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Home My WebLink About814 C St - BuildingMI II v 't elC A0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner GOOCHY INVESTMENTS LLC 422 EAST FRONT STREET PORT ANGELES WA 98362 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 4 00 14 0000 THOU BL -2001 25K (14 PER Other Fees STATE SURCHARGE 4 50 construction. Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 BUILDING PERMIT RE ROOF PARTIAL 106906 151 75 7/13/07 1/09/08 Charged Paid Fee summary Credited Due Signature of Contractor or Authorized Agent 151 75 151 75 00 00 4 50 4 50 156 25 156 25 T \Policies \1102_15 building permit inspection record05 wpd [1/4/20051 07 00000826 006744 814 C ST 06 30 00 0 2 5880 0000 MICHAEL SOMERS RE ROOF COMMERCIAL NEIGHBORHOOD 5800 Contractor SUMS CONSTRUCTION 422 EAST FRONT PORTANGELES WA PORT ANGELES (360) 452 2268 NO PR FEE TORCH DOWN K) 00 00 00 00 Date 7/13/07 WA 98362 Plan Check Fee 00 Valuation 5800 Extension 95 75 56 00 00 00 00 00 Date Signature of Owner (if owner is builder) 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 as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that l 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 Date CALL 417-4S15 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 UNLA 61 FUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE 0 INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUT` 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL CONSTRUCTION R.W /PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 l' F TAPolicies \1102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES NO FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT 1 BUILDING DATE ACCEPTED BY. Q �n V V- t 1 1 DATE ACCEPTED BY. DATE ACCEPTED YES 1 NO I rnrn 1" I-n Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAK(3601417 -4711 Applicant or Agent: V 1 i i W10.e( Owner StME Address: c C O J 2 d City Architect/Engmeer Contractor ()L(.M S PO4ST Q 1 dtn) s63 R 3 1 1 Address: PROJECT ADDRESS LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. i.esidential New Constr Multi- family Addition 'toromercial Remodel Repair Sign COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones: Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION State License S u 4 22 0 L4 City ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone: Phone. �1` d� A N6 q S r 11 J Zip -P4 Subdivision. 451-226B S ML Phone: p Exp 6 Phone. Zip ZONING SIZE /VALUATION Re roof Stove SF /SF Move Garage SF /SF Demolition Deck SF /SF Other TOTAL VALUATION 5RDO BRIEF DESCRIPTION OF THE PROJECT oc, pithtapti, rokci-vw(0/ PM 5rr9 (mss Occupant Load. Construction Type Proposed Sq Ft. TOTAL Sq Ft. FOR OFFICIAL USE ONLY Date Rec. am Permit 6'7— Date Apprm •ed: 7 i 3 Date Issued: a 2 APPROVALS PLAN BLDG DPWU FIRE, 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 Coordmator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are 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, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon wntten request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. Thereby 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 not the City's, and that I must obtain such permits prior to work. Q TAFORMS\BIdgPermitform.wpd Applicant:// «C t "I LILS Date: 7 //3/0 7 '(i "'0,........ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 ~~~~~CdL~on Number Appllcatlon pin number Property Address ASSESSOR PARCEL NUMBER' Application type description Subdivislon Name Property Use Property Zoning Application valuation Owner GOOCHY INVESTMENTS LLC 422 EAST FRONT STREET PORT ANGELES WA 98362 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date 2/16/06 06 00000150 Date 090300 814 C ST 06-30-00-0-2-5880-0000- ELECTRICAL ONLY COMMUNITY SHOPPING DISTR o Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 ELECTRICAL NEW COMMERICAL ELECT SVC / 200A PANEL 70979 ELECTRIC SERVICE 95 80 Plan Check Fee 2/16/06 Valuation 8/15/06 00 o Qty Unit Charge Per 1 00 95 8000 ECH EL-COM 101-200 NEW SRV FEEDER Extension 95.80 :t Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 80 95.80 00 00 Plan Check Total .00 .00 .00 .00 Grand Total 95 80 95 80 00 00 COMMENTS/ ACTION NEEDED 4 \'1 '\ ~ 1 I j , ELECI'RICAL PERMIT INSPECTION RECORD I I I <\LL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. . , i ! KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECIlON TYPE DATE COMMENTs NO i / A- GENERAL COMMENTS: PW -1102 IS 14'96] \ \ ...