HomeMy WebLinkAbout2006 W 4th St - Building Building Permit
2006 W 4`" St
12- 1228
PREPARED 10/04/12, 8:56:18 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/04/12
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ADDRESS .. : 2006 W 4TH ST SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333
OWNER WILLIAM AND ANDREA MCMASTER PHONE
PARCEL 06-30-00-1-0-3430-0000-
APPL NUMBER: 12-00001228 MECHANICAL APPL. PERMIT
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 10/04/12 MECHANICAL FINAL
October 4, 2012 8:22:01 AM pbarthol.
William 360-504-2749
------------------------
-------------------- ----------- COMMENTS AND NOTES
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type 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 Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
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 Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts -FINAL Date Accepted b ,
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735 ,
Construction-R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815 ,✓ .TL
T•CnrmclR nilrlinn rlivicinn/R nilrlinn Rormit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 12-00001228 Date 9/27/12
Application pin number . . . 043656
Property Address . . . . . . 2006 W 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-3430-0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name . . . . . . to the Cit of Port Angeles
Property Use y g
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . 11860
----------------------------------------------------------------------------
Application desc
NEW FURNACE/HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WILLIAM AND ANDREA MCMASTER PENINSULA HEAT INC
1819 S 6TH ST 782 KITCHEN-DICK RD
MT VERNON WA 98273 SEQUIM WA 98382
(360) 681-3333
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . NEW FURNACE/HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date 9/27/12 Valuation . . . . 0
Expiration Date 3/26/13
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
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 orPhe p ovisions of an or local law regulating construction or the performance of
construction.
7 f�—
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
SEP-18-2012 01:25P FROM:PENINSULA HEAT COMPA 3606812086 TO:CITY PA PERMITS P.2/3
BUILDING/PLUMBING I HANK I�PERM/T APPLICATION(-SHORT FORM
(To be,used forpmJects that do not require plan revlowj
Date Received ti v
Permit#
City of Port Angeles Please print In Ink. Date Approved —c
Attn: Building Permit Technlclan Approved by
321 E 6 St., Port Angeles,WA 983,62
380-417-4816 We 380-4174711 Credit card payments are accepted Mon-Frl 8-5 pm(no American Expmes)
Hours:Mon through Fri 8-6 pm Cash&checks are accepted Mon-Thurs 8:30.4 pm&Fri 8:30-12:30 pm
Contact pennon• Phone;
✓���,� ,e _re_. / -/-33,3 3
Property owner: ��� // „�/mss 4R-74
Gf// /C�/?'I �-�`777 ✓�c� �',`� Phone: — ��
Property owner's mailing address; a 6d W
Contractor's business name: e7n i h S"14 �f- Phone:
or propertyowner's name If he/she Is doin overseeln e
Conbaa ' Iling d L
kZ1, AP IJ
Contractor's I licansa nu b r j Eirpiratio date
Project Address: a LSD
Project Type: drResidentlal o Commercial o Industrial oMulti-family
Project Business Name:
(for oommercial,Industrial,or multi-family projects)
The following permits aro usually keyed over-the-counter Immediately,without the need for plan review.
Complete only the portions of this palmit that are relevant to your project.
Ro.roof; a house o garage o other
o tear off&re-roof Q lay over one layer
(✓) Licarmed contractor•Submtt a copy of your re-roof bid.
Project Valuation 8 '(labor&materials, not including sales tax)
® o house o are a other
—
Valuation Valuation $ '(labor&materials, not-including sales tax)
�j rexolern the prole t�
Pro)ect Valuation $ •
*N2 0"001i If you will be doing!overseeing the work,then the project valuation will be detsrminsd by doubling the
cost of materlala;to reflect the ggkq the repair adds to your property.
Cost of materials x 2=Project Valuation$
T:Fonm/Buliding DM&Ion/BuUding/PlumbingJMechanical Permit Application-Short Form(Revised 2011)
Page 1 of 2
SEP-18-2012 01:26P FROM:PENINSULA HEAT COMPA 3606812086 TO:CITY PA PERMITS P.3/3
Swlmmina Pool or Spa It 24"deep): Eorprefabricatedswlmmina pool or spaarpJects that
do not reaulre plan review:
(✓) Obtain the City of PA handout entitled"Poole&Spas"8 follow the requirements.
