HomeMy WebLinkAbout335 E 9th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Meter replacement
Owner
REIFENSTAHL BRIAN L
96 BLUFF VIEW DR
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983639449
183475
119 90
4/12/11
10/09/11
119 90
00
119 90
Signature of owner or Electrical Contractor X
G \EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
11 00000304
664112
335 E 9TH ST
06 30 00 0 2 7097 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
ELECTRICAL ALTER RESIDENTIAL
Qty Unit Charge Per
1 00 119 9000 ECH EL 0 200 SRV FEEDER
Paid Credited
119 90 00
00 00
119 90 00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
'4 /MI II
y117 f IQ
1,
Date 4/12/11
DATE RESULTS
WA 98363
Plan Check Fee 00
Valuation 0
Extension
119 90
Due
00
00
00
INSPECTOR.
Date
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
FROM A.P S. ELECTRICAL CONTRACTOR FAX NO 360 452 6753 Apr 11 2011 07 04AM P1
RECEIVED
APR 11 2011
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical !aspect-ion ELECTRICAL
321 East Fifth Street —1' 0 Box 1 150 Port Angeles Washington, 98362 INSPECTIONS
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date: .7 I/
1 2 Single Family Dwelling
Ownerrormation
Name: kit ;ci_ E I c I 5 et L
Mailing Address i kF C Q L e, J
City
State: State: Zip:
Phone_Y i :7— .21177 Fax
License Exr'
tem, Unit Charee
Service/Feeder 200 Amp, 119.90
Service/Feeder 201 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
Each Additional Branch Circuit 2.60
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 8820
.Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Plan Review May e Required, Plea ,Comple.tee Etecfical Plan Review Information Sheet
JobAdaess:
Building Square Footage: F
Description of above b e_! 1 t� e it, aA1' 0 re-r 1
'eir- yt5 3 me
C 11 n c) r- 0
v
Contractor Information Name: 4 o ri j, ear C:Ar, cv.
MaiiingAtldress: W..
City' State:..',, Zip:
Pane Fax: l�
License Exp._
.rC
Total (Qtv Multiplied by Unit Charnel
r-'
Signal Circuit/ Limited Energy 18 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi- Family Dwelling $s 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,�Q
Each Swimming Pool or Hot Tub $110.30
$T`f .`(°rota'
Owner e s defined by RCW 19,28 (1) Owner will accupy 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 taws, N.E.0 RCW Chapter 19.28 WAG 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 0 Cash 0 Check
I 6 t�(Creait Gard 6 n6 41(
X _(Jw Dated: dc) 011012010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner
REIFENSTAHL BRIAN L
96 BLUFF VIEW DR
PORT ANGELES
Qty
1 00
5 00
Permit Fee Total
Plan Check Total
Grand Total
Unit Charge Per
73 5000 ECH
2 6000 ECH
Fee summary Charged
WA 983639449
86 50
00
86 50
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
10 00001358
432338
335 E 9TH ST
06 30 00 0 2 7097
ELECTRICAL ONLY
Contractor
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc APS ADD 6 CIRCUITS
Permit pin number 177667
Permit Fee 86 50
Issue Date 11/17/10 Valuation
Expiration Date 5/16/11
Plan Check Fee
EL BRANCH CIRCUIT WO /FEEDER
EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
86 50 00
00 00
86 50 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 11/17/10
REPORT
0000 oou e fo TAX
to the City of Port Angeles
(Location Code 0502)
RESULTS
eiw
brv
WA 98363
0 0
0
Extension
73 50
13 00
Due
00
00
00
INSPECTOR.
Date.
