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Home My WebLink About218 W 11th St - BuildingPREPARED 5/11/06 13 27 58 CITY OF PORT ANGELES ADDRESS 218 W 11TH ST CONTRACTOR OWNER PARCEL APPL NUMBER BONANNO MARK ANGIE 06 30 00 0 3 4515 0000 04 00000974 RES REMODEL PERMIT BPR 00 BUILDING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BAIR 01 3/15/05 3/15/05 BL3 01 3/15/05 3/15/05 BLI 01 1/04/06 1/04/06 JLL AP JLL AP JLL AP BL99 01 5 11/ 6 153,+ (7 RESIDENTIAL DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES L LIERLY BUILDING AIR SEAL BUILDING FRAMING Mark 808 2180 BUILDING INSULATION 01/03/2006 01 26 PM mark 808 2180 01/03/2006 01 28 PM 01/04/2006 04 30 PM BUILDING FINAL TIME 05/10/2006 04 00 PM MARK 808 2180 COMMENTS AND NOTES SUBDIV PHONE PHONE (360) 452 0242 DYASUMUR DYASUMUR JLIERLY 13 00 DYASUMUR /1 4yy(10. ,(//°f 1r L in/ PAGE 1 DATE 5/11/06 PREPARED 1/04/06 13 30 22 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE /04/06 ADDRESS 218 W 11TH ST SUBDIV CONTRACTOR PHONE OWNER BONANNO MARK ANGIE PHONE (360) 452 0242 PARCEL 06 30 00 0 3 4515 0000 APPL NUMBER 04 00000974 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 3/15/05 JLL BUILDING AIR SEAL 3/15/05 AP BL3 01 3/15/05 JLL BUILDING FRAMING 3/15/05 AP Mark 808 2180 BLI 01 /04 06 JLL BUILDING INSULATION L i 01/03/2006 01 26 PM DYASUMUR mark 808 2180 01/03/2006 01 28 PM DYASUMUR COMMENTS AND NOTES PREPARED 3/15/05 13 00 35 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/15/05 ADDRESS 218 W 11TH ST SUBDIV CONTRACTOR PHONE OWNER BONANNO MARK ANGIE PHONE (360) 452 0242 PARCEL 06 30 00 0 3 4515 0000 APPL NUMBER 04 00000974 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 15 /05 JLL PLUMBING ROUGH IN TIME 17 00 Mark 808 2180 COMMENTS AND NOTES PREPARED 3/15/05 13 00 35 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/15/05 ADDRESS 218 W 11TH ST SUBDIV CONTRACTOR PHONE OWNER BONANNO MARK ANGIE PHONE (360) 452 0242 PARCEL 06 30 00 0 3 4515 0000 APPL NUMBER 04 00000974 RES REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 3 15/ 5 JLL MECHANICAL ROUGH IN TIME 17 00 Mark 808 2180 CONTINUED ONTO NEXT PAGE PREPARED 3/15/05 13 00 35 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/15/05 ADDRESS 218 W 11TH ST CONTRACTOR OWNER BONANNO MARK ANGIE PARCEL 06 30 00 0 3 4515 0000 APPL NUMBER 04 00000974 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 15/05 JLL A- 3 1� S BUILDING FRAMING Mark 808 2180 CONTINUED ONTO NEXT PAGE SUBDIV PHONE PHONE (360) 452 0242 2, irr: Application Number 05 00000128 Date 2/24/05 Pin number 591424 Property Address 218 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 -4515 0000 Application description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor BONANNO MARK ANGIE OWNER PO BOX 2378 PORT ANGELES WA 98362 (360) 452 0242 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Permit RIGHT OF WAY Additional desc REPLACE DRIVEWAY Permit Fee 50 00 Plan Check Fee 00 Issue Date 2/24/05 Valuation 0 Expiration Date 8/23/05 Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT Fee summary Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Grand Total 50 00 50 00 00 00 Extension 50 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby 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. 2. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\Policies \1102.15R [1/05] 5 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies \1102.15R 1/05] RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. 