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Home My WebLink About1821 E Lauridsen Blvd - BuildingtC� m 4 U r_ 'W 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 WESTMARK RUSSELL A 1821 E LAURIDSEN BLVD PORT ANGELES WA Permit Additional desc Permit pin number 73445 Permit Fee 179 75 Issue Date 3/24/06 Expiration Date 9/20/06 Qty Unit Charge 6 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Per 14 0000 THOU BUILDING PERMIT NO PR FEE Charged 179 75 00 4 50 184 25 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. 3-2. —04 Signat Oedritractorar Authorized Agent Date Signature of Owner (if owner is builder) Date T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000277 279634 1821 E LAURIDSEN BLVD 06 30 14 5 8 0350 0000 RUSS WESTMARK RE ROOF RS7 RESDNTL SINGLE FAMILY 7599 Contractor RAINMASTER ROOFING 1205 S 0 ST 983624923 PORT ANGELES (360) 452 3213 BASE FEE BL -2001 25K (14 PER K) STATE SURCHARGE Paid Credited 179 75 00 4 50 184 25 Plan Check Fee Valuation 00 00 00 00 Date 3/24/06 WA 98362 00 7599 Extension 95 75 84 00 4 50 Due 00 00 00 00 oc, Z FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 r U T\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 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 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 YES 1 NO 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 FINAL FINAL SEPA. ESA. SHORELINE. DATE ACCEPTED BY. DATE ACCEPTED BY FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION ILW PW ENGINEERING 1 FIRE DEPT. 1 PLANNING DEPT. 1 BUILDING 1 1 1 1 1 1 1 1 1 3 Applicant or Agent: Owner /Puss Address. /82 E Lauri v., l�at rJ. Architect/Engineer Contractor Zatni_ y/ 4,, Address: /2Q .cvL.AL n' PROJECT ADDRESS LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi- family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE PROJECT PLANNING USE ONLY 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 FAX(360)417 -4711 T•\FORMS\BIdgPermitform.wpd Applicant: BUILDING PERMIT APPLICATION Block: J Re -roof Stove Move Garage Demolition Deck Other COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories. Lot Size: Existing Sq. Ft. Total lot coverage ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. City PA Phone: State License PA/J./Ai 0 9 Mk Exp Phone: 1 /52- ,32. /3 City DA Zip et 8.v., ZONING Phone: Phone: 'ls7 Zip Subdivision. SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 7 5 99 p Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq. Ft. 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 Buildmg Division to comply with current fee schedules. Contact the Permit Coordinator 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 apphcation 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 written request by the applicant (see Section RI05.