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HomeMy WebLinkAbout1404 Shirley Ct - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00001390 Date 11/30/10 Application pin number 272110 Property Address 1404 SHIRLEY CT ASSESSOR PARCEL NUMBER: 06-30-00-4-3- 0160 -0000- Tenant nbr, name KENNETH UMBEHOCKER REPORT SALES TAX Application type description RE -ROOF Subdivision Name on your state excise tax form Property Use to the City of Port Angeles Property Zoning RESIDENTIAL MEDIUM DENSTY Y y Application valuation 10000 (Location Code 0502) Application desc TEAR OFF RE -ROOF THE HOUSE GARAGE Owner Contractor KENNETH M UMBEHOCKER RAINMASTER ROOFING 1404 SHIRLEY CT 1205 S. 0 ST. PORT ANGELES WA 983631536 PORT ANGELES WA 98363 (360) 452 -7214 (360) 452 -3213 Structure Information 000 000 RE -ROOF THE HOUSE GARAGE Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF THE HOUSE GARAGE Permit pin number 178129 Permit Fee 207.75 Plan Check Fee .00 Issue Date 11/30/10 Valuation 10000 Expiration Date 5/29/11 Qty Unit Charge Per Extension BASE FEE 95.75 8.00 14.0000 THOU BL- 2001 -25K (14 PER K) 112.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 207.75 207.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 212.25 212.25 .00 .00 1€ ....,t(c)-kl. 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 has 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. V ontra /1-30 _lo T F La yn J ii 4., O Date Print Name nat or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type 1 Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to BIdg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor V J Shear Wall Hold Downs Walls Roof Ceiling mall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood./ Ducts FINAL Date Accepted by 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 ro Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 5-- t j I J T:Forms /BuiIding Division /Building Permit L` f \0 N N W 0 F a q M N N r N r F 0 N N a Q) r H H 0 v w 0 o H 0 O u ox a 0 0 ID+ roax w a ul H H .l H W W q `(0 (0 X S O F H m a s m a Z Hh r,u GI q o a H k H O F F E H v1 W W W N N Q Z a P H r 2 W v1 u1 PG 2 H H HH wO° ate''0 0 a w (0 Z Z H E-• w M H 000 U' H 414 0 Z N VI 0 J,(0 H 0 W w a RS w D o i q a m£ H o X 2 u o E. H x H O 'C u0XN 00041041 XX 0 0 m (0 a o N 4 09 a; wa o 0-( L� 0 a a m Z a 4 4 0 4 Z r, H O H E. O H H UI xx c11x00 W (0E 0 H00 tiw .1•ZZ 2 2 0 0 W FE H H U' O Z H� Z 1 (0 �O H xr>:xoH 05a H 0 E �H awo a z o m w a0 (0E 1ZZ E 0 o wF A 2 ZZ a W m H 1240 iQ E. 0 a .4 (0 al c n0121-4,,, .BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES or f*,..rql1A For City Usp Only: 'V... Attn: Building Permit Technician Date Received II- 3 0 321 E. Fifth St., Port Angeles, WA 98362 Permit# (O 9 (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant RJN_MAs1C,e ROOF /NA Phone0s2 -3213) Property Owner fC4 At ti ul ti„„ker Phone (q 2_ 72/4) Property Owner's Address Nog- Si,i,/, Lour -f Contractor R,,,,,,_Mo ci kooP)N6 Phone 1/52-3z'3 Contractor's Address /gas '0' License 'A oq 'WI k Expires a. /2 E -mail PROJECT ADDRESS /90 ti. Sh;,rl C tit4 Parcel Number Lot Zoning Project Type Brief Description: 0/Residential Multi- family Commercial Industrial Check all that apply New Construction Addition Remodel Repair pemolition Re -roof &House Ygarage other iz'tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other co TOTAL VALUATION /O,t Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft., Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinklersystem be installed? Construction type of half baths I have read and completed this application and know it 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, and to obtain permits prior to working on projects. Date 1/- 26 -2o /0 Print Name SeJI Layy,.,aN Signatur T:Forms /Building Division /Building permit application k f* 4 •4 .',4•;e1V l,"'47 V, ilfe ,I k it:':,. 4.i;::!.. i'V'''', ,..i' 1\ii; 1\'' k\;''' t';' k\•;:; Mk 1' q- 7�t- /S 7j� y r;r /3800.la:Inlay 2.W_ kith 36 k j 6 arr. 1)r;e.Hi�r@ h,1o� r I it J� u A 2.'7c G plus 1 6C 2 rich tO0X� 75 r,e chiw!N<Y a D j,� E l2c�` t -Piz ,llo ^'mss 0 0 -A dU�, e s 8a� p ta I 6362 ii C c /Y-o`f S/ jr COL.? et r. 