HomeMy WebLinkAbout313 E 13th Street - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp service change
Owner
ELISABETH /ARVID SCHREINER
313 E 13TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
ELECTRICAL
154054
93 75
9/23/09
3/22/10
Qty Unit Charge Per
1 00 93 7500 ECH EL 0
Charged
93 75
00
93 75
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
09 00000982
555728
313 E 13TH ST
06 30 00 0 3 8265 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
EXTRA MILE TECH ELECT LLC
418 N RACE ST
PORT ANGELES WA 98362
(360) 457 0198
ALTER RESIDENTIAL
200 SRV FEEDER
Paid Credited
93 75
00
93 75
Plan Check Fee
Valuation
00
00
00
DATE RESULTS
/13 la� �p
9I24169 4
Date 9/23/09
00
0
Extension
93 75
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
-0,17
SEP -22 -2009 0S 44 PM E JANSSEN
City of Port Angeles Permit Application
Building lllhrl9lonf@lectdnal inspections
321 Best Fifth Street P.O Box 1150
Port Angeles Washington, 98382
Ph: (399)1417 .4735 Fax: (880) 417 -4711
oate:_.5 ,9 9 6 1
✓18 Single Family Dwelling
Mute- Farnlly or Commercial'
Commercial Addition 1 Alteration 1 Rrjmotiel Repair'
Plan Review May Be Required, Please Complete Electrical Plan Review information Sheet
Job Adds; __all l CLIcS. L" 54 e
Building Square Footage:._,
Dnscriptlon of above a C .d r r rle G7 1 F7 r
Owner I natioq
Name: trJ 1
MAIN ddress;
City: t..„
Phone: $Z
License It Exp.
Wt Chew
93,75
9113,75
5160,00
5205.00
$291.25
2.00
957.50
2.00
72.50
86.25
9115.25
5131.25
S 75.00
5 69.00
75.00
9 50.00
50.00
93,75
80.00
86.25
27.50
3 57.50
B6.2b
43.15
s 5► b �t hc. 4k tke.l
3 E. i3..Pt. st
las_ State: Zip: _1g 3 Z.
Oft
Owner al deened by RCW- 19- 28 -28f: (11 fawner will occupy the ahuclure for two years after this electrical permit is finalised. (2) Owner is required to hire an
efacMhal connecter //above saki preperty is for so, ren or loose.
After reading the above statement, I hereby certify that I am the owner of the above earned properly or a licensed deehicdl Cep- lam mMlble the etadtfsel
inMMl$tton or alteration in compliance wl8 the electrical taws, N.E.C. WV. Chapter 19.28, WAC. Chapter 295488, The City of Pent Angeles Muahhtptd Code, and
uttlify Specifications.
9ignafunt of o y +r, electrical contrertlor ar electrical ad
9
RECE VED
SEP 23 2009
ELECTRICAL
INSPECTIONS
Thermoetet
5 Total
360 452 2982
Service/Feeder 200 Amp
Servioe!Feedar 201 -400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder601 -1000 Amp,
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Serviced Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Amp
Temp. ServlcelFoeder 401 -600 Amp
T Temp. Service/Feeder 601 -1000 Amo
Portal to Portel Houiiy
Sign/Outline Lighting
Signal Circuit/ Limned Energy Commercial
9 Signal Clrcuitl Limited Energy 1 2 Family Dwelling
9 Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy §KVA System or LesS
9, First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
S__ Each Swimming Pod or Hot Tub
Contractor Information
Name: E''r ie-# WIla °sec!} t aA_
Mailing Address: ft.CC ST_
City: MLA- 1441,11,1.,.. ,t
State: Ale -ZIp: 4 Sr T 6 r_
Phone: ro e-fs 7 34 r 3?R.