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby 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. Date: 3- 2.y -n FOR OFFIC?AI, USE QNLY Date Rec. /24 0 Permit e% l Date Approved: %'('G Date Issued: V APPROVALS. PLAN BLDG. DPWU FIRE. OTHER /I ray_ ay, j�k+ss rN,I�K .360 eSY 8L 1 .r ,Atie seLV i 1 -15 7. (?J .S 0 v2.8 Y. x' 4 18C.' 7.3 G a 14213, IC J E'R'�b c28 f c S�' I zw,icr� da tee:i 3 4 1 e 3 c2 icw s k y 1 ch,r-i&rc -fQ 7 A P .DOs@ r L!g-e C� oe `5 22 477 Od (co.s2- I (8 7 s /t) pr c ®u, y 6 1 `7 1 r. 00 p re.7S 4rP wa, I �JUS Lcl t 1Jd r l 5 =3 fleoe4e, Ydr .21 t- enlipr -30yr auk ZAp /Aber az' e,1 3 atf r.r R.ic/y r p 1 S /023 Iv 452-- 700 18 x38 42 &ss P iev- 30 72 ra/, rr -fc) '-3 17 3 2'vyy ric r 1 Cti r •n/ Ey )rc1u/ /SO a"f C 5'� D c;‘). Hot f -80441- �t ol10 +61. I/O r'rr,ci -f -7S a c oal Sttso iD C cc /00 J 75 t?`' 75 ca Cfct, -E p t cs fax perroif z F3 /6E' 45 'e* 4\150 4lS7_C; 9 3C o4_. 8 g ta;eia, id n i pe •r1 -to cntN 4 #5 12 -4-31t) 5 7 5 `p ''°'' ' CITY OF PORT ANGELES °~ PUBLIC WORKS BUILDING DiVISION 321EAST 5TH STREET, PORT ANGELES, WA 98362 ~., ~"~'; ~'~m,~,.~ r ~..r~m~,~ i ISSUED: 3/27/2002 OWNER/APPLICANT PROPERTY LOCATION 1821 LAURIDSEN BLVD E RUSS & ARLENE WESTMARK Lot: 35 1821 E LAURIDSEN BLVD Port Angeles, WA 98362 Block: [] Long Legal 360/457-1736 Subdivision: UPLANDS DIV III T: S: Parcel No: 063014580350000 CONTRACTOR ARCHITECT AWNINGS & SUNROOMS OF DISTINCTI( ~N N/A 141 TIMBERLINE DRIVE SEQUIM, WA 00009-8382 , 98360-0000 360/681-2727 360/000-0000 PROJECT INFO Project Value: $11,455.00 SFD Units: 0 Commercial: Project Type: SUNROOM SFD SQ FT: 0 Industrial: Occupancy Type: RESIDENTIAL Garage: Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES ADD 12' X 16' SUNROOM OVER EXISTING DECK AND 4' X 13' 6" SUNROOM OVER EXISTING DECK RECEIPT#8902 FEES ASSESSMENT Building Permit: $209.25 Misc Fee 1: $0.00 Plan Check: $83.70 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 TOTAL FEE: $297.45 Sign: $0.00 Plumbing: $0.00 AMOUNT PAID: $297.45 Mechanical: $0.00 Radon: $0.00 BALANCE DUE: $0.00 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 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 ce~-tify that I have read and examined this application and know the same to be true and correct. All provisions of aws and ordinances 9dv~cr~ this type of work will be complied with whether specified herein or not. The granting of a permit does not 3resume to give a~ho~ to ~iolate or cancel the provisions of any state or local law regulating construction or the performance of :onstruction. ~~_~ ~ / j Signatur~f Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSU£A TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERM1T IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTED COMMENTS YESI NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAFNAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Etlglnecrillg Division ) SEPARATE PERMIT #'s: WATERL/NE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL BATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-473~ ELECTRICAL LIGHT DBPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEEPdNG 417480? PW / ENGINEERING FlEE 417-4653 FIRE DEPT, PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 41%4815 ~'~.-[ ~- C.~__ , ~. ~'~ BUILDING FOR OFRC. It~.L ~$j[ ONLY: BUILDING PERMIT - PREAPPMCATION Penait #: / ~Ap C~?~ ~ ~ or p~t h Jn~ ~y~ have ~ qu~t~ pk~ c~ 417~15 - ~ll ~/- civ: Zip:.qg~g~ o R~6~ o N~. o ~f o W~ ~ SF. ~ S ~. = S o ~-~ ~ o Mo~ o 0~ ~.