Yy�
c1 7
FROM A P S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 No 17 2616 09 33AM P1
City of Port Angeles Permit Application
Building Division /Electrical Inspections
321 East Fifth Street- P.O, Box 1150
Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360)417 -4711
Date:L v e3 /0
2 Single Family Dwelling
Mul■ Family or Commercial'
Commercial Addition Alteration t Remodel 1 Repair
Plan Review M Be ease Cgr>Z plete Electric piap Review Information Sheet
Job Address:
Building Square Footage:
DkSCription
M— of pave
4 Le) s+ QI1 G i r e- u d'. -I-c ‘e,1 i Cut (oct49 I A
0 •t D i C n w0.'tt a's c.a*1 R e r' i c e c)C1
Owner I nf rmalion L Con actorJntor t
Name: t an R.E. 1 r54"ct,ki Name ,a F,/to tFr t r6d
Mailing Address }�f 1 1 ()i P.u.? On O Mailing Address: A
City f A State: Zip: `R�2‘2_ City State: i Zip:
Phone:U. r2 4Ol Fax: Phone: Fax i /,o
License I Exp, License Exp._ L.-.
Unit Charge Sk Total (Otv Multiplied b„v_Unit,Cha
S 119.90 Service /Feeder 200 Amp.
S 145.50 Service/Feeder 201-400 Amp.
S 204.60 S. Service /Feeder 401.600 Amp.
S 262.20 S Service/Feeder 601-1000 Amp
372.50 5 Service /Feeder over 1000 Amp
5 2.60 Branch Circuit WI Service Feeder'
73.50 I S Branch Circuit W/0 Service Feeder
2.60 S 1 .b Each Additional Branch Circuit
92.70 S Temp. Service/ Feeder 200 Amp.
110,30 S Temp, Service /Feeder 201 -400 Amp.
S 148.70 5 Temp. Service/Feeder 401 -600 Amp.
167.90 5�. Temp. Service/Feeder 601 -1000 Amp.
S 95.90 S Portal to Portal Hourly
88.20 S Sign /Outline Lighting
95.90 5 Signal Circuit/ Limited Energy Commercial. Additional 1500 55,00
63.90 S Signal Circuit/ Limited Energy 1 2 Family Dwelling
S 63.90 c Signal Circuit/ Limited Energy Multi Family Dwelling
S 119.90 S Manufactured Home Connection
$102.30 S Renewable Electrical Energy 5XVA System or Less
$110.30 First 1300 Square FL
S 35.20 S Each Additional 500 Square Ft. er Portion of
73.50 S Each Outbuilding or Detached Garage
S 110.30 S Each Swimming Fool or Hot Tub
S 56.00 S Thermostat
s cgr4 total
Signature of owner, electrical contractor or electrical administrator
0 Check
X \_l( P.fA l�-SU D,t I42G?d10
Credlt Card I t t v l Y I L .
y 1kl
Owner as defined by RCW.19.28.261 (1) Owner will occupy the suucruro 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 em 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 19.20, WAC_ Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00001077 Date 9/29/06
Application pin number 197662
Property Address 335 E 9TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 7097 0000
Tenant nbr name BRIAN REIFENSTHAL
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1660
Owner Contractor
REIFENSTAHL BRIAN L OWNER
96 BLUFF VIEW DR
PORT ANGELES WA 983639449
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 88039
Permit Fee 86 60 Plan Check Fee 00
Issue Date 9/29/06 Valuation 1660
Expiration Date 3/28/07
Qty Unit Charge Per Extension
BASE FEE 50 00
12 00 3 0500 HND BL 501 2K (3 05 PER C) 36 60
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 86 60 86 60 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 91 10 91 10 00 00
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
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. ihereby-certify--that4 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
sume to give author' to violate or cancel the provisions of any state or local law regulating construction or the performance of
co •struction.
Signature fit Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
YES NO
I
I I
I I
I 1
I I
I I
I I
I I FINAL DATE ACCEPTED BY.
1 I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I FINAL DATE ACCEPTED BY.
I I
I I
I I
I I
I I
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION kW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
1
C
Applicant or gent:
(Owner. f G-C\ I'�e LC rhCi
Address. 3 3) 9 7 4
Architect/Engmeer
Contractor
Address:
PROJECT ADDRESS 33i5 c
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr
Multi- family Addition
Commercial Remodel
Repair Sign
BRIEF DESCRIPTION OF TAF PROJECT
COMIYERCIAL/RESIDENTLAL. Occupancy Group
No of Stories: Lot Size:
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
VALUATION OF CONSTRUCTION hi all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI05.3.2 of the International Building/Residential Code. 2003). No application can be extended more than once.