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 YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION RW PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING I I I I I I I I OF P0.744, -w Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation 526180 BONANNO MARK ANGIE PO BOX 2378 PORT ANGELES WA 98362 (360) 452 0242 Permit Additional desc Permit Fee Issue Date ?t i Expiration Date T• \PLANNING \FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 73 00 10/22/04 4/21/05 04 00000957 Date 10/22/04 218 W 11TH ST 06 30 00 0 3 -4515 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Owner Contractor OWNER ELECTRICAL NEW RESIDENTIAL Plan Check Fee 00 Valuation 0 Qty Unit Charge Per Extension 1 00 73 0000 ECH EL -R SQFT FIRST 1300 73 00 Fee summary Charged Paid Credited Due Permit Fee Total 73 00 73 00 00 00 Plan Check Total 00 00 00 00 Grand Total 73 00 73 00 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 as 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 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date oo cqq (2T' CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. 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 WALLS I FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN I DS I,F? PLUMBING UNDER FLOOR SLAB ROUGH -IN I WATER LINE (METER TO BLDG) I I GAS LINE I I BACK FLOW WATER I I AIR SEAL WALLS I I CEILING I I FRAMING JOISTS GIRDERS I I SHEAR WALL/HOLD DOWNS I I WALLS ROOF CEILING I DRYWALL (INTERIOR BRACED PANEL ONLY) I I T -BAR I I INSULATION SLAB I I WALL FLOOR CEILING I I MECHANICAL HEAT PUMP I I GAS LINE I I WOOD STOVE PELLET CHIMNEY I I HOOD /DUCTS I I PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 t\PLANNING\FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD YES NO SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING OF PORT,% Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner BONANNO MARK ANGIE PO BOX 2378 PORT ANGELES (360) 452 0242 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 3 00 7 2500 ECH ME VENT FAN Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge 8 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 Per 7 0000 ECH Per 14 000D THOU 04 00000974 703800 218 W 11TH ST 06 30 00 0 3 4515 0000 RES REMODEL MECHANICAL PERMIT 68 75 10/22/04 4/21/05 PLUMBING PERMIT 54 00 10/22/04 4/21/05 Charged Paid 327 50 81 90 4 50 413 90 RS7 RESDNTL SINGLE FAMILY 10000 Contractor OWNER BASE FEE PL- EA INSTALL WATER PIPE BASE FEE BL -2001 25K STATE SURCHARGE 327 50 81 90 4 50 413 90 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby 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. Signature of Contractor or Authorized Agent Date T•\PLANNING\FORMS \1102.15 [11/14/2003] Valuation (14 PER K) Credited 00 00 00 00 Date 10/22/04 Plan Check Fee 00 0 Extension 47 00 21 75 Plan Check Fee 00 Valuation 0 Extension 47 00 7 00 BUILDING PERMIT RESIDENTIAL INTERIOR REMODEL 204 75 Plan Check Fee 81 90 10/22/04 Valuation 10000 4/21/05 Extension 92 75 112 00 4 50 Due 00 00 00 00 5/1k/C)C. 6;i/4N Signature of Owner (if owner is builder) Dote WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. 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 WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER FLOOR SLAB I I ROUGH -IN 13 /54)5 kJ W LINE (METER TO BLDG) I I GAS LINE I I BACK FLOW WATER I AIR'SEAL WALLS IS I,5 OJ s CEILING FRAMING JOISTS GIRDERS I SHEAR WALL/HOLD DOWNS I WALLS ROOF CEILING 21.. b I.- DRYWALL (INTERIOR BRACED PANEL ONLY) I T -BAR I I INSULATION SLAB I I WALL FLOOR CEILING I I A-1 I CM, MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: YES I NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I— i I A'1 I I PLANNING DEPT 1 BUILDING 417 -4815 I' t �iOt I V I BUILDING T\PLANNING\FORMS \1102.15 [11/14/2003] 1oU I >7 A 1/6& (4/1A/t,wP. SEPA. PARKING/LIGHTING I ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I I Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved. COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Date Issued: Applicant or Agent: Owner /''t'C'irA i %//1G�!