HomeMy WebLinkAbout1317 W 9th St - BuildingPREPARED 10/25/10 8 20 14 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/25/10
ADDRESS 1317 W 9TH ST SUBDIV
TENANT NBR RICHARD G JANSSEN TTE
CONTRACTOR DAVE S HTG COOLING SRVC INC PHONE (360) 452 0939
OWNER RICHARD G JANSSEN TTE PHONE (360) 452 2534
PARCEL 06 30 00 0 2 5584 0000
APPL NUMBER 10 00001221 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 10/25/10 L j OctobeIC5 FINAL TIM4 O1 00
2
October 25 2010 8 18 49 AM 1pangrle
JEANNIE (DAVE S HTG 452 0939)
MECHANICAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
10 00001233
794384
1317 W 9TH ST
06 30 00 0 2 5584
ELECTRICAL ONLY
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Ductless heat pump
Owner
RICHARD G JANSSEN TTE
1317 W 9TH ST
PORT ANGELES
(360) 452 2534
Fee summary
Permit
Additional desc
Permit pin number 176057
Permit Fee 76 10
Issue Date 10/22/10
Expiration Date 4/20/11
Permit Fee Total
Plan Check Total
Grand Total
WA 983635418
Contractor
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
Signature of owner or Electrical Contractor X
Date 10/22/10
EXTRA MILE TECH ELECT LLC
418 N RACE ST
PORT ANGELES
(360) 457 0198
WA 98362
457 $S6S
Qty Unit Charge Per Extension
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50
1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 60
Charged Paid Credited Due
76 10 76 10 00 00
00 00 00 00
76 10 76 10 00 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT STATE SALES TAX
0000 on your excise tax form
to the City of Port Angeles
(Lo'cation Code 0502)
RESULTS
00
0
INSPECTOR.
Date.
OCT -21 -2010 10 09 PM
City at Port Angeles Permit Application
evading DlvisionlElectrleal Inspections
321 East Fifth Street P.O. &nr 1150
Port Angeles Washington, 98382
Pte 1360) 417-4735 Fan: (380) 417.4711
Dale __L_U I k e 0
1 2 Single Family Dwelling
Mutti•Famdy or Commercial'
Commercial Addition I Alteration I Rernoiiel
Plan Review May Bo Required, Please Cornotete tai focal Plan Review Information Sheet
JOU Address i 1, Z.- Se`
Budding Square Footage
Description of above L 1' g, s Mw t r <t C
Jwniyr Informatyn
Name. Imo- r_
Mailin Address .L11.i? TL
ily in/A- State' 1.n/1*_
Phone: 5 :7ei Fax
Licensetl /Exp
Unit Charge
5 119 90
S 145 50
S 204.60
S 262.20
S :372 50
5 2.60
5 73.50
S 2 60
S 9 :70
S 110.30
S 148 70
5 ifi'90
S 95.90
S 86.20
S 95.90
S G3 90
5 S)90
119.90
510230
S 10.30
S 35 20
S 73,C
S 113.3C
c 56 O
City
E JANSSEN
Owner as deleted by RCW.19.20.201: (1) Owner will occupy the structure for two years after this electrical permit Is flnehreo 12 Owner .5 rebuked to here en electrical contractor if
above said *moony is for sole. rent or loose. Permit expires after six months of last Inepeerton.
After raiding the above statement,/ hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or
alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 298.468, The City of Port Angelo. Mi a cipal Code, and Utility Speeltieations.
Signature of owner. electrical contractor or eleeMeai administrator
U heck
M•r�► Date:
i 1
i�f r fJ�ll,
LIJ .1 L. h,
LCC r;
ELECTRICAL
ONSPECTIONS
Total_(OIly Mufugliad b Unit Charge)
Servico&Feader 200 Amp
SeivicelFeeder 201400 Amp.
S SorvicolFoeder 401-800 Amp.
S ServicelFeeder 601.1000 Amp.
Service/Feeder over 1000 Amp
S Branch Circuit WI Service Feeder
4 :1 2 _5 finance Circuit W/O Service Feeder
S 3 _y c_ Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp Service/Feeder 201400 Amp
t emp Service /Feeder 401 -800 Amp.