License Exp. "RA ran' 9_71
/%1x `f 47 6S
Total Q Mul ed by Unit Ch me
P 01
PREPARED 7/17/09 8 24 03 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/17/09
ADDRESS 313 E 13TH ST
TENANT NBR DENIS /SIBYLLE SCHREINER
CONTRACTOR DAVE S HTG COOLING SRVC INC
OWNER DENIS /SIBYLLE SCHREINER
PARCEL 06 30 00 0 3 8265 0000
APPL NUMBER 09 00000709 MECHANICAL APPL PERMIT
ME99 01 7/17/09
SUBDIV
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
COMMENTS AND NOTES
PHONE (360) 452 0939
PHONE (360) 457 5209
MECHANICAL FINAL TIME 01 00
July 16 2009 2 48 43 PM 1pangrle
JEANNIE 452 0939
MECHANICAL FINAL HEAT PUMP
AFTERNOON
1
Owner
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000709 Date 7/16/09
Application pin number 867960
Property Address 313 El 13TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 8265 0000
Tenant nbr name DENIS /SIBYLLE SCHREINER
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 4330
Application desc
INSTALL DUCTLESS HEAT PUMP
Contractor
DENIS /SIBYLLE SCHREINER DAVE S HTG COOLING SRVC INC
313 E 13TH ST PO BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457 5209 (360) 452 0939
Permit MECHANICAL PERM
Additional desc INSTALL DUCTLESS HEAT PUMP
Permit pin number 150250 I
Permit Fee 64 80 Plan Check Fee 00
Issue Date 7/16/09 Valuation 0
Expiration Date 1/12/10
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 14 80
Fee summary Charged Paid Credited Due
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Grand Total 64 80 64 80 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 fora period of 180 days
after the work has commenced, or if required inspectio have not been requested within 180 days from the last inspection I hereby certify that 1 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 perfonhiance of construction
baold Obi;
D A Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Pnet
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
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 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood /Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
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 Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 1 ESA.
Landscaping 1 1 SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T /Building Division /Building Permit
Accepted By Comments
FINAL Date Accepted by
FINAL Date
1
1
1
Accepted by
Date Accepted By r
-17- 0 9 13�L
Jul 1509 12 18p
Applicant
Property
Property
Contractor
Contractor's
License
Dave s Heating Cooling g
3604520939 p1
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth Si, Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
ve S h- ect—t-r r. 3- Phone
Owner lDe l s 4- S b t-d 1-e. Sc k re, nerPhone
Owner's Address 313 L -t__/3 s�
Phone
Address P nl 6 8* An
V e S 4 f KG Expiies _37,90(1 E -mail
PROJECT ADDRESS 3 (3 54 (3 S
Parcel Number
fr_oject Type Brief Description:
Check all that apply
New Construction
a Addition
o Remodel
o Repair
Demolition
o Re -roof
a Heat System
o Other
m'Residential a Multi family Commercial
Floor Areas Existing (sa. ft) Posed (so. ft)
Basement
1 Floor
2" Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Date f 0/ Print Name .7_1 01— D K mI Signature
T:t=orms/Building Division/Bldg PermiLdoc
For City Use Only
Date Received 16 -01
Permit nct —7a
Date Approved
f5. -09
4 7 1 .57-5. 09
Po r# 7 C.sus
S«a 939
Jet Ve Sit e n �wav ble.
Lot Zoning
per sq. ft.
Industrial
House garage o other o tear off re -roof lay over one layer
ca'Heat pump o wood buming stove o gas fireplace pellet stove e'other
TOTAL VALUATION 33 c
Total footprint of structures sq. ft. T 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 °k
of bedrooms
of full baths
of half baths
1 have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand
that it rs m responsibility to detemtine what pem}its are required. and to obtain permits prior to ng on projects.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Heat pump replacment
Owner
ELISABETH /ARVID SCHREINER
313 E 13TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
ELECTRICAL HEATPUMP
150128
59 50
7/15/09
1 /11 /10
Charged
59 50
00
59 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
09 00000698
881182
313 E 13TH ST
06 30 00 0 3 8265 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
:59 50
00
59 50
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
00
00
00
117 le3-E
o ic4/: 4,47
Date 7/15/09
EXTRA MILE TECH ELECT LLC
418 N RACE ST
PORT ANGELES
(360) 457 0198
WA 98362
`q57 $6�
DATE RESULTS
0 0
0
Extension
57 50
2 00
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
t
RECE VED60
JUL 1 5 2009
City of Port Angela' Permit Application ELECTRICAL
Building mrwonteteetriat Inupeotloni INSPECTIONS
321 bet Filib 6treet- PA. Box 1160
Pn Angola .t7 Washington, 98382
.4711
Date: o `I
...Z1 2 Single Family Dwelling
Muhl- Family or Commercial"
Commercial Addition Alteration Remodel Repair'
Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address: 3 I i J 3 ST
Building Square Footage:
Description of above cy _r I
JUL -14 -2009. 05 09 PM E JANSSEN
SlaneWhret hwma, Maddest contractor or elm: Meal administrator
te 640
vvt
452 2982
045 e c IAMJ
Owner Information e Contractor Intonation
Name: f Q N y -)c. h iz. C in) 4 IC Name: E'CTie. 4 tm t t.E Ego A e 14c.4r1c rCo.