I hereby certify that I have read d examined this application and know the same to be true and correct. I am authorized to
apply for this permit and under•r J
that it is my resp ibility to determine what permits are required not the City's, and that
must obtain such permits prior to k.
T•\FORMS\B1dgPermitform.wpd Applicant:
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK.1 our application and site plan MUST BE
COMPLETE to be accepted for review If von have any questions. call
PERMITS (360) 417 -4815 FAX(360)417 -4711
4/''Re roof Stove
Move Garage
Demolition Deck
Other
Phone: s a BZ n
1 Phone.
�1
City 'brt Ptcrieie..b Zip
ti c_
State License 41
City
l
Block.
Existing Sq. Ft.
Subdivision.
Phone:
Exp
Phone
Zip
ZONING
ST7.F/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATIQN .2t /,o�
IC -a- t (P /'e r�.o
FOR T OFFI�IAL� USE
Date tect ��'''l /06
Penult Pennit#:O' 0 7 1
Dat.. Approve n t
Date Issued
Occupant Load. Construction Type.
Proposed Sq Ft. TOTAL Sq Ft.
Date: c _a o
D6,
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
16967
port Angeles, washlngtonn___.n._n~.=!.'.:r=._....___.._..~..._____., 19.2.'7
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.," J
ELECTRICAL PERMIT
Nt?
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 electric 17work as listed below.
Address ...---;r.;rt;~-:..nE:. _. e'.n~_nmnn.n___nnn__.n___.._ occupancy...___:::'1.~_~''''n_.n______._____n__
O~~er -------~en~T~.:?;;;.n-e-a.;;:y TenanLnn__n______...._nm____________m______._.....mmnnm___
Wmng Contractor ____n~-.--.-------n.n.-----------nn___-.n-n-n---- By_____n___._______nn_______n___nm____nn___.m__m.______.n
Light Outlet.._........_.nn...nnn_...n_n_n_._ Service. vou. .,J.~_~L~.f.':9.n Type of Wiring:
R ceptacle Outlet. "0 wire. ~. Armored Cable ...-.-...........-..........-
e .__..u...__nn.........__.... S"lz'e wlre.._._...~.... 0..-_-_-_._-_~...............-.-_-_._-_-_...-.-...._n.-. Non-Metallic ........__.__.........__.___.....
Dryer, KW ..unnn...............-..------..------ ~-..::
CJ!!?(j ..d. Knoh & Tuhe...nn..........n.n.........._
Range, KWh_______..__...____..._____.. Main fuse ..... --..--.......0--.......--
..s
Enclosure n.......__..__........__.____.........
Water Heater:
Heal~;~.:::::_L:yJ.1J.::::::.-::._:
Type of wiring:
Entrance Cable ...___n....mnn___.
Motors: size. volts and phase:
Rigid Conduit _hn....._...___.......______.
M:etalUc Tubing ........---.........------.
Current transformers:
No. & Size............__u..........__...........
Ser. No.--............................................
Ser. No.................._.........__..........__...
Ser. No........--....................................
RIgid Conduit --....------.-........-....----
MetallIc Tuhlng ..........n........_m._.
Raceway ......................._....._.__._
Circuits, Light..................................._..
Utillty .....n.m............__m........._.......
Heat ................................._...._._
Range .............................................
Water Heater ...............................
Motor .............................................
Dryer .....--.......................................--
Furnace .........................'_.m...............
Remark:O:tal__~~~._~:====._~~~:~:~:~.Af~--E:~:--~::.::::.:_:~_:~.:::.::.-:.:~::~::
..-.---.----.-..--.--.------.-.--.-...------.-.--.------.--.----.--..--.....--.------.-..-...-..----.--....--.--.------.--..------.----.----.-..------.---.-....------.-......-
.~~:;~-;~~------.-----------------m--;~~~~.--~~~~;~~nh-----------__---m----h----n~'?~j~,-;--A----2
$___.___________________________.____.. NO._____.______m_m________ By 7___T___.___V._z_.__/!!L_.,1.__m_':('6:______._f:.."""~ -
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?
