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Home My WebLink About1905 W 7th St - Building 4 CITY OF PORT ANGELES rittft. DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION FL_ lo. 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000047 Date 1/24/12 Application pin number 258858 Property Address 1905 W 7TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -8 -5 -0143 -0000- REPORT SALES TAX Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 6918 Application desc HEAT PUMP Owner Contractor OWEN SANDRA G ALL WEATHER HTG COOLING INC PO BOX 155 302 KEMP ST CLALLAM BAY WA 983260155 PORT ANGELES WA 98362 (360) 452 -9813 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit Fee 64.80 Plan Check Fee .00 Issue Date 1/24/12 Valuation 0 Expiration Date 7/22/12 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 ►v►at 9A i I I?i 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. 1---al-t-13. )o,le_1() MckoLon 1,4,1,0.44 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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. N 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: 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 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 Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 �l Planning 417 -4750 Building 417 -4815 1/ T:Forms /Building Division /Building Permit N N N N w w a 0 aq 0 0 0 0 rn 0 0 n 0 0 d N W N 0 o m ro io A a rn a 0 w z a 0 H w w H 1 g 2 Z vl w m W O O N '0 w 14 0 0 x x N 0 U z V) W LL 0 0 0 FC o U 2 h U q 0 x N N H o F m a. 0 H 00:o cn U U i 0' "Z O N. N w w 1 a w co a) z as w z Cr. w cn w z z 1 al z HH� z oo a o F 0 a a n 11 z 0 a H u 0 x s w v ■7 0 [n V) O orl 0741 00)00 O 00 H01=4 Z1.4 x z U 01-1 H ax 4110P a H N 8 �o !k S r 0 w 0 x W a' 0 d' H 0.S 1 7 H x q o O 1 01 0 0) 1 0 00 4) 3 00 N111111 N Nw 0 2mo HE-1 H r+C9 0,a w i CJ] 01 J 00 3 0 04 o 01,1 ,I H14 H400, 03 a N N a 0 H w 0 N N 0 R' 0.' w 0 w m W W i m U 6 0 0 0 l 5 1 t 14 2 E a o C 4 r4 W>+ 1 0104 00.7 H rn wH gzzOP+ S a rn W q U rL O U O W FC W a H z 01: 17:' 2012 10:42 13664525177 ALL WEATHER HEATING PAGE 64:' e5 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM. (To be used for projects that do not require plan review.) Date Received t V1 City of Port Angeles Permit #1 Please print in Ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5 °i St., Port Angeles, WA 98362 360- 417 -4815 fax: 360 -417 -4711 Credit card payments are accepted Mon -Fn 6 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Frl 8 :30 -12:30 pm Contact person: All ant P one: u Property owner: �y edi 4 CA�Q`t 11 5 b0 1.1c15 )3 50.14(0d) L( Phone: 4 J� 'J 7'1006 Property owner's mailing address: D5 Contractor's business name :AJ.i Weather Heating Cooling Phone: or 'roperty owner's name If he /she Is doing /overseein the work) (360) 152-9513 Contractor's mailing address: 302 Kemp Street Contractor's L &I license number: ALLWEHC15DKU L Expiration date: 9/01/1.2 Project Address: I 9 U3 74-h St" Project Type: Residential cu Commercial o Industrial Q Multi- family Project Business N me: (for commercial, industrial, or multi family projects) The following permits are usually issued over -the- counter immediately, without the need for plan review, Complete only the portions of this permit that are relevant to your project. Re -roof: to house m garage n other tear off re -roof a lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Ro -side: house a garage o other Project Valuation (labor materials, not including sales tax) Repalr: ,(explgijl the gjolect, Project Valuation Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of .materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page lof 61/17/2012 16:42 136645251:7 ALL WEATHER HEATING PAGE 05/05 Swimm Pool or S a z 24" d ee for prefabricated swimming po_pl or pjpjoc(s that not repo Dien (a View' Obtain the City of PA handout entitled "Pools Spas" follow the requirements, Project Valuation Demolition: A demolition permit Is needed when an entire building gets demolished, What will be demolished? o house o garage o other Note: 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. (V) 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 Oiympic Region Clean Alr Agency (ORCAA) Demolition Permit Application, Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed, o yes no Will the debris be going to the Regional Transfer Station in Port Angeles? o yes o No If yes, will a licensed contrecfgr be taking It there? 