// '.' " , .. CERTIFICA lE":O~F"0CCUPANCY ,;.')' ",., t::..... - ..... . ~City.of Port Angeles . d r ~. ~ -" Building-Division II. ~~ " ,~.,... ~ This Certifi~t/titJn~issued.p"ursuant to the requirements of Section) 09 of the Unifor"J~Brli!if1g i1dfc~iljyin'g thqj., at..!he ti!!le ~oj flsugnfe this str;tcture was in compliance~withtthe'va"'rioQ! r.f!inancesofthe:Cifjtiegulating B,uilding I ' ~ I1il I' """,- "'. - ........... , : I m~ '" ~~,;const~tJi n ~ 'lIse. fo,L thefoll~:Jlng:~ --:!\ , 'Restaurant' V\ ,'eil'lfdiiigPermit No.: ~ 12560 ~< I'G' ~I > ~ ]11 ,,"I;l ~ $' f. Om"P' A-3 t 'T"","fC"~""".oo, _ VN _ u,,~, - <?SD \ ~ _' ~.......11 f Owner of Business/Residence: _ ~liIlrDarrow Address': 20 I" West-=9lb.Street. Port....AnBeles. W A 98362 \ \ '. C l.. ----:\ II Building Address: 814 Sout\ " fa ~ ;:eoJ.l~g:/si~A 98362 ~~ 'teJ.:~ GI . i1:.1u1y 5~2001 _t',..- ,f'" Date Use Classification: . ~ . . ROUTING SLIP ff'ORr",o\' lO~Q~~ "-- . Certificate of Occupancy tI'~ "- -===->r =- $47.00 Certificate/Inspection Fee ~ 'l,;,,,,Wo<<'-' DATE ?J -15 r 2-001 New Business ....... ..................... ( X) Address of~roposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( ) ~\ (' fjJ' Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant -CJ. : *'" ~ ..- -rt"I vJ New Building ............................ . ( ) Address ~o I W.e.s+- q+h $..f' Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( X ) --.f6Rl~lIV.{-ek~ ~ Temporary Business ...................... . ( ) Phone: business home 4'/7-5351 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: TJ4KIE r:J 1I f If ~Sa" ro.." {- (Pl~~) legal Description: lot ~ -t 2..0 Block 2.S~ Subdivision IhN5im of- p, R-. Current Use of Property: ---R-e ~ ~ l Zoning Classification of Property: PRT-' c..,s'D Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . -- PERMITS BUSINESS LICENSE Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -L_ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . ~-X- ~ Plumbing 2) Peddlers Plumbing changes ...............,.....'....... L-- 3 Electrical 3) 2nd Hand Dealer New or relocated signs, . . . . . . . . . . . . . . . . . . . . . . . . . -A-- 4) Mechanical 4) Pawn Broker New septic tanks. . . . . . . . . . . . . . . . . . . , . . . . . . , . . . . _ --.L 5) Sewer 5) Dance New sewer service ...........,.............,." _L.. 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. . , . . . . . , , . . . . . . . . . . _L- 7) Driveway installation 7) Fireworks Is this a home occupation? ..................... . -~ 8) Curb installation 8) Ambulance Excavation of filling of lots .,..................... X 9) Sidewalk obstruction 9) Tattoo shop -- Work done in City right-of-way. . . . . . . . . . . , . . . . . . . . _1- 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . , . . . . . . . . ~- 11 ) Fire New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . )< 12) Occupancy A grading plan for site drainage. . . . . . . . . . . . . . . . . . . -')( 13) Sign (parking lots, downspouts, etc.) ................. . -:e T" 14) Shoreline Are the existing streets paved? ...............,... --y:-- 15) Home occupation Are there existing sidewalks? . . . , . . . . . . . . . . . . . . . . . y:-- 16) Conditional use Is there curb and gutter? ........................ ..2S..- == 17) Other Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- I hereby apply for a Certificate of Occupancy and acknowl- "3 - It - C!> I edge that I have read this application and state that the Date: information I have supplied is correct to the best of my Signed: ~~k i)~:::J knowledge. :!Pi REJECTED Comments / Conditions Building Section Public Works Department II, ~ 'J9-oj D~ Planning Department JftJiL Fire Department '3"/~ -DJ~.BJ City Clerk P.B./A I.U - ~ ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee -~ -I '; ,. :~'XJt DATE Address of. 