HomeMy WebLinkAbout834 Georgiana St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
03>-///<3
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Zoning
Application valuation
03-00001118 Date 11/21/03
834 GEORGIANA ST
06-30-00-5-1-3800-0000-
PUBLIC WORKS UTILITES
COMMERCIAL OFFICE
o
Owner
Contractor
ROSECRANTS ANN M
832 GEORGIANA ST
PORT ANGELES
OWNER
WA 983623512
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 260 00 Plan Check Fee
Issue Date 11/21/03 Valuation
Expiration Date 5/20/04
00
o
Qty Unit Charge Per
1 00 260 0000 EA SAN SEW CAP/PULL W/M
Exte~
~60 OO~
Due
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 260 00 260 00 00
Plan Check Total 00 00 00
Grand Total 260 00 260 00 00
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 ive aut rity to vi2!E.1e-or cancel the provisions of any state or local law regulating construction or the performance of
construClio
~
-
L10)
Date
Signature of Owner (if owner is builder)
Date
T'IPLANNINGIFORMSI1102.15 [11/1412003]
ot.'PORT~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number 2478
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
03-00001118 Date
12/15/04
834 GEORGIANA ST
06-30-00-5-1-3800-0000-
PUBLIC WORKS UTILITES
COMMERCIAL OFFICE
o
Owner
Contractor
ROSECRANTS ANN M
832 GEORGIANA ST
PORT ANGELES
OWNER
WA 983623512
----------------------------------------------------------------------------
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 95 00 Plan Check Fee
Issue Date 12/15/04 Valuation
Expiration Date 6/14/05
00
o
Qty Unit Charge Per
1 00 95 0000 EA SAN SEWER HOOKUP
Extension
95 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95 00 95 00 00 00
Plan Check Total 00 00 00 00
Grand Total 95 00 95 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.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T'\PLANNINGIFORMSII102.15 [I 1/14/2003]
;,,~'
ot.'PORT~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
D~-/II~
Application Number
Pin number 2478
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
03-00001118 Date
12/15/04
834 GEORGIANA ST
06-30-00-5-1-3800-0000-
PUBLIC WORKS UTILITES
f34 G.aO ~
COMMERCIAL OFFICE
o
Owner
Contractor
ROSECRANTS ANN M
832 GEORGIANA ST
PORT ANGELES
OWNER
WA 983623512
----------------------------------------------------------------------------
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 95 00 Plan Check Fee 00
Issue Date 12/15/04 Valuation 0
Expiration Date 6/14/05
Qty Unit Charge Per Extension
1 00 95 0000 EA SAN SEWER HOOKUP 95 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95 00 95 00 00 00
Plan Check Total 00 00 00 00
Grand Total 95 00 95 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.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T-IPLANNINGIFORMSIl102.15 [11/1412003]
AGENDA
BUILDING APPLICATION REVIEW COMMENTS
DATE: NOVEMBER 24,2003
LOCATION SEND COMMENTS TO PERMIT COUNTER
ITEMS TO BE REVIEWED
1 REVIEW PLANS FOR A NEW 1528 SQ. FT MANUFACTURED HOME TO BE
LOCATED AT 1020 CAMPBELL AVE FOR RAY WADDELL, THE EXISTING BUILDING
ON THIS SITE WILL BE DEMOLISHED
~. REVIEW PLANS FOR A 1228 SQ. FT MOVED HOUSE, THE HOUSE LOCATED
AT 834 GEORGIANA WILL BE MOVED TO THIS SITE AT 916 GEORGIANA FOR
-. JOSH ARMSTRONG.
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PERMIT COUNTER, THANK YOU Sa... \..1.1.., I ~
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3. REVIEW PLANS FOR NEW 1767 SQ. FT SFR W/ATTACHED 484 SQ. FT
GARAGE TO BE LOCATED AT 1248 E 8TH STREE;r FOR MARK & SUSAN MACEDO
THIS HOUSE WILL BE RE-DESIGNED TO MEET THE 30% MAX LOT COVERAGE.
