm__m. ;~.:?:v.__~.m.m__m______ ::~.~.~2~~=~..__.__ By 9Jd~--~~ . NOTICE-Current must n()j; be turned on until Certificate of Inspection has been issued. If work is .~~--:~:~ '-- cealed due noUce 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 0 3 ELECTRICAL PERMIT Address u.J/~k..H.A;..IfJ,,__.um<ft..r,uu...m.em_:.mE-1I..G.,,;,),;!;..~___.mu Datem_m.~__dL:::u~.qh_____n__um Owner ma.Je.k!r)!!JlI1__...t!d9..ll.tJT.':L__l::f.()~T..1!J".JC..l..t:Sm__..nnm TenanL.m:i!AtnJ!m.nAs'h..V'fJ!.!'!lf.f Wiring Contractor____(2l:dm.e./I,/:.m_uiifblf...~.'r:n;;<..UUhUh__Um__.n.m....h.mm__n...mm By____:;:[].~u.u~.LLIJ:..I'..~.r;:,uuu__ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work 1~ to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. / CITY OF PORT ANGELES UGHT DEPARTMENT ELECTRICAL PERMIT 1''1: I I 0 If I r-. ....,..,/ y- )<7" ..- <::'.....- _ n <:,..1 Port Angeles, Washlngtonm.m_..m...m_.............mmm.mm..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- mission Is hereby granted to do electrical work as listed below. /" Address .//3..?:.__~~.m...m.-..::-:....---m.-..m..--........ occupancy.._..A~;r<'L~.lt.,.-----..----..---...... Owner C:t.I}t&",... /~~~~.'=',:?2-!.mi{~i./~L~:.'XTenant.......,Zif::,;~~".'t.~.j?!:!l-:~:.'::':...!.l!l'd:!1..- ,- Wiring ~.~:~~~~o~.::__::~:/!-f~1!.~<L..[1d~::..X--(;,c:::--.. By.....___m.mm..m..........mm...._..m.._....__.....m...' , -"r/d ;.to Service. volts ...~::.:.~....................... Type of WirIng: No, wires "'~:~"Aj'C"'I--Tf--i[.::i4 d c:: 1~~i.t~}iA?--"""''''---'''''' Size w;f~;,:.;?_~::-.:.!7"'~"_h.':'''~-'-:-'/ ~I \ 'N~-Meta.lUc ..............--................. <P't;O /t Knob & Tube.__......__.........__..__........ Main fuse ...../1..............__............... - (;1 Enclosure __....m..::":":'.:___....______......___ Llgbt Outlets............u..............u...__..... ;I- -I .;L Receptacle Outlets..............--............... Dn;er, KW n..n~.un.....____....____...____... . /"-' Range, KW hh___I.'2....._______________..___.. Water Heater:, ' -AI.: Kw..I:::'1f..I::..f!!....!.l,r' Heo', KW......J/..!f0,c"............... ."", _,Motors: size, volts and phase: 10 ,k I..., "'_ 4'_.Q.... ;;i.:(?lU;;:::;.:.;,:z{C~~::::::::::: Type of wiring: Entrance Cable ...00........................ ~ _lJ,n Rigid Conduit ."::':':'.___00...___.............. Metallic Tubing ..00___:.................00 Current transformers: No. & Size.............n........................ RIgid Cc>ndult ....n..nn................... Metallic T~blng h...n.............___.... Raceway ......................._....._._..._ Circuits, Light..___.........n..___n......___....... Utility............................................, Heat .......................................-..-.. Range ....................................,;....... Water Heater ............................... ". ... C .........'.'.n~.:.;;;..n.......nn..................n......n /1 ,(" J Se'. No,..........................,................., Motor ....n....................................... ; :;. :./i:i~~!:~.:=:::::::::::::::::::::::: Ser, ~o, ......................,............."...,.. ~:r~~~~.::::::~~~:::::::::::':~:~:::,::::::::~ ~1 IF 1-e-~Tk<r;:;:2rf.-?!..~..f"t .. :::: ::::::::::::::::::::~::::::::::::::::::.:::::: c I- ; 'r;~t ,:/~,!:.~..cJ?...c-?: /fLu'- -'1 ' I)ema~ks: __...:_::.rm..~-'?t..._...n_(l!{~-;...:___.{!!fi.-!:';;t~........mm...m..__:;.m.._000............000...._............ o-.~.~~.~:t:.~.......___...m....m..__........m.....i.S{_'d.....m2t..:".t..',"''''r..,'~!.'!m&,:~',e'..m.__.m......................~:.m__ ......_........__.....___.....___....____...._.._.....___m._.__.....j:~;,~!dJd.,;,,'~~",,_....1!.L?.r.d:..m.__.m_.__...m......'.:>,...... Pel'mit Fee Treas, Rece~Pt ..-' . 9./ ( /-{7{ ( I' . . I!'tJ 0 Q., /7- c7, /f't;e.Jee-t4/l Itl-#<.-/ $_...................000............... NO.....mm..m............. By _....000._..000...__.....000......000._....000____......__............ NOTICE-Current must not be turned on until Certificate 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. :..... .......... NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 7 8 4 7 ELECTRICAL PERIYIIT , \ Address.........................................................................................................................