Temp. Service /Feeder601.1000 Amp
1 Portal to Portal Hourly
Sign/Outline Lighting
W Signal Circuit/ Limited Energy Commercial. Aodibonni r,
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit L imited Energy MuI1i.Femdy Dwelling
manufactured Home Connection
Renewable Electrical Energy 5KVA System or Lear
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
path Each Swimming Pool or Hot Tub
Thermostat
Total
C credit cord e
360 452 2982
Contractor Information
Name: e)(4/24.- !✓1, LF 7 C_-r if_ IL
Meiling Address: '4 1 8 n( g.E S+
City P A- Stale h Zoo. cj.CS'
Phone y 57- 5'.22-2 Fax: "4.2
License 1 E"xp ExT1CA T 5 r It G tom +r
P 01
r Cast
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL A DUCTLESS HEAT PUMP
Owner
RICHARD G JANSSEN TTE
1317 W 9TH ST
PORT ANGELES
(360) 452 2534
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983635418
MECHANICAL PERMIT
DUCTLESS HEAT PUMP
175935
64 80
10/21/10
4/19/11
BASE FEE
1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON
64 80
00
64 80
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
/o /D T 1cz 1 LacUtb.s
10 00001221
385697
1317 W 9TH ST
06 30 00 0 2 5584 0000
RICHARD G JANSSEN TTE
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
3490
Contractor
DAVE S HTG COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 0939
Plan Check Fee 00
Valuation 0
Paid Credited
64 80 00
00 00
64 80 00
COAL
Date 10/21/10
Due
Extension
50 00
14 80
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
1 1t e
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T Forms /Building Division /Building Permit
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 Furnace 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 Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
T Forms /Building Division /Building Permit
IFINAL Date Accepted by
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
FINAL Date Accepted by
Date Accepted By
I0 -Z5- In TTLl_
Oct 19 10 04 56p
Parcel Number
Dave s Heating Cooling
T :FormslB'uirding Division/Bldg Permitdoc
3604520939 p1
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
For City Use Only
Date Received 1(-2 -i —IQ
Permit 1(, 0-2.1
Date Approved
Applicant D ck■2,‘s o t r, R Phone 0
Property Owner K i c_h a i• ---To in 5 s-ert
Property Owner's Address 1 3 I "7 (..Jest slrte.,
Contractor Dati�Ls -f c i in g Phone 4-(5
Contractors Address P o $o )e L{ Po 1 Ari C s
License DA t/ S 9' Kc Expires ,s /o_o id E -mail
PROJECT ADDRESS 3
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
Phone c{Sa a. 53
Lot Zoning
Pmiect Type Brief Descriotion. 'Residential Multi- family o Commercial Industrial
Chedc all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof House garage a other o tear off re -roof lay over one layer
Heat System Heat pump o wood burning stove gas fireplace pellet stove other
a Other i{, 2-Ss
Floor Areas Existing (sq. ft.) Proposed (so. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION O
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
l have read and completed this application and know it to be true and correct am authorized to apply for this permit and understand
that it is my responsibility responsibility to determine what permits are required, and to obtain permits prior to orking on projects.
Date I� /l�IL� Print Name U fiei. kec Signature
e �.r[l!
of bedrooms
of full baths
of half baths
Clallam County Assessor Treasurer Property Details 58292 RICHARD G JANSSE Page 1 of 7
Clallam County Assessor Treasurer
Property Search Results 58292 RICHARD G JANSSEN TTE for Year 2010 2011
Property
Account
Property ID 58292 Legal Description E30' LT 16 W35' LT 17
BL255
Geographic ID* 0630000255840000 Agent Code
Type. Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space: N DFL N
Historic Property N Remodel Property* N
Multi- Family Redevelopment: N
Township Section
Range
Location
Address: 1317 W NINTH ST Mapsco
PORT ANGELES WA
Neighborhood Cycle 5 Res Map ID* 3 /Y
1
Neighborhood CD' 10955130 i
Owner
Name RICHARD G JANSSEN TTE Owner ID 32674
Mailing Address: 1317 W 9TH ST Ownership 100 0000000000%
PORT ANGELES WA 98363 -5418
Taxes and Assessment Details
Property Tax Information as of 10/20/2010
Amount Due if Paid on. 3.
