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Home My WebLink About730 E 6th St - Building f ELECTRICAL PERMIT t cy CITY OF PORT ANGELES 360 417 -4735 Application Number 10- 00000127 Date 2/08/10 N Application pin number 249662 Property Address 730 E 6TH ST v ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 0610 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Remodel home complete rewire 20 circuits Owner Contractor Laird M Cynthia L Benson OWNER 735 Georgiana PORT ANGELES WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 160549 �Jv Permit Fee 122.90 Plan Check Fee .00 O Issue Date 2/08/10 Valuation 0 Expiration Date 8/07/10 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 19.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 49.40 NA Special Notes and Comments February 8, 2010 3:00:09 PM Tpeppard. All electrical shall be replaced and updated to all National, State and local codes. Fee summary Charged Paid Credited Due Permit Fee Total 122.90 122.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 122.90 122.90 .00 .00 o Ras INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE 211/0 ROUGH -IN FINAL COMMENTS: J7 /t'- Signature of owner or Electrical Contractor X Date: P CITY OF PORT ANGELES PERMIT APPLICATION R�-� Building Division/Electrical Inspections c. 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 FEB 8 2009 1 Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL Date: INSPECTIONS 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review Max Be Req 'r71 Please Complete Electrical Plan Review Information Sheet Job Address: 7 0 a 6 Building Square Footage: —1-13v79 l'7 YO Description of above Owner Information Contractor Information Name: &.t. Kr( Aim` Name: Mailing Address: 7 3 5 i✓$ C4_e S Mailing Address: City: P.A- State: (vg—Zip: 5 City: State: Zip: Phone: V..0 'e C f S4 Phone: Fax: License Exp. License Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 Seryice /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 73 SP Each Additional Branch Circuit 2.60 /5' 6 'l `tQ Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp., 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 22 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 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 -466, 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 Credit Card X Dated: 6 d 01/0112010 oRT CITY rOF. PORT ANGELES OFFICE OF:THE MELECTRICAL, INSPECTOR 321, EAST FIFTH ST, P0. BOX 1150 -PORT' ANGELES, WASHINGTON 98362 C PH 8 ONE '.(206) 457 041 EXT.;224 158 ly GN S PROG RESIVE 'INSPECTION' 19 r. REPORT O D NOT CONCEAL OR DESTROY: Job Name 7 'Owner Electrical' Contractor' Location Inspection Area_,• Buildi ng 'or „Equipment`,Inspected .Action ,Token Elect Inspctor' 2 9 to S> fLVIC_'T"� 2 t6 to fZoUtpr1 707'• Bog 3 ;,-z 1, ,1 Paae of CITY OF PORT ANGELES g DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00000128 Date 2/08/10 Application pin number 986752 Property Address 730 E 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 0610 -0000- Tenant nbr, name LAIRD M& CYNTHIA L BENSON Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2000 E Application desc RE -PLUMB HOUSE, NEW WALL HEATERS VENT FANS Owner Contractor LAIRD M CYNTHIA L BENSON OWNER 735 GEORGIANA PORT ANGELES WA 98362 (360) 457 -4560 Permit MECHANICAL PERMIT Additional desc NEW HEATERS VENT FANS Permit pin number 160572 Permit Fee 219.75 Plan Check Fee .00 Issue Date 2/08/10 Valuation 0 Expiration Date 8/07/10 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 21.75 10. -00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 148.00 Permit PLUMBING PERMIT Additional desc RE -PLUMB Permit pin number 160564 Permit Fee 106.00 Plan Check Fee .00 Issue Date 2/08/10 Valuation 0 Expiration Date 8/07/10 Qty Unit Charge Per Extension BASE FEE 50.00 7.00 7.0000 EA PL- PLUMBING TRAP 49.00 1.00 7.0000 EA PL -WATER LINE 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 325.75 325.75 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 325.75 325.75 .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 or cancel the provisions of any state or local law regulating construction or the performance of construction. 