16967
Address..........................................................................................__...................................__.......Date..._......_.._.._.._..........-......-......-.........
Owner ..................................._......_.._......_......_.._....................................__...............__.... Tenant.......................__...........................................
fWiringContractor...................................-......_.............._.............................__..............................By..............................................................
NOTICE-Current must not be turned on untl1 Cert1f1cate of Inspection has been issued. If work is to be COD-
cealed due Dotice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
:
...0-:;......":' .
'" .',../~..
.-- - ~..- ~ . ,;' .,r........ .._
..... ~,- .-. -_ _. _n_
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
16949
~-:z... ><P
Port Angeles. Washlngton...m....mm.m.........mmm..m...m.......__.m. 19..:..L
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 electdcal work as listed below.
Address ......~~~G:/e~~~~ Occupancy__...m..____..__..m.mm..__....m.m...
Owner ...m.,;.m..m.o'd.m..m.--...m.mmm7. .....mmm.. ..h....mmm.mn......m.n..m.....__..........n.mm.m....
.. e-~
Wmng Contractor m...m........mm.mm.......____.m......__...mm.... By...m.m..m..h..__hhh...mh.m.mm.mm..____..m....
/$0/;) ~C;
servl~e. volts ..3..../......~.....:.........
No. wires ...p(:j...................
Size wlres..'CJjFifii;4".........
Main fuse ........................__....__....._.
--S
Enclosure ._.___unn________h..............___
Light Outlet8........__....................._.._..__
,r.
- Receptacle Outlets...............................
Dryer, KW......._........nnhn._..____.___n____
Runge, KW m____un.umn_____._h__
Water Heater:
'.'
KW.......r;~.j-.p13mmm
Heat: KW........................................u__u.....
Type of wIring:
Entrance Cable ..___.-m_..n....____.
Motors: size. volts and phase:
Rigid Conduit ...__..........................
Metallic Tubing _mm
Current transformers:
No. & Size_...__....................n.n..
. ... ~-
Ser. No..............................................
f\ :
'-..,. ,'.
Ser. No. ..........._n.........._nn_....___........
Ser. NO.._..____n........................._...__.....
Type 01 Wiring:
Armored Cable ................_...nm..._
Non.Metallic ................___..___._.......
Knob & Tube.................................
Rigid Conduit ...............................
Metal!!c Tubing ......................._..
Raceway ......................._.....___._
Circuits, Light._..._........___..._...___....__..
Utillty......................._....................
I-Ieat .._...__..............................._.......
Range ___.._..._____..___..___.....................
Water Heater ...................___........_
Motor ____.........__.........................___..
Dryer..........._...................___.....___..__.._
Furnace ___...................._.._......_........._.
Remark:~ta:~.~:~~muu~:y:~~.mmm.~.~~::u~::~:::~::~.::.::.~:::~::~::~::
.;:;::;;.;::mmm.u___.h..____._m;~:~~:.~:~~;~~.mum.uuh.----___.mm"f!!Z~L2:u:=)
$__.__....m....m...___u.m.__m. NOoumm.m..um__uu... By ___m'-__u....u.u.um.mm__hm..m...m.mm___...___..
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
,.
"
",
NOTi'FY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION.
L
G
.'~ ...-.
ELECTRICAL PERMIT
Address
N?
16949
Date..._......_.._.__._._......_...____..._....___.____.._
,:~
Owner.__..._....._.............._~:.._......_.._..___.____..._..____._._......._......._..._..._.._...._.._..._....._.__._..Tenant.........____________._____......__....__.............._..........
J
/~
wiringContr~J:tor.---.-...----.----....................-.........._........._.............................._____.___......__...._.........By.._____.........._........................__......._____.___..
NOTIqE-Current must not be turned on until CertifJcate of InspecUon 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.
I
,.:..-.