Project Valuation S
Demolition, A demolition permit Is needed when an entire building gets demolished.
What will be demolished? ra house ❑ garage ❑ other
M: some demolition permit applications need to be reviewed by various City departments, and may take
approximately two weeks to obtain,
(✓) Agree to ensure that all utilities are/will be properly turned off(and capped off If needed)
prior to demolition.
(✓) Obtain(from the City of PA)an aerial view map of the parcel and put an "x"over the structure(s)to
be demolished. Submit the map with this application.
(✓) Obtain(from the City of PA)a copy of the Olympic Region Clean Air Agency(ORCAA)
Demolition Permit Application.
Contact ORCAA at 360.417-1488 to discuss whether or not an ORCAA Demolition Permit will also
be needed.
❑yes ❑ no Will the debris be going to the Regional Transfer Station in Port Angeles?
a yes o No If yes,will a licensed contractor be taking It there?
V) If yes,obtain (from the City of PA)a copy of the Waste Disposal Application.
Complete and submit the waste disposal application to the Building Permit Technician, now
(or later if asbestos testing is needed).
Plumbing Permit: (explain the prolectl
Project Veluatlon $
M22hanlgal permit: faml In e o ec L J L
TYl �w�,�a� Q y d1 / h s
c-
Project Valuation O
I have read and completed this application and know It to be true and correct. I am authorized to apply for thla permit
and understand that It la my responalblli o determine what rmits are required, and to obtain permits prior to
working on rovects.
Date /gL/2—Signature
Print Name
Page 2 of 2
Electrical Permit
2006 W 4'" St
12- 1268
12- 1165
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 N
Application Number . . . . . 12-00001268 Date 9/27/12
Application pin number . . . 984160
Property Address . . . . . . 2006 W 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-3430-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1-4 circuits HP
----------------------------------------------------------------------------
Owner Contractor
WILLIAM AND ANDREA MCMASTER JEFF NELSON ELECTRIC
1819 S 6TH ST 7062 OLD OLYMPIC HWY.
MT VERNON WA 98273 PORT ANGELES WA 98362
(369) 460-4291
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee 00 /
Issue Date . . . . 9/27/12 Valuation . . . . 0 v
Expiration Date . . 3/26/13
Qty Unit Charge Per Extension
BASE FEE 75.00
------- - ------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
A
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL Z
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
01
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street-P.O.Box 1150/Port Angeles Washington,98362 c0. 71111 � � 2j"12 N
Ph: (360)417-4735 Fax: (360)4174711 �.
ELECTRICAL
Date: T✓ 1 &2 Single Family Dwelling INSPECTIONS
Plan Review May Be Required,Plea Corpplete Electrical Plan Review Information Sheet
Job Address: 2J& W &
Building Square Footage: a W
Description of above
Owner Info io Contractor Infoon_
Name: /-'���/ - Name: e- +l�C� b epC--
Mailing Address: j' Mailing Address:
City: State: Zip: City-. S a _State: p:
Phone:_ Pax: Phone: q�TFax:
License#I Exp, Llcwm$/Exp.
Item Unit CharoeCyt Total(Qty Multiplied by Unit Charae)
Servloe/Feeder 200 Amp. $120.00 $
Service/Feeder 201 400 Amp. $146.00 $
ServicelFeeder 401.600 Amp $205.00 $---.
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-0 _ $��0 0
Temp,Service/Feeder 200 Amp. . $
Temp.Service/Feeder 201.400 Amp. $110,00 $
Temp,Servlce/Feeder 401-600 Amp. $149.00 $
Temp,Service/Feeder 601.1000 Amp. $168.00 $_
Portal to Portal Hourly $ 96.00 $_
Signal Circuit/Limited Energy-18 2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy•5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square R. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ -79-1 00 Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires atter six months of last inspection.
After reading the above statement,I 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 296-468,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ check
&IC.de cera I !