4/2C2 Date Print Name Signature of Contractor or Authorized Agent i Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD L N 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 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 by AIR SEAL: Walls Ceiling FRAMING: V 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 J Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By C Electrical 417 -4735 3 Construction R.W. PW Engineering 417-4831 Fire 417 -4653 If Planning 417 -4750 Building 417 -4815 T: Forms /Building Division /Building Permit pORTA NGELES CITY OF „4„,.. A W A S H I N G T O N U. S. A z.. COMMUNITY ECONOMIC DEVELOPMENT July 24, 2012 Laird Benson 735 Georgiana Street Port Angeles, WA 98362 RE: Building Permit #10 -128 730 E 6 Street Dear Mr. Benson: I am writing this letter as a courtesy to remind you of the status of the above permit. The permit will expire on August 7, 2012. This is the final notification you will receive regarding this permit. If the work is complete, please call to schedule the inspection prior to the expiration date. If the work is not complete and you plan to go forward with the project, you will need to reapply and pay the associated permit fees. If you have questions, please do not hesitate to contact us. Sincerely, V.tatkeL ealia V Heather Catuzo Building Permit Technician 321 E 5` Street Port Angeles, WA 98362 hcatuzoncityofpa.us 360 417 -4817 j CITY OF O NG.ELE W A S H I N G T O N U. S. A L. COMMUNITY ECONOMIC DEVELOPMENT April 10, 2012 Laird Benson 735 Georgiana St Port Angeles, WA 98362 RE: Building Permit Extension Permit #10 -128 Dear Mr. Benson: I am writing regarding the above permit extension request submitted by you on April 6, 2012. We have granted your request for extension. The permit will expire on August 7, 2012. This will be the final extension granted for this project. If you are unable to complete the project by the extension date you can purchase a new permit, or pay for a one time final inspection. If you have any questions, please let us know. Sincerely, 41.0 a rAA/A4;° Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo @cityofpa.us 360 417 -4817 Laird Benson 730 E. 6 St. I am requesting a 6 month permit extension, permit 10 -128. At this point the upstairs is wired; sheet rocked, painted, floors sanded and refinished heaters in and bathroom completed except new plumbing. The main floor is wired sheet rocked, painted, floor refinished, and heaters in. The kitchen is wired sheet rocked, painted, upper cabinets hung. The kitchen floors needs to be refinished or replaced and the plumbing done. S 41 0 0 17 ok— J� RECEIVED APR 6 2012 CITY OF BUILDING DIVISION ES PROJECT STATUS UPDATE Permit O fr ih S-r Date: vl I 1 phoned the: Applicant La I rol 13e1115011 at Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. Lrn b 1.64 n l 320 01( e ∎rep T:Forms /Building Division/Project Status Update cz4/71 4'4 a ligVe RECEIVED JUL 2 9 2010 CIV( OF PORT ELES 130 BUILDING DIVISION A l ki A,0A6\4 Y x t� ;?YV c�} pORIA,�,f. BUILDING PERMIT APPLICATION Print in ink If 4a;,,f4110 CITY OF: PORT ANGELES For City •Use •Ority: Attn: Building Permit Technician Date Received S -1 O 321 E. Fifth St., Port Angeles, WA 98362 Permit 10-922. (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant Z le( d :(d:Savv Phone 3,(a ,C' )a Property.Owner i i s.) Phone Property Owner's Address' 7 5 4 gc‘vQ -'S.7 Contractor Phone Contractor's Address License Expires E-mail PROJECT ADDRESS 3O E Si- Parcel Number Lot Zoning KS 7 Project Type Brief Description: ?(Residential Multi- family El Commercial Industrial Check all that apply l New Construction Addition Remodel j Repair j/ h i S /47 .<-t�7r—rS 2- Demolition A"):-/-:- 1 o 7/ r �c Re -roof Huse gar e other i tear off re -roof lay over one layer Heat System Heat pump wood- burning stove ❑`gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement s er ft. 1 Floor P q 2" Floor 3 Floor Garage Carport Covered Porch MCA-ark 111, O0610 o0 Deck Shed Lc dt Occ c Other TOTAL VALUATION 4 GdO Total footprint of structures sq. ft. Lot size sq. Lot .verage Site Coverage the amount of impervious s ■ac- •n a parcel, including structures, paved d e :ys, sidewalks, patios, and other impervious surfaces. (see PAMC 1 •4.135 for exemptions) ite coverage Max. height of proposed structures ft. Occupancy group of bez•rooms Will a lawn sprinkler system be installed? occupant load of full b :ths Will a fire sprinkler system be installed? Co truction type of half ba I have read and completed this application and know it 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, and to obtain permits prior to'working on projects. Dater die/ Print Name S )f✓ Signature T•Fcrms /Building Division/Building permit application Clallam County Assessor Treasurer Property Details 57772 LAIRD M CYNTHI... Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 57772 LAIRD M CYNTHIA L BENSON for Year 2010 2011 Property Account Property ID: 57772 Legal Description: N2 LTS 1 2 N8' OF W45' S2 LT 2 BL 206 Geographic ID: 0630000206100000 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 1 Location I Address: 730 E SIXTH ST Mapsco: PORT ANGELES, WA 98362 II Cycle 5 Res Map ID: Neighborhood CD: 10955130 r1 Owner w/\_y.' Name: LAIRD M CYNTHIA L BENSON Owner ID: 13593 Y s)... Mailing Address: 735 GEORGIANA Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessments Due Property Tax Information as of 02/08/2010 Amount Due if Paid on: Statement First Half Base Second Half Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest' Paid Due 2009 577722008 ST SCH STATE SCHOOL $182.42 5182.41 $0.00 $0.00 $364.83 $0.00 2009 577722008 CC -GEN COUNTY $92.33 $92.31 $0.00 $0.00 $184.64 $0.00 2009 577722008 PORT PORT $13.08 $13.07 $0.00 $0.00 $26.15 $0.00 2009 577722008 PORT ANG PORT ANGELES $202.51 $202.48 $0.00 $0.00 $404.99 $0.00 2009 577722008 SD #121 SCHOOL DISTRICT #121 $225.58 $225.57 $0.00 $0.00 $451.15 $0.00 2009 577722008 NTH OLY LIB NORTH OLYMPIC LIBRARY $26.83 $26.82 $0.00 $0.00 $53.65 $0.00 2009 577722008 HOSP #2 HOSPITAL #2 $37.86 $37.86 $0.00 $0.00 $75.72 $0.00 2009 577722008 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 2009 577722008 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2009 577722008 TOTAL: $817.43 $817.33 $0.00 $0.00 $1634.76 $0.00 NOTE: If you plan to submit payment on a future date, make sure you enter the date and RECALCULATE to obtain the correct total amount due. Values Improvement Homesite Value: N/A Improvement Non Homesite Value: N/A Land Homesite Value: N/A Land Non Homesite Value: N/A Ag Timber Use Value Curr Use (HS): N/A N/A Curr Use (NHS): N/A N/A Market Value: N/A Productivity Loss: N/A Subtotal: N/A Senior Appraised Value: N/A Non Senior Appraised Value: N/A Total Appraised Value: N/A Senior Exemption Loss: N/A Exemption Loss: N/A Taxable Value: N/A http: /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =57772 2/8/2010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF /INSTALL COMP 09 00000682 012214 730 E 6TH ST 06 30 00 0 2 0610 0000 RE ROOF RS7 RESDNTL SINGLE FAMILY 1500 Owner Contractor LAIRD M CYNTHIA BENSON 735 GEORGIANA ST PORT ANGELES WA 98362 OWNER Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF INSTALL COMP Permit pin number 149906 Permit Fee 80 50 Plan Check Fee 00 Issue Date 7/10/09 Valuation 1500 Expiration Date 1/06/10 Qty Unit Charge Per Extension BASE FEE 50 00 10 00 3 0500 HND BL -501 2K (3 05 PER C) 30 50 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Date 7/10/09 Permit Fee Total 80 50 80 50 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 85 00 85 00 00 00 T:FormsBuilding DivisionBuilding Permit t oi 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 FINAL Date Accepted by Inspection Type FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 7-2S-0 6 1 '�LL- PREPARED 7/28/09 8 37 55 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/28/09 ADDRESS 730 E 6TH ST SUBDIV CONTRACTOR PHONE OWNER LAIRD M CYNTHIA BENSON PHONE PARCEL 06 30 00 0 2 0610 0000 APPL NUMBER 09 00000682 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 7/28/09 :L/ BLDG FINAL July 27 2009 11 20 47 AM 1pangrle CYNTHIA 808 4604 BLDG FINAL RE ROOF COMMENTS AND NOTES Parcel Number Floor Areas 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 Applicant Property Owner Property Owner's Address '7o C G Contractor Contractor's Address License Expires PROJECT ADDRESS /7 e�' Project Type Brief Description. !Residential Multi- family Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Xtlouse o garage o other tear off re -roof o lay over one layer Heat System Heat pump wood burning stove o gas fireplace pellet stove other Other Existing (sq. ft.) Posed (sq. ft.) Basement per sq ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION /S7,7 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 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 l have read and completed this application and know it 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, and to obtain permits prior to working on projects. Date Print Name ./fa,K �ai-fRGtwD T Forms /Building Dvision/Bldg Permit.doc Phone Phone c- Phone E -mail For City Use Only Date Received J (".0` Permit ng— 6g2__ Date Approved Lot Zoning o Commercial Industrial of bedrooms of full baths of half baths Signatu -e fe-e CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nl! 16833 '1-.;:J)/ !?9 Port Angeles, WashlngtOlL.m.._mm..m___....m...mm..m.mmm.......19......". "'''''i . 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 d6 electrical work as listed below, Address .....L.50m...E:......r:;....!t.:...m.......m..................m occupancy.......c.ut.o;;>...............L..m.... . , I Owner ....mmmmm..m" ...m.mm"-m.t.p../1......~_~ Tenant....m.....m......_m...m._.m...............m......m.m.... wifing ContractorZJ2~.-e:../i...ve-l'-.~~.Y.'fC':........m By....mmmmm....mm.mmm.................(..m........ LI~ht Outlet.....................___........_____..... Service, volt. ./..'?..?.L::$...,!f{C!.. Type at Wiring: . .;i1\i I ' 3/ "," ", jeCePt.acle Outlets...........m__..__m.m..__ No. wires .......u7..m.....77.... Armored Cab!e ...mm....m.............. SI I 7/ .d.Ce.Y Non.Metalllc .......--........................ !?ryer, KW nn......h..__U.....__.......h....m. M::n ;u::s~~~~~4...!f~:~.~:~ Knob & Tube,.....__h......................_ Range, KW.........__...__.__.__ _ I Water Heat::: Enclosure ........"..;;....................... KW.....:'.h..............____.......... Heat: KW.:....__................................__. Motors:.: size, volts and phase: Type of wiring: Entrance Cable ............................. RigId Conduit ............................... Metatuc Tubing ........................... Current transtormers: No. & Size..__........__......................... i Ser. No............................____.____.......... Ser. No. ............................................. Ser. No.........__.................................__ Rigid Conduit .h............................ MetalUc Tubing ..............:,.....____... Raceway ..................................__._ Circuits, Light................____................... Utility ....____.............__......._____._____.... l-leat ......................................._..__ Range ............................................. Water Heater .................__............ Motor ..._........................................ Dryer ..............................................__ Furnace ........................._~................... Total wad............................. Ser. No.................._...............__......... Total....................................... Remarks: ............41.,c.~.......,.c!.d!:,~~..g....o=di1-m.....mmm.mmmm.m..mmm..m n_____nu._..____.n.un__un_nn_nuhdnnnnnnnu_.n_n..uuunnuuuunnu.nn....nnnnnnu..__UuH..Unn_nn.n_n__n_.__._.nU___U4.UOn ;~.:.~~.:~::...::.:.__:.__:..:::mum.::~.~.~:__~~.~.~~~.~..:...:.:::m---m..umu::?Z2Jli:&~::!l~:~ NOTICE-Cur:x:e.nt;must not be turned on until Certificate ot Ins~Uon h~ bee~ Issued. It work is to be con- cealed due noUce must be given the Inspector so that work may be inspected berore concealment. N~TIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ~. ..'"",<' 't. ELECTRICAL PERMIT N? 16833 Address........................................................................................................................................,.Date..._.........._.._.'._.........._._...._......_......... ... Owner..................................._.........._......_......_.._...........................................................Tenant.................................................................... WirIng Contractor.........................................................................................................._............... By.............................................................. ~._ NOTICE-Current must not be turned on untn Certtflcate or Inspection has been issued, It work is to be con. ce~d due notice must be gIven the Inspector SO".that ~ork may be inspected berore concealment. 1M Olvmpic Printers, Inc.