Media' Address• 31 3 i 3 t ,�r r Mailing Address: 4 tS r- L Pc-a r
Ciy a t( c State: loll- Zip: Ct, City Po ,r.4. A r_as State: t t .yl Zip R K
Phone; I Eta._ Lc/ 3;za.J, Phone: 3 o at 5-7 4 .aa x ?Go -dl 4L-.f 9IR
License Exp. gxTRg w►l• 9 7 3 RC, 1'7./ at., 09
Unit Chat a StY Total (Qtv MuIUnHed by Unit C! gg) F''1 x `f 5' 7 8 SG S`
93.75 .5 Service/Feeder 200 Amp.
113.75 Samba/Feeder 201-400 Amp.
5160.00 Service/Feeder 401 -800 Amp.
5205.00 Service/Feeder 801 -1000 Amp.
$29125 Service/Feeder over 1000 Amp.
2,00 5 u c Branch Circuit W/ Service Feeder
5 57.50 5 1 rt) Branch Circuit W/O Service Feeder
2.00 Each Additional Branch Circuit
5 72.50 5 Temp. Service) Feeder 200 Amp.
5 86.25 Temp. Service/Feeder 201 -400 Amp
511625 I Temp. ServlcelFeeder 401 800 Amp.
5131.25 i Temp. SeMC&Feeder e01 -1000 Amp.
76.00 Portal to Portal 1oW1y
68.00 Sign/Outline Lighting
75.00 Signet Circuit/ Limited Energy Commercial
50.00 15 Signal Circuit/ Limited Energy -1 S 2 Family Duelling
60.00 Signal Circuit/ Limited Energy Multi Family Dwelling
93.75 Manufactured Home Cormectlon
80.00 Renewable Bechtel Energy 5KVA System or Less
06.26 Fk>tt 1300 Square Ft.
27.50 Each Additional 500 Square Fl. or Portion of
5 57.50 Each Outbuilding or Detached Garage
86.25 Each Swimming Poot or Not Tub
5 43.75 Thermoetet
$_5 1. Total
P 01
4
Owner os:defmd by RCW.19.$8,2$1: (1) Owner will occupy the structure for two years alter this electrical permit Is finalized (2) Ownerta required to hire en
IHcblcel icoobecfer said property is fors*, rent or leaso.
Alter mowing the above etetement,1 hereby tidily that 1 am the owner (Atha above funned property or a Licensed elocMoel contractor. IBM making die a lectdom
instillation or alteration to compliance With the eMdrteal lave, N.L.C. RCW. Chapel). 19.49, WAC. Chepler 296.46B, The City or Pod And Munteipel Gene, end
Uttlhy 8pidfcatione.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 9~03~2002 PERMIT NO: 13673
OWNER/APPLICANT PROPERTY LOCATION
ARVID/ELIZABETH SCHREINER 313 13TH ST E
313 E. 13TH STREET Lot: 13
Port Angeles, WA 98362 Block: 382 [] Long Legal
360/452-5209 Subdivision: TPA
T: S: Parcel No: 063000038265000
CONTRACTOR ARCHITECT
AN DEN CONSTRUCTION N/A
364 SHORE RD.
PORT ANGELES, WA 98362-0000 , 98360-0000
360/457-9396 360/000-0000
PROJECT INFO
Project Value: $4,000.00 SFD Units: 0 Commercial: 0
Project Type: SIDING SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SC) FT: 0
Zoning Use:
PROJECT NOTES
INSTALL HARDIE SIDING
RECEIPTI¢9621
FEES ASSESSMENT
Building Permit: $97.25 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: $101.75
Plumbing: $0.00 AMOUNT PAID: $101.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit become,
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandone(
for a period of 180 days after the work as commenced1 or if required inspections have not been requested within 180 days from the last
inspection, I heee'0y certify that I have read and examined this application and know the same to be true and correct. All provls OhS of
laws and ordinan/c~s.s.s~veming t,h!.~pe of work will be complied with whether specified herein or not. The grant ng of a perm t does not
presume to giv~e'.af, zth~dfy to ~/io.l~ffe'~)r cancel the provisions of any state or local law regulating construction or the performance of
constfbction./.~' \ 'J
~'/iT~gna/t~ ~f Co~ Authorized Agent~ Date Signature of Owner (,, owner is builder) Date
T:\PLANNINGtFORMS~ I 102. ] 5 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
INSPECTION TYPE I DATE ACCEPTED COMMENTS
YES } NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DiLMTNAGE
ELECTRICAL (LIGHT DEPT) SEPARJkTE PERMdT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEFT. SEPAP,~A. TE PERMIT #'$ 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 PLANNING DEPT.