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: (explalnjhe proJeQt) Project Valuation Mechanical Permit: (explain the project) Installation of Heat; Pump Project Valuation t pci L I.0 have read and completed this application end know it to be true and correct, I am authorized to apply for this ponn/t and understand that it is my responsibility to determine whet permits are required, and to obtain permits prior to working on protects, Date_ Signature_ Print Name Karen McKeown Page 2 of 2 ELECTRICAL PERMIT 4 CITY OF PORT ANGELES 360 417 -4735 Application Number 12- 00000046 Date 1/24/12 Application pin number 615962 Property Address 1905 W 7TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -8 -5 -0143 -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 No load change T -stat Owner Contractor OWEN SANDRA G ALL WEATHER HTG COOLING INC PO BOX 155 302 KEMP ST O CLALLAM BAY WA 983260155 PORT ANGELES WA 98362 (360) 452 -9813 rJI Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 56.00 Plan Check Fee .00 Issue Date 1/24/12 Valuation 0 Expiration Date 7/22/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due t. Permit Fee Total 56.00 56.00 .00 .00 1" Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 O INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN t. FINAL 2- 221 -/2 APP�wovtD AP COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 61/17/2012 16:42 13604525177 ALL WEATHER HEATING PAGE 02/05 t a Jt`_]., tl I I' 1. .�.1I 21.;; 6" CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections ELECTRICAL gr 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTIONS /r .e Ph: (360) 417 -4735 Fax: (360) 417 -471 Date: 1/17/12 x 1 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1905 Weet 7th stzoot Building Square Footage: 1.7(a Description of above Installation of heat pump Owner Information Contractor Information Name: Sandra Owen All Weather Heating cooling P6 1�x 1lbT Name: Mailing Address; Mailing Address: 302 Kamo etr_eet City: .t? e1ea State: WA Zip: 9e3 City: Port Angele9 State: WA Zip: 98762 Phone; 957- 0 Fax: Phone:452 -9913 Fax: 452 -5177 License 4/ Exp. License Exp. ALLWEHC15 01W 9112 Item Unit Charge Ili Total (Qty Multiplied by Unit Chargee' Service/Feeder 200 Amp. 120.00 ServicelFeeder 201 -400 Amp. 146.00 SenricelFeeder 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/0 Service Feeder 63.00 Each Additional Branch Circuit 5.00 Branch Circuit 1-4 75.00 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Service /Feeder 201 -400 Amp. $110,00 Temp. Service /Feeder 401.600 Amp, $149,00 Temp. ServicelFeeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 64,00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 1 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 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 56.00 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 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., RCIN. 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, lectrical contractor or electrical administrator: Cash 0 Cheek Credit Card 0 X Dated: 1/17/12 01/0112012 REVIEWER: ,CO DATE: 9 9 DEPT REVIEW: DATE: COMMENT DRAWING SHT NO. REVIEW COMMENTS CONCEPT REVIEW PRELIM. REVIEW 0 FINAL REVIEW 0 REVISION 0 COMMENTS andkor SPEC. PARA_ 6,Vr )i /(J&T 4 /3 .3 r 4 z �i j 1 .eoyf. c9 5 /z, ZA 6 6-7e 7 ie-x, vac (3)1 Ze..) r a-7 .4-7/1 7 0 Azycle) .S Gc.)//4 7 #579IVT i s Iv GC- T ,ee-2 0- €4--/gc MA it` I PROJECT /7 4> E 4 ,D lcv 5 W /d-i't r oF_L ACTION TAITtON COMMENT- COMMENT STATUS A=Comment accepted C=Correction made Lin DWG arp.rsgra h number when, cnnectae made LOCATION: Ct.) 7 e PERMrr 0 76 97 BACK CHECK BY/DATE. "":'" " . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 41rf cf 2: / 2. ,~/ 9"/ DATE ELECTRICAL PERMIT Site Address: tV, ?f-t. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL "!5( ADD/ALTER CIRCUITS /c]' SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND ERVICE VOLTAGE: z-O ~ ~1 r/J D3r/J SERVICE SIZE FEEDER SIZE 3D AMPS AMPS Details/Description: .2~54// <:3'D /I-uy kch ~ /~ , !