PLEASE SUBMIT COMMENTS
TRENIA F GAIL M JOHN H. GA Y . KEN 0 RON B SUE R. BILL H
"------- --~ -~--~- -~--
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date l{l~/~-O 5
Time
__J:30p ~
~~4-
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
~ Foundation Framing Chimney
---~
~e()Y1Iah^--
Phone No
Permit No
Plumbing Final Sewer Excav Other
03'" II/g
INSPECTION NOTES
Inspected Date Time
Remarks cuppe"Q 'S'ei<-'er c"t-t}-e,'- bU1/1Q;nr
By
'l
iAJ Q 'S J:J J 11 II r" A,
I ,
RESTORATION REQUIRED
YES
NO V'
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order # () ~ - J 1/'3
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I NO
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAlNAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CillMNEY
HOOD 1 DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKINGILIGHTING ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W 1 PW 1 CONSTRUCTION - R. W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T-IPLANNINGIFORMSI1102.15 [11114/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAJNAGElDOVfNSPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALUHOLD DOVfNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKINGILIGHTING ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W 1 PWI CONSTRUCTION - R. W
ENGINEERING 4174807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T'\PLANNINGIFORMSIII02.15 [11/1412003]
~,
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARA TE PERMIT #'5 SEPA.
PARKINGILIGHTlNG ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL LIGHT DEPT 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W 1 PWI CONSTRUCTION R.W
ENGINEERING 4 I 7-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T IPLANNINGIFORMSIII02.15 [11/]4/2003]
---
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date ,) -/,/, 0 C(
Time gaD f}vt
Received by
(phone, person)
Location of Work to be inspected ?? 3 L/ (, eo! c:; I.-c.n Pl
Name of person requesting inspection ~t?L7,z/, ~'v'/~/() "
Address of person requesting inspection /7 r'- (13 Phone No l(1 7- Vf5Lf'j
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney e Final Sewer Excav Other
INSPECTION NOTES
Inspected Date ,)-( (( -c.:> 'l Time 0-, uO /)~ By / II
Remarks (2eiJa",'eJ. III sell"I/Ic.< 1111. ~
,
RESTORA TION REQUIRED YES Y NO
~
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G eorqlt(,y'lCl Gr>
J" pvc. e;
-
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~ b~l
...
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
D Asphalt 0 PCC IAJ Other
Work Order # ) y;( 7<0 - 0;( ~
o COMPLETE
o INCOMPLETE
TaU'S 0;/
f
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
09
'IL --
....,.~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Zoning . . .
Application valuation
03-00001118 Date 11/21/03
B34 GEORGIANA ST
06-30-00-5-1-)800-0000-
PUBLIC WORKS UTILITES
COMMERCIAL OFFICE
o
Owner
Contractor
ROSECRANTS ANN M
832 GEORGIANA ST
PORT ANGELES
OWNER
WA 983623512
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
260.00
11/21/03
5/20/04
plan Check Fee
valuation
.00
o
Qty Unit Charge Per
1.00 260.0000 EA SAN SEW CAP/PULL W/M
Extension
260.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 260.00 260.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 260.00 260.00 .00 .00
~
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?
)
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 jf 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
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\J ]02.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number .2478
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
03-00001118 Date 12/15/04
834 GEORGIANA ST
06-30-00-5-1-3800-0000-
PUBLIC WORKS UTILITES
0)
COMMERCIAL OFFICE
o
Owner
Contractor
ROSECRANTS ANN M
832 GEORGIANA ST
PORT ANGELES
OWNER
WA 983623512
-------------------.---------------------------------------------------------
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 95.00 plan Check Fee
Issue Date 12/15/04 valuation
Expiration Dat:e 6/14/05
.00
o
Qty Unit: Charge Per
1.00 95.0000 EA SAN SEWER HOOKUP
Extension
95.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.00 95.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.00 95.00 .00 .00
~
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I
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work OJ' 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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. 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
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
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAlNAGElDOWN SPOUTS
ELECTRICAL (LIGHT DEPn SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I 1
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CmMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LIGHT1NG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
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 4174653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
I BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [I 1114/2003]