~~F.~$ o C~~ o ~ o ~ SF.~$ ~F.~ o ~ o Si~ ~~ TOT~ V~UA~ON S {J, ~,~ '.'.~ ~ ~ ;'~ - . - · ~ ~ Co~: /~. · + ~ ~ C~: /~. · = TOT~ LOT CO--GE: /~.~ ~ USE ~Y: ~RO~: D~. BS~c~s): o Y~ D Ne S~A C~kli~ m~? ~ Y~ o Ne O~ pl~ ~ ~ ~ ~b~ to ~ ~l~g Di~ Y~UA~ OF ~Uc'tlON: ~ ~ ~ a v~fi~ m~t m~ ~ ~ ~ ~ applic~[ ~ fi~ will ~ ~ ~ ~ ~ ~l~ng Div. to ~ c~t fm ~es. C~t~t ~ P~t C~a~ at 417-4815 f~ ~. ~ON OF P~ ~W: If no ~it is i~ ~ ~ ~ ~ys of ~ ~ of ~fio~ ~s applicafi~ will exp~ by ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ up ~ I ~ ~ys, ~ ~ttm ~t ~ ~ applic~t (~ S~ion 3~(d) ff ~ U~ ~l~ng C~, c~t ~). No applieafi6n e~ ~ ~t~ m~e ~m on~. l ~ ~ t~t l ~ mad and examined this application and ~ow t~ same to be ~e and co~t, and I am autho~zed to app~for this permit. I un~rstand Jt ~ ~t the Ci~s legal ~s~Jbili~ to dete~ine what pe~its a~ ~qu~d; it mmai~ the applicant's ~spo~ibtli~ to determine what pe~i~ a~ ~qui~d and to obtain such. ~ ~ Applicon:~ Date: ~ ~ um~ s~ AS AN lNG I'EIIM · AAwnings & Sunr° oms of Distinction, Inc. "A Family Tradition Since 1928' (360) 681-2727 141 Timberline Dr. ° Sequim, WA 98382 Reg. # AAWNII*991DA CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~ Date ~)'-/~ --(:::)~- Time Received by (phone. person) Location of Work to be inspected / ~ ~ [ ~'- ~- c:::LC~-v~ I ~..~'~'///- Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one}: Permit No. Sewer Foundation Framing Chimney Plumbin~Sewer Excav. Other INSPECTION NOTES: ~=~'~'~'~ 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 [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) o(1~ FEE R ;CEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A o 0_0 4 ()':l PERMIT NU~ER . TCTAl FEE 30, ()'" Ho ^" ~ CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY I?TA ( SiteAddess"/8or;=. ?~~ fttvlRIPSelY I?ll/P CORRECT ADDRESS IS RESPONSIBIUTY OF APPLICANT PERMITS WITH WRONG App~ESSES ARE CANCELLED Owner _ m-erw l~h"",,!J...., ~ Installation By E{/~CJE-~ EL.ec. Owner's Address Installers Address G1:s-.if I "'? 3" Day Pho"e Installers Phone PO. t!:x '78'3. ~U) J"'1 Applicat an is hereby made for Permit to install Electrical Equipment as follows: -?~;!I;n P ,;<f2s:/d. ~;-v; c::4 ---.iJLeoJ 1;1 () rv1 e. Uf. r; ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Wiring Method ~~e X e' NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIR 30 CIR 30 LIGHT ~ SIGN LIGHT 50 VOLTS OR LESS CONV[ NIENCE MOTOR CONV( NIENCE MOTOR APPLlI NCE MOTOR DISHVr. A.SHER I FIRE ALARMS D1SPO iAl / BURGLAR ALARM RANG! / MISC. OVEN WATEr HEATER ( lAUNC RY I DRYEF f REINSTALLATION LIGHT FIXTURE # F'UR"Nt CE SUB TOTAL FEE GAS-:)IL FURNJ'CE /5p. ENERGY FEE ELECT 11C BASIC FEE ELECT11C HEAT TOTAL FEE ELECT 11C HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. U'J1T AMP PHASE FEEDE 1 SIZE OF SERVICE ENTRANCE CONDUCTORS SERV1( :E ;!o<:>III AW.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in c~nf~~ce with the N.E.C. Electrical Code. DateA~plica\ionmade g-~ 0 .19(!.5' By -1.;1:., 4- CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Pe: mission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles, ~CANs~~;:J7~ Date Pe ~mit Issued . 