~,..........Date..._.........._.._.._..........-......-......-......... owner" '::-,n~;...,.......n...........n--......_n-uun-...--.-.._.......n......-nnu......-nn........nn..........n.>;enant...,....nnnn......n........n....n..._n...........n,n..nn Wiring Cont'ractor ...........00........00............_......_....................................._....................................... By....nun.....nu......................n.........n......:. " NOTICE-Current must not be turned on until Cert1f1cate ot 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. 1M Olympic Printers. Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17823 )d - / r ?;2 Port Angeles, Washlngton___.__._L~___m___m_..._.__..mmmm__mmmm., 19___..m 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 d6 electrl.cal work as listed below. Address _//;J.?_____.,~_:?::::_~_Vm____________________________m.__ occupancy___L"'""L-:!_____~__m~ - - r Owner _________m_________m____.m____mm_____mm____________~____. TenanLm_____m.___...____._.mm________,___.m______m..m._mm_.. Wiring Contractor n((-_'!'.&_"':_'_m__~(f?.~:__n___.__m_ By.______.______...m__mm____m__n________.____m__m._.______ Light Outlet.........___........._.........._.._._... Service. volts ....00.000000.......................... Receptacle Outlets............................... No. wires .........................0000.......... Dr'yer, KW........................n......n.u..... Size wires..................nnnn.n......_.. Renge, KW..........nn.n.......n.......... ~'"ater Heater: Main fuse .................n.nn...n.......... Enclosure nnm..mm..................n..n KW..................... Type of wiring: Entrance Cable .n....... Ht~a.I: KW........n..............n.nnnn................ Motors: size. volts and phase: Rigid Conduit Metallic Tubing .m....................... Current transformers: No. & Size....................................... Ser. No.............................................. Ser. No.............................................. Ser. No. ............................................. Type of Wiring: Armored Cable .............................. Non-Metalllc ................................. Knob & 'Tube................................_ RIgid Conduit .............._................ Metallic Tubing ........................... Raceway ..............................._......_ Circuits. Light....................__mm........... Utillty......................._.................... I.Ieat ............................................... Range ................................n........... Water Heater ............................... Motor ............................................. Dryer ....__....__..................................__ Furnace .........................'_n................. Remark:~t.:n:~~__~;~';~~:_.::__._~~::_~:g:~::~:::.:_~~.__:_::.:::...___m__m_m.____~:~_~:__~::._.:::~::_.:_:~:_:.___~_:~:::.:: - / ' u....-..uun_n_n.._n_un_nnn.._...nn_nn.u.._n_nnnnu..h..._.__nnnn..u..nunnnn.....u_.nnnh.....n_n.n....nnnnnu...nnnnn__O".n :.~5i~__-:::-_.:---.----::~_~.~:__~~_~_~~~.~...-......----m-m---.--:;-::-..~Z~_~;J;~~=d,_,_ ,'/ -.- NOTICE-Cnrrent must not be turned on until Certificate of Inspection has been issued. It work Is to be con. cealed due noUce 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~ 1 7 8 2 3 Address..................._...................................................................................................................Date..._......_n_......_.........._......_......_......... Owner ............n...................u........_.._.............._n_.............._...............______................__.... Tenanl.......n...n......nn.....................................n..... , Wiring Contractor ..................................................n......._....__.........U.....n...__........................____n.. Bynn.u.........__nn........................................ \ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be COD- cealed due noUce must be given the Inspector so that work may be inspected before concealment. .. 1M Olympic Printers. Inc. 2007-1207099 Page 1 of 1 Qui t Claim Deed Port Angeles City Of Clallam County Washington 08113/200701:5330 PM 111I ~'I"'j, rt~l'" ,lotl,:lolli ,IIsI' ,1~!,IT,I"~II..~~tlrL~~'1I11111 II?