BUILDING 417-4815 BUILDING
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
Date / -- ,~ ';; Time Received by (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one}:
Sewer Foundation Framing Chimney Plumbing?ewer Excav. Other
INSPECTION
Inspected: Date *',~' '~ · ' '~ ~' Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [~ Unimproved []Gravel [~Asphalt (~PCC [~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [-~ COMPLETE
EINo Damage Found [~ INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANCELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15964
Port Angeles. washlngtoLm.___L__q_.=:.?!..._m.__m__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 .m__31._2.m.~_.!.J.__ci..._______.____n_n'h_m'h__mn__ OccupancYm._/U!:__~'..!..m.n'_hm_____nnn
Owner _m__mm.s:f;.:.::'_~~m."';.~_~_mi~~__if~enant..m.mn--m.n---mm-m--m...mm_______.n_.mmmm.__
Wiring Contractor __L~~~::.-:....nnn.n__n___..__nnm By...m.mmn______n__.______.m._n___.______n_.__n_n..__m..
/~~..
Service, volts ...................~...........
.,
No. wires .......2...................-::;.......
~ -,- //
SIze wires......c..,..t/..::.~.-::........._..
-:'b~A
Main fuse .....::.................h......h.....
S
Enclosure .......................................
Light Outlet............__.__....__.......___..___...
Receptacle Outlets.......m.....................
Dryer, KW n........................................
Range, KW.......n...........................
Water Heater:
KW._mm______.____.hm.h.m____..m__..._
He." Kw/f.lLZ...l5/3........__
Motors: size, volts and phase:
.--.,/....--...----......--....--.......................
Type of wIring:
Entrance Cable ..........
Rigid Conduit ....................
Metallic Tubing ..................
Current transformers:
No. & Size..............h.h....................
Sec. NO...........................h..................
Sec. No. .............................................
Sec. No. ..........h...............h................
Type ot WIring:
Armored Cable .............................
Non.Metallic .................................
Knob & Tube....................._........._
RIgid Conduit .............._..........______
Metallle Tubing ...__......__h........___.
Raceway .................................._....~
Circuits, Llght........h.........h..................
Utility ___.................______.........___..___.
lIeat ......................................._......
Range .............................................
Water Heater ....h.........................
Motor ..._........................................
Dryer ....................._.......................__
F 1I rnace . .........................~......_.......h..
Total Load....----..----....--....2~. .. SO'. NO..---.:;;;;..-.......V......g y Total ...........---..........--............-
Remarks: mnh______n_____._n__e:<:;_Lt...:1._"-.c,~m_____:__.______.n~;.mm_::;.._,..12al..:__m._.mm_.m____mm__.m______.__._...m
............_n..hn...n____nnnn______n.....nn.n_nn_unn~.....nn.nn..uuu..Uh._.__h..h......n__h._._.u....n.__nnnnnnn__.nn.u.un._u.nn_
. V ,
_m.mmm___mm_______m____mLmm____m___.nn._.~,nn~.n'nn_________m___mnnn.n___nnm.m_____nn.n__nn_nm___nn..___._..mmm.
;~_=.~~..~~~_____.....;:......--. ::~~;~~~.~.~~~.~.---... By .A!:t...l!t~g~~.~~,:f:.....:--...,~-
NOTICE-Current must not-' be ttQ.rned on until Certificate of 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. .
NOTIFY THE ;NSI!ECf6l,YPERMIT NUMBER WHEN READY FOR INSPECTION
~ _ .,r .
:.)
Address
!
ELECTRICAL PERMIT
"
'J
N?
15964
Owner .........h.....h......h........._......_.._......_......_.._......................n......h.....hhhn.........n... 1.'enant..................n.h.nnnn..nn..h.nn......n.....n......
Date..._......_.._.._.._........___...n._......_n.......
Wiring Contractor.......................................... ........................................"..............................~.......By..............................................................
NOTICE-Current must not be turned~ on untU CertlfJcate of Inspection has been issued. If work Is to be con.
ce~~ed due not1c~_must be given the Inspector so that work may be inspected before concealment.
1M O~ymplc Printers, Inc.