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Page 1 of 5 ClaHam County Assessor Treasurer Property Search Results 61200 KENNETH M UMBEHOCKER for Year 2011 2012 Property Account Property ID: 61200 Legal Description: WESTVIEW HEIGHTS SUBD LOT 16 SUR V40 P32 Geographic ID: 0630004301600000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location e Address: 1404 S SHIRLEY CT Mapsco: 1 PORT ANGELES, WA 1 Neighborhood: Cycle 5 Res Map ID: 3 ly. Neighborhood CD: 10955130 Owner iLr Name: KENNETH M UMBEHOCKER Owner ID: 57206 I Mailing Address: 1404 SHIRLEY CT Ownership: 100.0000000000% PORT ANGELES, WA 98363 -1536 Exemptions: Taxes and Assessment Details Property Tax Information as of 11/30/2010 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the click RECALCULATE to obtain the correct total amount due. I 1 !First i Second l Half Half :Base !Base Year; Statement ID l Taxing Jurisdiction Amt. Amt i Penalty 1 Interest (Base Paid A 2010 43933 ST SCH STATE SCHOOL $188.93 $188.93 $0.00 $0.00 $377.86 2010 43933 CC -GEN COUNTY CLALLAM $100.55 $100.54 $0.00 $0.00 $201.09 2010 43933 PORT PORT OF PORT ANGELES $14.13 $14.13 $0.00 $0.00 $28.26 1 2010 43933 PORT ANG CITY OF PORT ANGELES $232 79 $232.79 $0 00 $0 00 $465 58 2010 43933 SD #121 SCHOOL DISTRICT #121 $244 72 $244 72 $0 00 $0 00 $489 44 2010 43933 NTH OLY LIB NORTH OLYMPIC LIBRARY $29.22 $29.21 $0.00 $0.00 $58.43 2010 43933 HOSP #2 HOSPITAL #2 $41 24 $41 25 $0 00 $0 00 $82 49 2010 43933 WSMET PK DIST WILLIAM SHORE MET PARK DIST $13.12 $13.13 $0.00 $0.00 $26.25 2010 43933 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 1 2010 43933 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0 00 $1.63 r 2010 43933 TOTAL: $901.52 $901.51 $0.00 $0.00 $1803.03 i 2009 612002008 ST SCH STATE SCHOOL $215.94 $215.93 $0.00 $0.00 $431.87 2009 612002008 CC -GEN COUNTY CLALLAM $109.29 $109.27 $0.00 $0.00 $218.56 2009 612002008 PORT PORT OF PORT ANGELES $15.48 $15.48 $0.00 $0.00 $30.96 12009 612002008 PORT ANG CITY OF PORT ANGELES $239.71 $239.70 $0.00 $0.00 $479.41 3 i s http: /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =6... 11 /30/2010 OF p OR',N,O II_ l 'eLIC W3 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc LAWN SPRINKLER IN R/W #08 30 Owner UMBEHOCKER KENNETH M 1404 SHIRLEY CT PORT ANGELES Permit RIGHT OF WAY Additional desc LAWN SPRINKLER #08 30 Permit pin number 132548 Permit Fee 70 00 Plan Check Fee Issue Date 8/25/08 Valuation Expiration Date 2/21/09 Qty Unit Charge Per WA 983631536 BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001024 099840 1404 SHIRLEY 06 30 00 4 3 PUBLIC WORKS RESIDENTIAL MEDIUM DENSTY 0 Contractor OWNER CT 0160 0000 UTILITES Special Notes and Comments A SEPARATE SHUT OFF FOR ZONE THAT FEEDS THE SPRINKLER SYSTEM WILL BE REQUIRED APPLICANT SHALL MAINTAIN THE SPRINKLER SYSTEM AS TO NOT CREATE A HAZARDOUS WALKING AREA AND WILL BE RESPONSIBLE FOR ANY SPRINKLER REPAIRS RESULTING IF AND WHEN CITY CREWS NEED TO MAKE REPAIRS ON CITY UTILITIES WITH IN THE PLANTING STRIP Fee summary Charged Paid Credited Permit Fee Total 70 00 70 00 00 Plan Check Total 00 00 00 Grand Total 70 00 70 00 00 T \1102.15R [1/051 Date 8/25/08 Due 00 00 00 00 0 Extension 70 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 stake or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date nature of Owner (if owner is builder) Date CALL 417 -4807 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER`CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSIONCONTROL PARKING SIDEWALK CURB Si DRIVEWAY APPROACH BACK -FLOW DEVICE T•cPolicies \1102.15R (1/051 INSPECTION TYPE DATE ACCEPTED COMMENTS RESIDENTIAL CONSTRUCTION.R.W PW ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING' 417 -4815 PERMIT INSPECTION RECORD YES 1 NO 1 1 1 1. 1, I FINAL INSPECTIONS,REQUIRED PRIOR TO OCCUPANCY/USE DATE YES' NO' COMMERCIAL CONSTRUCTION RW PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE'' ACCEP.TED YES' NO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc SPRINKLER SYSTEM BACKFLOW VALVE Owner e UMBEHOCKER KENNETH M 1404 SHIRLEY CT PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 7 0000 ECH PL- EA LAWN Charged Fee summary A 983631536 Permit Fee Total 57 00 Plan Check Total 00 Grand Total 57 00 T.Forms /Building D. JNBuildin nit (05 /13 /08).