Year Statement ID Taxing Jurisdiction
2010 41243 ST SCH STATE SCHOOL
2010 41243 CC -GEN COUNTY
2010 41243 PORT PORT
2010 41243 PORT ANG PORT ANGELES
2010 41243 SD #121 SCHOOL DISTRICT #121
2010 41243 NTH OLY LIB NORTH OLYMPIC LIBRARY
2010 41243 HOSP #2 HOSPITAL #2
2010 41243 WSMET PK DIST WILLIAM SHORE MET PARK DIST
2010 41243 CITY_STORMWATER CITY STORMWATER
2010 41243 WEED CONTROL WEED CONTROL
2010 41243 TOTAL.
2009 582922008 ST SCH STATE SCHOOL
2009 582922008 CC -GEN COUNTY
2009 582922008 PORT PORT
2009 582922008 PORT ANG PORT ANGELES
1 2009 582922008 SD #121 SCHOOL DISTRICT #121
Exemptions. SNR /DSBL
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
First Second
Half Half
Base Base
Amt. Amt. Penalty Interest Base Paid
$180 98 $180 99 $0 00 $0 00 $180 98
$96 31 $96 31 $0 00 $0 00 $96 31
$13 54 $13 53 $0 00 $0 00 $13 54
$194 00 $194 01 $0 00 $0 00 $194 00
$0 00 $0 00 $0 00 $0 00 $0 00
$27 98 $27 99 $0 00 $0 00 $27 98
$39 51 $39 51 $0 00 $0 00 $39 51
$12.57 $12 57 $0 00 $0 00 $12.57
$36 00 $36 00 $0 00 $0 00 $36 00
$0 82 $0 81 $0 00 $0 00 $0 82
$601 71 $60172 $0.00 $0.00 $601 71
$179 54 $179 54 $0 00 $0 00 $359 08
$90 86 $90 85 $0 00 $0 00 $181 71
$12.87 $12.87 $0 00 $0 00 $25 74
$170 39 $170 39 $0 00 $0 00 $340 78
$0 00 $0 00 $0 00 $0 00 $0 00
http. /vpn.clallam. net. 8084 /propertyaccess /Property. aspx ?cid =0 &year= 2010 &prop_id =5 10/20/2010
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDIN(~ PERMIT ISSUED: 6/14/2002 PERMIT NO: 13488
OWNER/APPLICANT PROPERTY LOCATION
1317 9TH STW
RICHARD JANSSEN
1317 W. 9TH STREET Lot: E 30' 16 &W 35' 17
Port Angeles, WA 98363 Block: 255 [] Long Legal
360/452-2534 Subdivision: TPA
T: S: Parcel No: 063000025584000
CONTRACTOR ARCHITECT
EMERALD ROOFING N/A
133 LELAND AVE
Port Angeles, WA 98362 , 98360-0000
360/452,.4681 360/000-0000
PROJECT INFO
Project Value: $4,600.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAR OFF / SHEET / 3TAB
RECEIPT ~9214
FEES ASSESSMENT
Building Permit: $111.25 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: $115.75
Plumbing: $0.00 AMOUNT PAID: $115,75
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 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 certif7 that I have read and examined this application and knowthe same to be true and correct. All provisions of
aws 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 vio~at~cancel the provisions of any state or local law regulating construction or the performance of
construction.
of Contractor~r Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING~FORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
INSPECTION TYPE BATE ACCEPTEB COMMENTS
YES I NO
FOUNDATION:
POOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
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 DEPT. SEPARATE PERMIT #'s 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 ~:~ ' '~/' t~e~- ~.~/~ BUILDING
T:\PLANNING\FORMS\ 1102.15 [4/2002]
--- -- .--
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date
Time
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)
_I Jr.. I
t~ ,/ / /' ,i:,'" I'.,....~ ~)
Phone No 7 -&-/3~
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected
Remarks
Date
Time
(2,)
t?1u~ '7i) 4r
,
, "
~
I
.,
,,I7~'
./
,01..
~'.. .
/ // ;L(i ~'-f t' -/ - ~.; ,,///
RESTORATION REQUIRED
/'
"'
/
NO
,.:.....o<P'
I
L' .
I -../
,
I
"
I
YES
.......'...