~ IV Hft-:ceL sr if Filed at the requC5r of: CITY OF PORT ANGELES C'IY AUomey's Office P.Q, Box 1150 POrt Angcles,WA98362 "0. S ;539 CLALLAM COUNTY -bJ- TRANSACTION EXCISE TAX ~~~E AUG 1 3 2007 AMOUN1:G- COj.TY T4:1~R h' a '3YI: jiJJP a. -Ie t iJ , The GRANTOR, CITY OF PORT ANGELES, a municipal corporation, for an"d in f consideration of the following described City right-of-way having been vacated in Ordinance No. 3259 , 3269 and 3286 and the requirements of said ordinance having been fulfilled, subject to the perpehlal requirement that the conditions of said ordinance shall continue to be complied with, does convey and quit claim to Clallam County Hostelries, Inc the following described real estate situated in the County of ClaHam, State of Washington: I A portion of the north half of the Madrona I Haze] alley aburting Lots 7-] 0, Block II, Pennsylvania Park Additiou, Townsite of Port Angeles, Clallam County, Washington. QUIT CLAIM DEED Dated the I O.t:Lday of GfJJ~tf ,2007. By: C Y. OF PORT!;l'I/GELES ct~;L~ .. aren A Rogers, Mayor STATE OF WASHINGTON) )5S. COUNTY OF CLALLAM ) On the IDio.l...dayof ccr ~ , 2007 before me, the undersigned, a Notary Public in and for the State of Washington, duly commissIOned and sworn, personally appeared KAREN A. ROGERS and BECKY J. UPTON, to me known to be the Mayor and City Clerk of the CITY OF PORT ANGELES, the municipal corporation that executed the foregoing instrument, and acknowledged the said mstrument to be the free and voluntary act and deed of said municipal corporation, for the uses and purposes therein mentioned, and on oath stated that they are authorized to execute the said instrument. Notary Public State of Washington JEANIE M. DEFRANG MY COMMISSION EXPIRES Mey 2., 29' 1 9-<L-C>.~ ~D-.S\I'C>-"-Y Notary Public in and for the State of Washington Residing at Port Angeles My commission expires: sf.;;. ~ 11., , Parcel Lookup Parcel Number 0630085811070000 Site Address: 1132 W HAZEL ST PA I Quit I I Back I Taxpayer: CLALLAM COUNTY HOSTELRIES INC PO BOX 2199 PORT ANGELES, WA 98362-0286 Title Owner: CLALLAM COUNTY HOSTELRIES INC PO BOX 2199 PORT ANGELES, WA 98362-0286 Description: PENNSYLVANIA PARK ADDITION W2 LT5 &ALL LTS6-10 BL 11 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 0 Improvements Value: 0 Total Assessed Value: 0 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 1700 INST LODGING Land Size (acreager .00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Tax Code Area:: 0010 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (Click on Bldg. # for more details) # Bldg. Type Bldg. Style Total S.F. BD BA Tax History Sales History ~ I Back I 111,089,71411 http://apps.clallam.net/website/sitisy.pgm?parcel=0630085811 070000 Page I of 1 1/4/2007 ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY: DateR.ec.: Permit II: ~~ :If Da" Approved: 3 ~ Date Issued: r,J: ZI I The Electrical Permit Application must be fiUed out completely. Please type or print in Ink. If you bave any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Applicant and/or Agent: CoklYl A-n ~;c Phone: Property Owner: Address: Fax # qS-uZ - 75'"1''1 Phone: City: Contractor License #: City: Zip: Exp: Phone: Zip: Address: Credit Card Holder Name: ' 1]0 h bit. (). C:Jk:.m 11-1../ Billing Address: SZz. W. lIP ~/. CreditCardN":mber Permit Fee: /I LlY ?.r CitY. /bd-4,.Jc.. Zip:7A':NZ. Exp. Date: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: 113Z dZcL ZONING Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: D Residential D Multi-faffiily D Commercial D Mobile Home Elcctrical p'ermit rees are based on WAC 296-46-910 BRIEF DESCRIP1:ION OF THE PROJECT: W (R c' ~/~. Elcctrical Heat Load Additions Service Information D Baseboard D Furnace D Heat Pump D Fan-Wall KW _KW KW KW D lUser D Overbead Service D Temp Service o Underground Service Voltage: Pbase: DID 3 Service Size: Feeder Size: Comments: I hereby certifY that I have read and examined this application and know the same to be true and correct. and I am authorized to apply Jor this permit. I understand it is not the City's legal responsibility to determine ",*at permits are required; it remains the applicants responsibility to determine what permits are required and to obtain sLt 6f-<1 c:!~ PW-l102_2J(rcvJ/.OO] Credit Card Holder's Signature: /}/a-O 1..1<- <!.Q. ~Date: :5/"/00