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 32l EAST 5TH STREET PORT ANGELES, WA 98362 08 00001010 242130 1404 SHIRLEY CT 06 30 00 4 3 0160 0000 PLUMBING REPAIR RESIDENTIAL MEDIUM DENSTY 0 PLUMBING PERMIT SPRINKLER BACKFLOW VALVE 132316 57 00 8/18/08 2/14/09 BASE FEE Contractor OWNER Paid Credited 57 00 00 57 00 Plan Check Fee Valuation BACKFLOW 00 00 00 Date 8/18/08 Due 00 00 00 00 0 Extension 50 00 7 00 Tai- 1 oc k. 4 ffr R thurn_ 1 -0 L► 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 has 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 'pate Print Name Signature of Contractor or Autnorized Agent Signature of Owner I; owner is t ider) Application desc SPRINKLER SYSTEM BACKFLOW VALVE Owner UMBEHOCKER KENNETH M 1404 SHIRLEY CT PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total T.Porms /Building DivisiavBmlding Permit (05 /13 /08).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 32] EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001010 Application pin number 242130 Property Address 1404 SHIRLEY CT ASSESSOR PARCEL NUMBER 06 30 00 4 3 0160 0000 Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 WA 983631536 Per 7 0000 ECH PLUMBING PERMIT SPRINKLER BACKFLOW VALVE 132316 57 00 Plan Check Fee 00 8/18/08 Valuation 0 2/14/09 Charged 57 00 00 57 00 BASE FEE PL- EA LAWN Paid OWNER 57 00 00 57 00 Contractor BACKFLOW Credited 00 00 00 Date 8/18/08 Extension 50 00 7 00 Due 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 has 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 X-1 bate Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL, 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE IC 3T3 C FLA/ WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING 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 FINAL 9 r J O MDATE I FINAL PLANNING DEPT SEPARATE PERMIT N' SEPA. PARKING/LIGHTING I ESA. LANDSCAPING 1 I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 I PW ENGINEERING FIRE 417 -4653 I 1 1 I FIRE DEPT I PLANNING DEPT 417 -4750 1 1 1 1 PLANNING DEPT 1 BUILDING 417 -4815 1 1 1 1 BUILDING T r. cMa, amino rt, ,nnIP Orr Permit (05/13/081.wnd DATE ACCEPTED BY. ACCEPTED BY. nn np V VV� E DATE ACCEPTED YES I NO I I I I. I I S I. I Applicant or Agent <EA) CA &S‘G Phone 4 Z Property Owner Phone Property Owner's Address /yo Contractor /Engineer Phone Contractor /Engineer's Address License Expires PROJECT ADDRESS c{o II -5 Ay ig Parcel Number BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Lot Zoning Proiect Type Brief Description. KResidential Commercial Multi- family Industrial Check all that apply m_ New Construction Addition Remodel Repair Re -roof Demolition Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (s g. ft.) Basement per sq ft. 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures TOTAL VALUATION For City Use Only Date Received r Permit# og /0 Date Approved sq ft. T Lot size sq ft. Lot coverage OA Max height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 1 have read and completed this application and know it 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, and to obtain permits prior to working on projects. Date /Y 49T Print Name 1 C' 4 a 4 ‘--/a ce/" Signature 1/ 7 Forms /Building Division /Bldg Permit Appl. -2006 Code doc . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. ssto, 7 c.j2t;!?c, DATE ELECTRICAL PERMIT ., Site Address: '! Installed By: I Owner/Business: I I L/ iU! K;tP~Q~,,"- Ti,'./\ o READY FOR INSPECTION License Number: o Will CAll FOR INSPECTION Phone: Phone: . Owner/Business Address: I , I ELECTRIC HEAT o BASEBOARD KW ~ o FURNACE KW ~ o HEAT PUMP KW ;,0' FAN/WALL KW ~ I I I I ~laiIS/DescriPtion: =1 I I Sq. Ft. ,Cr RESIDENTIAL o COMMERCIAL ;gJ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE .~ UNDERGRO~ND SERV!CE VOLTAGE: / ?(9 Ii', ~ , rp'1 r/J 0 3 r/J SERVICE SIZE ~D FEEDER SIZE AMPS AMPS /l! ~L( ) I fi-r-itLL.1-f ;lNO. CAPACITY: I *0 O.K. 0 NOT O.K. A ION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE I I I SERVICE SIZE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER , o Ditch Inspection O.K. D ~ough-in/cover O.K. o hK. to connect service I o Final O.K. Si!e Address /Iew In~taller: Permit/Receipt No. -I' -.Drc7 . Date:; / 6/l0 No/lly Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered befbre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or ~n the Building Permit. PHONE 457-0411, EXT. 224. . . --1 '~1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ (J _C;O Eleclricallnspector Permit Fee New Meters WHITE - File by address OLYM~IC PAINTERS INC. PJNK - Top: Eng, Bottom. Customer GREEN - Top: Meter Dept., Bottom: City Hall /.