X.- ao�' 2N Z_ 01)otno,2
ELECTRICAL PERMIT
t
CITY OF PORT ANGELES
.0-
360-417-4735 �6—
Application Number . . . 12-00001165 Date 9/06/12
Application pin number . . . 586780
Property Address . . . . . . 2006 W 4TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-3430-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation. . . . . 0
----------------------------=-----------------------------------------------
Application desc
Hot tub
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WILLIAM AND ANDREA MCMASTER JEFF NELSON ELECTRIC
1819 S 6TH ST 7062 OLD OLYMPIC HWY.
MT VERNON WA 98273 PORT ANGELES WA 98362
(369) 460-4291 Jw1
-------------------------------------------
-------------- -- ------
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional des .
Permit Fee . 110.00 Plan Check Fee .00
Issue Date . . . . 9/06/12 Valuation . . . . 0
Expiration Date . . 3/05/13
Qty Unit Charge Per Extension
1.00 110.0000 ECH EL-SWIMMING POOL/HOT TUB 110.00
---------------------------------------------------------------------------- V
Fee summary Charged Paid Credited Due
---------- ---------- --
Permit Fee Total 110.00 110.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 110.00 110.00 .00 .00
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS: M O U Deep-, `1'D Pfi�t1 i 4� �� — >r:l ►.L�
Co—
PERMIT
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
Co PoargV
E
�� ll��lCITY OF PORT ANGELES PERMIT APPLICATION
R 2" a U E,Drj
Building Division/Electrical Inspections r7D
321 East Fifth Street—P.O. Bos 1150/Port Angeles Washington,98362 G 2512 L
Ph:(360)417-4735 Fax: (360)4174711 ELECTRICAL. !ry
Date: l 18 2 Single Family Dwelling INSPECTIONS " 1
"Plan Review May Be Required PI ase Complete Electrical Plan Review Information Sheet
Job Address: ��
Building Square Footage:
Description of above
Owner I atlon � A Contractor rmallon
Name: I L Nr M�1£1; Name: aeC
Malirg d s: 2406Mailing Address: ,
city. State: Zip: city: State: Zip:
Phone: Fax: Phone:
Fax:
License#/Exp. Licanse#/Exp.
item Unit Charge ght Total IQty Nu 1211118d by Unit Chame)
Service/Feeder 200 Amp_ $120.00 $�
Service/Feeder 201.400 Amp. $146.00 $
Service/Feeder 401.600 Amp $205.00 $
Servioe/Feeder 601.1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373,00 $
Branch Circuit W/Service Feeder $ 5,00 $
Branch Circuit W/0 Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Cirm its 1-4 $ 75.00 $
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 2014W Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/Limited Energy-18 2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120,00 $
Renewable Electrical Energy-5KVA System or Less $10200 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONL
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $
Each Swimming Pod or Hot Tub $ 06
$0-Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease_Pemlit expires after six months of last inspection.
After reading the above statement,I 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 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ Caen ❑ check
f ..8~credtt card
Dated: 9/�/II — 01,0112012
CITY OF PORT ANGELES
LIGHT DEPART14M ELECTRICAL PERMIT M 17080
Port Angeles, Washington.....
_.........- 19.r'...
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
//t--odo; electrical work as listed below.
Address "i --_----_ .............! �--------w- - ------ -- y.. 1
Owner .£ - e ' - ant.----------------------------------------------------------------------
u
Wiring Contractor--�e�r--- -r'a`'�'=p'` '-='�'
LBy - - - ------
-
y�� -
Light Outlets..............._.......--...--...._..... Service, volts ....................................... Type of Wiring:
Receptacle Outlets..../.:D............... No. wires ....................................... Armored Cable ....................
Dryer. KW.............. Size wires.................................._.. Non-Metallic ......----.-___.................
Range, KW-----"---- ---------'--------.._-- Main fuse ...............................
Knob & Tube.................................
........ Rigid Conduit ..............................
Water Heater: Enclosure --------------------------------------- Metallic Tubing
KW------------------------------- Type of wiring: Raceway .............................._._-.-
r Entrance Cable-----------------------------
.
Heat: KW...i -f--. 4..:f..Q.r._.............. Circuits. Light.......................................
Motors: size, volts and phase: Rigid Conduit ............................... Utility ......................................