-</ // ,F 9~C / . ~ / ,.. '. W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER /Ji-~ Ditch Inspection O.K. / Ii 0 Rough-in/cover O.K. o O. K. to connect service ;f;}"'" fIR Final O.K. Site Address: cu. permit/#30Z New Meters Installer: . Notify Port Ang es Ci y Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by th~'electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ." .Il' T ~ NO OCCUPANCY OR USE EST~BUSHED UNDER THIS PERMIT $ ~ ~ Eleclricallnspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall OLYMPIC PRINTERS INC. . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. -j/? 9<:./ DATE ~~-/7 '/ Installed By: T/I 7 o READY Fo.R INSPECTlo.N License Number: ILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ D FURNACE KW _ D HEAT PUMP KW D FAN/WALL KW D RESIDENTIAL D COMMERCIAL D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D TEMPORARY SERVICE D RISER D OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: D1~ D3~ SERVICE SIZE FEEDER SIZE AMPS AMPS Details/Description: /f;/~t ANllp_j4cfYJr ~dAfJl_ :tT ~P.-j///;",f, /fA) J/<. ./ / . W.S. No. SERVICE SIZE CAPACITY: D O.K. D NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D OVERHEAD SERVICE APPROVED D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. A rtJth.o.K. to connect service vI!' b 'Final O.K. Site Address: / '10S- #- Permit/Receipt No. e Installer: . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building ,r'lil. PHONE 457-0411, EXT. 224. ~(;; / ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ J () I 0 () Electrufa.llnspector Permit Fee \ It WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Halt OLYMPIC PRINTERS INC CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt.-' 16510 port Angeles, W8!>b1ngton.........f:'..=.fPL........_........................, 19.'.2_F 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- =::i~~~~;=;;b~~:~=~~::::== Wiring Contr~_...__~....~t.n....................______........_..._..n___..._.......n...... Light Outlets..._....__..,!'{........__._..... Service, volt, "'/:i~t!':~<!..... Type ot Wiring: R t I Outlets Uo '0 wires Armored Cable ..........n.mh............ ecep ac e .....L.:!...._..._.....__n_. 1'; . ..n........h......hn.n_n___._.. Dryer, KW ..mm..~..m.n............___. Size wlre'....:li:.1.)(I!.-.. ::~:'r v.;:~~~.;~.....;;..................... :::~o:::: ::.::::.::~:::::::.._::: KW.______.15..~_______________..___.. Heat' KW.......r:1.t>..~. Motors: size, ...voUs and phase: ::ft::!..:':~::::::::::.::::::::::::::: Non-Metallic ............_..................._ Knob & Tubenn..h........................_ RIgid Conduit ................___._.......... MetalUc Tubing .._____n...m_........... Type of Wiring: Entrance Cable h........hnU Metallic Tubing m_._.........._. Raceway _._..___.__....................__..._ C Clrc~:~:lt~.I~~:~:-:::::.~:...-:.....:..~::~:: ;i.. Range ....._..._................................... :J: Water Heater ........0...................... Rigid Conduit ..............___ Current transformers: No. & Size..__nn....n...._.................... SeT. NO....n_.....hnn..n______..........n...... Motor ._.._h........_.___.___........._....._.... ,;J. Dryer _...._........___........._.__._____..__.___...._ Furnace ........................._~___._______..._.. Ser. NO.........n..._............................... Ser. NO.................._...........h..h._....n. Total Load__...n__..._.n............. Set. NO._.......n_......_........_...........h___. Total ..r;i!!..~..................-....- -- -;; , Remarks: ____..___...n..~-~-c:.....................:....-.---..........-n........................................... ...______._~~..__h___._.___________________._._._.._n.._._____________..___.___.__u_...__._______._..__.__...__.._......_..._______________.________._..._...___..........__. . . ---____..n______h________.___.____h__.~U____n.____u.U_h__.n_n__.__n__u__.u_h__._______...__n____.__.__.._~...h____u____uUU..__h_._____n_u_.nu_____non NO...............,....... 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. Pennit Fee $_..:?!.t...iJ!_m.mmm_.. Treas. Receipt By.JLt!2~~~L..=~~ NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ~ .". '- ELECTRICAL PERMIT N? 16510 r " Address.........._...___.._._.._........__..____..__...._..................._........___.............______..____..._................._.....Date..._....___.__..__._.........._.__.._....______...... " Owner ....h...........................n_n.h__d_._...._......_.__..n...._._......-..........._000000_0000_..__.._.......... Tenant..._....hn___.n_.._n.............................n__nn_n__.. ~ \ WirIng Contractor ...............