'e;.. 3o-fl''5'" rwA"lNING Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158, PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. ~ ~ :., .,' '.i . ,t' DATE OF VISIT 'j'/~ ..(., (I-r-rr- (j,~ ~-pS- j-)b- ')(S Cr-I/r ( ,,", l"l- J - i-;- MADE BY 1//;2 REPORT OF INSPECTOR REMARKS f{;J5eN(efi/'T IS S'vrl'/'05e,,:!'71) f8(? fhVh/'IIJ,(.,. fl,~ CtflVffor be (".,CN'./fep 1V1.r;< "",7 /Vf()RP puTLeT-5 'f- (fleeT (/I(~Pe<-",cN ,r>,r ;ff{/!./) )r ,T (5 ('<;t7el<.e..rJ:. w,LL ~ea"'t<e ;5'.,(,f'e7RoclT' If'e /(eMorJeI' F"I'I /rV.sl'ec TI,p/V . /}If'.-% tJJ. /11 KWLJ of tdrf(r/l/~ r=()~ (>/R(itl/..111~/r_ \ fJl/M r oJ'{ lie> r t.dl/ 'Ie R 'rlf/\/ If ALJt) tYt"eJ) L, <;.L I 'i S' Wr~,j. /10( (YR/f wL 1!fJ OJ(,, -;I'A(e WesT nF tJ-4seM<,/Vr floC() At'3owT ~oIAT/.. WAiL ~F F((II"IIJI~ IRo<'Nf ~oR ,ow!LeTS j--../ -11/.) -11,,(2 1!{g O.K. FOR COVERING 5'" e A B () /! I( O.K. TO CONNECT SERVICE FINAL O.K. z Cl II: ~ :E ~ :I: I- Z W l- . l- e z e Q . ", *5'Y FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ,&..37 PERMIT NUMBER . TOTAL FEE /0. <J () paC! CO NT. lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY , Owner Owner's Address ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ];;A$/" ) AV~ I O$ON ESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED ElJ r; R'fQ l!EFNJ::'l-EC- ' 'P.O. B~ 18~ b~~ 41e:;5 Installation By Installers Address ~ D~y Phone Installers Phone ApplicatIon is hereby made for Permit to install Electrical EquIpment as follows: ---;e.....,P ~/ee. ,5er-UIC-., U C Wiring Method .' NUMBER AMP 120V 24QV NUMBER AMP 120V 24QV USE OF CIRCUIT" CIRCUITS PEA '" 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE CIA 30 C'A 30 LIGHT \ SIGN LIGHT q"'- 50 VOLTS OR LESS CONVENIENCE , .r '\ ,\ MOTOR CONVENIENCE /1 \' Ii\ MOTOR APPLIANCE \I \ MOTOR .. .. 1\ , DISHWASHER '1. \'-1 FIAE ALAAMS r. 1\ , BUAGLAA ALAAM DISPOSAL RANGE t\ ~ IJ MISC. OVEN ~ \\ ~ WATER HEATER /, I~ \ LAUNDRY /. I , \ / DRYER I' \ ~ \ REINSTALLATION LIGHT FIXTURE II FURNACE / \/ / SUB TOTAL FEE GAS .,OIL FURN~CE \' ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT \ /6'20 , TOTAL FEE - ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB, TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH . l,certifY that'the work to be p~formed un~er this permit will be done by the Installer and in confor~nce with the N .C, Electrical Code. Date Application made 7 5 ,19 K S- By ~ CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to.t~~ approved plans and speclncations pertaining thereto, subject to compliance with the Ordinances of the City o~ Port Angeles. . . LA DIRECTOR,OF CIT,Y L1GH~ By ~~J ~ic.-! r ~ Date Permit Issued .-- PLANS APPROVED' I I " ..., 7- r-_<?-s .) () Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WARNING WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMP~C PRINTERS, INC. ;' REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS - . , .~..;. . ~. , - .. . , ,. . . i -. . , , - - , 7- 'if - r s- J O.K. FOR COVERING . ./1 /O- f - t r 15 l -/l/!' X O.K. TO CONNECT SERVICE 7 " 7- 0" ty \ FINAL O.K. --- V . z C II: < ~ ~ J: I- Z W l- . I- o Z o C .