'Iroposed Business (('~J \ I ( ~':r" tf.'\ Applicant ----C-f ," " *- .l)^ ~ ~('t, vJ Address !JO I W~'S1- tflJ-.. ~+- ~R\ v.:\~~k< ~~ Phone: business home t.j 17 - S~S J New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building ............................. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use! . . . . . . . . . . . . . . . . . . . . . . . . . . . Brief description of proposed business: TJ4k IE ,.., "r If ,~~ ("fA '" f (P"z. 'Z.,q ) IT ~ 2. 0 R~ 4.' l Block _. S e Subdivision '1~ 01JjiT~.1 df p.1+. legal Description: lot Current Use of Property: Zoning Classification of Property: ~ C. s 'D Will THERE BE ANY OF THE FOllOWING? YES NO Construciion changes. . . . . . . . . . . . . . . . . . . . . . . . . . . __ Electrical changes.............................. __ Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . ~----X- Plumbing changes ............................. ~_ New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . --X-_ New septic tanks ............................... _ ~ New sewer service ............................. _--L Admission charged to patrons. . . . . . . . . . . . . . . . . . . . _ ~ Is this a home occupation? ...................... _ ~ "- Excavation of filling of lots ....................... __ Work done in City right-of-way................. ~~h.~ ~ Is there sufficient off-street parking? . ~ ~ ~ ~ _ New driveway openings ................ ~ ~... _ ~ A grading plan for site drainage. . . . . . . . . . . . . . . . . . . _ ~ (parking lots, downspouts, etc.) .................. :'Iii: ~ Are the existing streets paved? ............... . . . . ~_ Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . -L_ -)(. - Is there curb and gutter? ........................ Other......................................... __ THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) $idewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy ~ign '-n('Shoreline 15) Home occupation ~. Conditional use CWOther BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other .. I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: APPROVED REJECTED ~ ~lj}tS ~Ol Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. 3. ../(: 0 I ~O~L';'~ ~~)4~J X" ) ) ) ) X) ) ) . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 PERMIT NO. _ C;-r,/e- 7/~/Y't . DATE ELECTRICAL PERMIT Site Address: I In:stalled By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: i Owner/Business Address: I I ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW o FAN/WALL KW Phone: Sq. Ft. o RESIDENTIAL ~COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o q\ 03115 SERVICE SIZE FEEDER SIZE AMPS AMPS Details/Description: . 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. o Rough-in/cover O.K. o O.K. to connect service if~ Final O.K. . I Inst~f1er: .~ _'.J New Meters Date: ! ~ ~~ Notify Port Angeles Il!:ity Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered befo~e inspection and 0. 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 Ir'YV~1 $ I. Electncallnspeclor Site' Address: 81l/ ~.). C /), .dd~ Permit/Receipt No. sG/L Jf' ,:::7-.5- Permit Fee WHITE - File by address ~ O""PlC P""'RS ,"C PINK - Top: Eng, Bellom, Customer GREEN - Top: Meier Dept., Baltorn: City Hall CITY OF PORT ANGELES , .LIGHT DEPARTMENT ELECTRICAL PERMIT N? L5782 :;- -/,9 r ", . Port Angeles, Washlngtoll..mm....;mm..._.m.m.m.mmm.........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- E: :lf~~~:~:=::;;~:_:'=,~--~::~:::::::~-=::: I . . (j, 7!: 'firing Contractor ...'2lL~".'r....'..~.~:.~~<<..",....................... By......mm..m......m...........nm.....m..m...m.m..... E.ight Outlets.....................___......._.._..... Service, volts /.~..(2;,.!...~_.f:.&...h..... Type ot Wiring: I Receptacle Outlets......______h...._.____....... No. wires .____2.......................h..... Armored Cable ............_mhU........_ Jrye,. KW.......................................... Size wl'es....f',.......mn.............._.. Non.Metalllc ........m...................... I /o&) 4- Knob & Tube................................