__...___......................_...______._..__...._................._......._....._...___..__...._..__...._ By.__................._......................................... NOTICE-Current must not; be turned on untU Certificate of Inspection has been issued. If work Is to be con- C~~otlce must he given the Inspector 80 that work \1 be inspected hetore concealment. ~ \ 1M Olyiilplc Printers, Inc. \ \ . 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 electrlcaJ.;work as listed below. ?/l "....../ .,_/~ Address ....!..2..':.:..?.n.~/./::....n..c:..ll...n....n.nn..nn.......hhd. OccupancY.nn,1,.e.~~~"'''''hn........___..n .'/ Owner .mn~d.:m~'._':L-;~~~m___..m~~_-5'__~~.!_:.:.#.-:::''!~~mu Tenant_.________u__nmmnmnm_____nnn__________n___m_mmnu I ..... . .' C! ./ r~ ""{;/) Wiring Contractor ~L........:':':::!.:'!0:~"'!?:.~.n....?;;;::&;,_::!...~By.............nh.n.n....hhd...................__.d...n...d.n ~,..,- , .'i. " Light OuUet...........,_......................_..... j-O Receptacle Outletsm__....................._._. Dryer, KW nnn..~dh__............_....h.__ .. /,";) Range, KW"._.__._..____...,.,__.._________u. CITY OF PORT ANGELES LIGHT DEPARTMENT , t Water Heater: / if , KW.......J:::....?......................... ~, ~ '" ?? $.1 /- /.J~ 1__ Heat; KW...........hn.....hn...........':.....h.... Motors: size, volts and phase: ELECTRICAL PERMIT N? 16200 l./.'- ,;2/ Port Angeles. Washlngton...........,..........................................d.___d. "...... :----- "",; ,,+ 19!n...~: .I..t.,n -"_'" /hlj .-,ry. -,' Service, volts __.____!..-~___':::.~~.._~:~n_:::.~.... '3 .. No. wires ............._._................._..___ t,;;,,,-, /7 Size wires....!./li..:::P.:.-:..~........._.. // ..].t'i'c:;..:i Main fuse .....:_:.~:.:.......t:.l...__....... ~ Enclosure n....__....................n_.. Type 01 Wiring: Armored Cable ...........m..h............ Non-Metallic _................................ Knob & Tube.................................. RIgid Conduit ............................... Metallic Tubing m.._..................... Type of wiring: Entrance Cable ........... Raceway ..........,.-;;-.............._......_ .- Circuits, Light.......:.~........................____ ~ ~t11lty ...........:i!!........................ R:tge ..:::::::::::f~::::::::::::::::::~:::::: -} Water Heater ....'::!:':....................... Motor ..._.................................._.... ;;;L ~::~~~..::~~~~..~~~E~~~~~~~.~:~::.....~~~~:~::~~. RIgid ConduIt Metall1c Tubing ......... Current transformers: No. & Size.............................. Ser. No................................._......._.... Ser. No. ......n...................__................ Ser. No....__..__.....__..._.........__.....__....... ",' '1 Total Load ............................ Ser. No,............................................. Total....................................... Remarks: __n__.._______,.,.~..!2..-!....__,,~-:._::.:..__'-.:.~:,,:.~?!::~~(d...n...__....d......d__...__..d.................:.......__.__........ Treas. Receipt /> 7/ / ,.'/ .... -1 '" No............................. By ;;i::..~2.j..__;:.::.d/.<!:.!::~:Y..~/.r;t.,~.<?O'_. -- NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. If work is to be COD. cealed due notice must be given the Inspector so that work may be inspected betore concealment. -, NOTIFY THE INSPECTOR BY,PERMIT NUMBER WHEN READY FOR INSPECTION '\ Permit Fee $, ,,~'; )'r) ---................................... ELECTRICAL PERMIT 1 N? 16200 / Address._................._.............................._.h........._......................._...................;...........................Date..._......_.........._.....:............_......_......... Owner.........................._........__....._n_.............._.._..................................................._........Tenant.........................................................._......... Wiring Contractor............._.__..._.......................................................:,................................_.....n__.. By._..hn.___.....nnn......._......................._..n... to be con. .. . ! NOTICE-Current must not be turned on untU Certificate ot Inspection has been issued. If work is cealed\due notice must be..given'tbe Inspector so that work may be inspected before concealment. -~.' _.....~. " ....-~- -~ ~\ ,/ 1M ~ Olvmnic Printers. Inc.