/1) ~yr'
;//J.",' ..II.':; "1
'_i1~
3-/d~/ldkeJ
1&
/f1rs
1/ _
1'\ II'?'!
I
"-
So \M..c:t "V\ P t.....J I ! ( 6 -E.. 1'''\
-T{-, ?J2 1-.;z.. perhll-f .
T e. K p I M I VI c- J. s --; r e e i c: (f..) S loA r- ~;:'
,;J n cJ
p --r--e C iJ ;:f; 0 11 S .
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15499
Port Angeles, Washlngton_______2u=It.~_____________u_________________"_U' 19_J?_~
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,
/'
/ 11'7 {,.J- 9' /J .# ,~
~:::s__2:;:;::;:::~:::~~::::::Z;:~:;::;~~~::~:::::::u--;~:::~:::___~~~~:~_~~~::~~::::::::::::::::::::::::::::::::::::::::
" c.... (I, 1';;',' 'f . >1,'--
Wiring Contractor __n__,,(.1.:_:_-:,_u_:.___:__""'__:.n~_n______'~:____n____ By__nnnn____nn_nn_______________n____n_u_________nnn______
...., ,; /""
;; .,.-i. "'" ~/ c:'2.{) /~ :) v; 0
Light Outlets..................n...................n. Service, volts ...................'..n....n..mnn
r;r "' .
Receptacle OUtlets.....Gl.n9.......n...n No. wires ..':'"..;2..........................L..
I" (/,.to f:
Lo S' . / ~..) :J
Dryer, KWI_........._.r-~....n.n...nn. lze WlreS..,.....;;,:n:1,....m.t....._;.........
j ;:). " / ->;"lr..<l-
Range, KW......n__._n_n___ l\iIaIn fuse n..._."f.....h._..~:---'nn--...n
Enclosure m_..._S-n......_____n....nnm
Water Heater_: ..-
KWmhn~)m_
C)f- (-
Heat: RW._..Z....t__-l._
Type of wiring:
Entrance Cable '''0000'''''00''''_'_'''''''_
h__Bzrm
Rigid Conduit .......m__......n......._...
Metallic Tubing '__"'_'''''''__'''0000__00
Current transformers:
No. & Sizen......n..________..._...............
Motors: size, volts and phase:
J::~!::E::::::::::::::::::::::::::::
Ser. NO.unn._.....n_...nn..___..n...nn..____
Ser. NO..nn__nn.n_nnn__nnnn___nn_____.__
Ser. NO....nn..........___._n.....____nnnn_n_
Total Load.
Ser. NO.nn_nnn._.nn___nn.nnn..n___......
Type of Wiring:
Armored Cable
Non.Metallic mmn
Knob & Tube___
Rigid Conduit _.h____.._.____.__n___h_
Metallic Tubing ______..__0000...00..."'"
Race,vay ..n...nn.....nnnnnnn_..___...._
- j (..)
C I rc~:; ~i t~i~ ~~.~'. ...;c~~~~~~~~~~~~~~~~~~~~~~~~~~~~
l-j.
Heat .__../.__00______.________..................
Range _:.n;;?,.mmmn.n......mm_mn
~2
Water Heater m....mmm__mm_.......
Motor ____._......__u.......______..___________._
(pl.
Dryer __....____.'2.....__......___00_____.________.___
Furnace mm-m---e:.:...-_.mmm..___
51;'
Total ........."...._...........nn_______..
Remarks: _um_u___u_m_nn__-:_}.::\__~.:_:L._~'__r:::::.nnn_G.~~~.-.L.-\..!.-~-.J:~-mu_uunnu_m.__nn__mm.m_m_____munm_________
-, / : /)( I' ...-.
~~-~-~y~-----------n--- ~~~_~_~:__~~_~_~~_~_~________ By _;:_-ll:-n--~~~:~~~-,-:-::!,-,;:-,LE.:L!::~A:'::~i'. __'
NOTICE-Current must not be turned 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 pefore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
t;//
;)/1 / )'} L...>
LJ,'3
iJ.'
Vr
ELECTRICAL PERMIT
N?
15499
~.:~..;;l:?~~=:==:====::=:=-==
'"
Total Load ........___.___________________.___.___..___._.......__..___._._
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