.....
........................................................... 1lfetallie Tubing ........................--- Heat ..............................................
Current transformers: Range .............................................
........................................................-
No. & Size--------------------------------------- Water Heater ...............................
...........................................................
Ser. No............................................... Motor ............................................
Ser. No.............................................. Dryer................................................_
........................................................- Furnace..........._....................
Ser. No..............................................
TotalLoad............................. Ser. No.-------------............................ Total .._.............."---._.............
Remarks- ----------- ----------- �, r,� -(��..e� -----------••--•--•----------------••----•-•-
W
-------------------------- -- -----------------•------------------------------------------------------- -- ----
90�
$-------------- NO. r - =- 4 r
v
Permit Fee Tress. Receipt /�/ r
ys:----- --•--- ------------- •----------------
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 before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT N° 17080
Address ----'............._.......__..--._.......------....._--.....--........_.--'-----..........................----......'---...... Date......................................................
Owner ..................................._......-...............---............................................................ Tenant..... ..--..---------------------------------
WiringContractor..........................................................._............................................................. By..............................................................
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 before concealment.
IM Olympic Printers, Inc.
CITY OF PORT LES ELECTRICAL PERMIT
LIGHT DEPARTMENTIAEN X70T _j� 15253
r.,
Port Angeles, Washington -j/ f--3�---------------------------- 19%.y
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 -:: 4:_U Z'I( ��C �t� `�- --
.. -------r-�,,j---
----- ---------------------------- Occupancy-------
Owner - _'= — / .... " -------- --------------- Tenant------------------------------------------__--------------_-----------
wiring Contractor------
_! r -�-: 4- �--------------- By--------------------------------------------------------------------
Light Outlete.........L.._± _........._........... Service, volts 1.......`.Uj.'f.�.�------- Type of wiring:
3 ,. Armored Cable ------..___----------------
Receptacle Outlets-..._ .._.................. No. wires .-....-----....._------.._-.-......
K 1j / 11 /_/1 ---------------------------------
Non-Metallic
Dryer,KWJ.......
- �r-----_-..-------____ Size wires.... ................ :_..._..
Knob & Tube..................--------
Range,KW-------....__-------------------------. Main fuse ------ ._.._...__.
_ 5�.. _.._....... Rigid Conduit ...............................
Water Heater: Enclosure .......C_1 --�°
c{ --------------- Metallic Tubing .............._-----------
/7 Type of wiring:
KW--------------------'- ------------------ Raceway ----
,,;, Entrance Cable-.-_................._....
Heat: RW....::.,!::._c---....1 r_.q_,.w;..c..:g r,"�•'__ Circuits, Light..'1..''__...-....._.............
Rigid Conduit ............................... �„
Motors: size, volts and phase: Utility -----..._--------------------...........--
Metallic Tubing ........................... Heat ----`-
........................................................... Current transformers:
Range _'�----------------------------------------
.... ......._............................ No. & Size..... ...........
Water Heater:>y_---------------------_--
----------------------------------------------------------- Ser. No-----------.---------------------------------- Motor
----------------------------------------------------------- Ser. No....... ................................_ -i
... .
............................. . Dryer--------.r.
-------------
---------------------------------------------------. Ser. No.----------------------....................... Furnace -------------------------.-_.............
.._
TotalLoad---------------------------- Ser.No.--------------------------------------------- Total `*. -----------.........-----
Remarks- x-=------------ S_6 bf
----------------------•------------------- --------------------------------------------------------------------------------------------- --------------------------
Perm
--------
----------------------- ----------------------------Perm Fee Treas. Receipt
------------------ No----------------------------- By --`
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 before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT N? 15253
Date called fo.r tiL•speetion.ic
:-�-._.�.�..r.....
y.......t:...�..7_......................-.......__............._.................._._..----------------.._%j. .t......a.....—........--...y..__
....---...
Preliminary fpirlon : —------------...............-----.:
!f%G .._�.---- --------------------
Inspection completed-:._.-__.a-..-......_.._....---------------------
TotalLoad ........................................................................................-...............................................................-......--......-....------._.........._......_
1M 3-72 Olympic Printers, Inc.