_ Ilange, KIV .................................. Main fuse ................!..................... I r RIgid Conduit ............................... WI a:~:e.ate~:...................... TYP::;I:i:~:~~m......mm..m... Metallic TUbing ...m....m............ Raceway ___......_..._................._......_ Heat: KW...h...._......._............._.............mm Entrance Cable ..........- m............__ Circuits, Llght........................_______........ I ~otors: size, volts and phase: Rigid Conduit Utlllty .m..................._......m........... Ser. No............................................... Heat ___________.................................... Range ....._._........_....h.n..h__............. Water Heater ............._._____m..m... Motor .....__.........._..._....................... Metallic Tubing h___m....___ Current transtormers: No. & Size...................................._.. Ser. No. ..........____..._......_...__......____..... Dryer _.._______....................................__ Furnace .........................._................._. Ser. No. ......................................h..... Total Load............................. Ser. No.._........._..._............__............... Total ........._._...____._._................ :~:::~::m::::::::::::::::::?::~:~;t::~~:~~:::~::::::::::~-:=::i~::=:~::::::::::::::::::::::::::::::::::::::::: ;E:.~~::~:::::..::.:..:......:...~...n...::~.~.~:::~~.~:~.~~......................m...:~.~.~12::i~;~;~~~=... 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 betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION '\ ELECTRICAL PERMIT N? 15782 Address....__.............................................__.._._._....___........_.__._....___..._._..._..____.__.___..___....................Date.___._.._______._.._....___...___...._.__..._._..___.. Owner ........h.___....................._.__......._...._.__....._.._..........___......._..........................._.......... Tenant......_................__................._......_..........h...... Wiring Cgntractof_....._...............................___.........n.._.h__...................._.._.h...___..__..........._.........__. By.._......h.............................................h._._ NOTICE-Current must not be turned on until Certificate ot Inspection bas been issued. It work is to be con. cealed due noUce must be given the Inspector so that work may be inspected betore concealment. 1M Olympic Printers, Inc. , bl/{l (J /. /" ./ ~trlcal Contractor ~ o Owner WI ELECTRICAL WORK PERMIT APPLlCAirION o Request Inspection o A.lumel Pe..mtt CI .-'larm CJ CaruiV91 mmerclal 0 R.edasatial a Reiid<lutial Maint. 0 Signs 0 Thermostat 0 Telecom. Job ",,"red by DOwner Installation description Telephone number -\.(-)" "l......-ict'-\'l-.-4 Premises owner's n}llle V w- (0 IJo4= Add.n~u 01 inspection ~ ct- License number ~,'i...c..\'~'Lo:>~ Cl~G~v~ E~~ricaJ COntuctor name: ~ b _',.;:of ~ ...l C- ~ e-.,-..J..... UZ- PUrchllSl;r"s l~lAi.ljn address 62- \ ~<l..,- "'tV, .. L- ~ 2.00 ~""' FAX number s\v.-. " ""b' 'i City-y C- o Cash 0 Check # I hereby certify that 1 am the owner of tbe above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law. Chapter 19.28 RCW. Signature ;tyner. ele~ ,on\ractor or electrl,,1 administrator X LM:>- ~ -- CJ Credit Card visa Mastercard Discover ( Card#. - ~ _ ExpirationDate-f"- -:-. -------- of card (!'j WALLS Insulation Only Dale ^"pr\lvcdBy Cover Dale Approved By / D~l~ ApprovellB)' TIIERMOSTAT "- Oale ^PP'/lVecl8y / DITCH Date Appro"cdBy SERVlCE JI.- If:: (j b --t.Q, '" FEEDER Oate Approved Ily CEnJNG tnsUl9,1ion Only Cover -oite'" Approved By (EloctfiC'3l.lnad.Additinn!; and OiSiil:itraetlons~ o NO LOAD CHANGES o Baseboard _ Kw o Furnace _ KW CI Heat Pump _ Ton _ LAA IJ Fan-Wall _ KW Servlee Information o Overhead S9rvice lJ Temp Service U Underground Service Voltage Pha.e IJ 1 IJ 3 Service Size: ~eeder Size: Inspection Date Area. Building or Equipment lnspected Action 'taken Electrical Inspector 2:0 39\1d P2:P92:SP09E EE:51 9002:/50/2:0