/i !�1 qz/ s 4 low?`,, Architect/Engineer Phone Address Contractor State License Exp Address City PROJECT ADDRESS t /7 /l U LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name. Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr Re -roof Stove Multi family Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT i coax° &fee CG li' �IUi G /v' /ild COMMERC /RESIDENTIAL. Occupancy Group BUILDING PERMIT APPLICATION Phone City PO /1I 7Qz /Gy Zip V Existing Sq Ft. City No. of Stories: Lot Size: PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. Total lot coverage FOR OFFICIAL USE ONLY Date Rec. /O /y` 404 Permit Phone 14% Phone Zip ZONING Exp. Date: 9 Y z SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 7 /O./Jvl) Occupant Load: Construction Type: c'ovel2/ Proposed Sq. Ft. TOTAL Sq Ft. APPROVALS. PLAN BLDG DPWU FIRE. OTHER. BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Buildmg 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 R105.3.2 of the International Buildmg/Residential Code, 2003). No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T \RVESS\BLDG- forms brochures \2003- Buildingpermit.wpd Applicant to i� Date: 4 :M ./9 y r r e S e n** 50 Feet Vertical Datum NAVD 88 Horizontal Datum NAD 83/91 140 209 207 203 Area Map This map is not intended to be used as a legal description. This map/drawing is produced by the City of PortAngelesfor its own use and purposes. Any other use of this map/drawing shall not be the responsibility of the City. >- . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 PERMIT NO. 717'/S-- J?49ffV DATE ELECTRICAL PERMIT Site Address: d- o READY FOR INSPECTION License Number: o WI LL CALL FOR INSPECTION Phone: Instailed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ~ BASEBOARD KW ~ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS ,.x SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER ~ OVERHEAD SERVICE o UNDERGROUN9 SERVICE VOLTAGE: /cO~ ifD ;l'1 q5 03 ~ SERVICE SIZE ~ AMPS FEEDER SIZE AMPS DetailslDescription: /fIE/A / ~~.A~ f} f C r /O,<'tc/ ~{:'~ . 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 o Ditch Inspection O.K. o Rough-in/cover O.K. ~ ~ O.K. to connect service o Final O.K. Site Address: d-/~ Installer: . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be cov red before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the~Buildin Permit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Ii c;-o $ ~ Electricallnspeclor Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: MeIer Dept., Boltom: City Hall OLYMPIC PAINTERS INC ...._.'~- '.' ELECTRICAL PERMIT APPLICATION FOI< UFF1C!.'\.! !),lIo/\(Ol 'M h""lil ~ USf.O~:LY The Electrical Permit Application must be filled out complete lv, 1~.w:A~'ltn,v~J. _____~_ lhltl.,'>u[;J________~_ Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 ~ /r "'::> Owner or EJec. Contractor Agent Property Owner #o/'IC !?OHLlHtt?O Address ;!j 5?' V / /"'{Y:;' 57': - Phone: Fax: Phone: ?'.bO -7f7?--Oz. p~ Zip 9,r3~::Ju Electrical Contractor: Cily,P'I?0"T Ap?adeG "-{ License #: Exp: Phone: Address: i Cily: Zip: INSTALLATION WIRED BY: DOWNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA: MC: \: PROJECT ADDRESS: .:l / 8 w JIt:5 ..:sf, TYPE OF WORK: Check.<ill that apply: DNew o AlterationlAddition ~ ftReSidential 0 Multi-family c.. o Commercial 0 Mobile Home Sq. Ft , o Remote Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: new ZOo 407;::; t /JC?u e./j j..,/ / // !/ bf} /cre.e. I all / / 4/////~, . ;>(Saseboard J Furnace J Heat Pump ] Fan-Wall KW KW TON_ KW ~Overhead Service o Temp Service o Underground Service qoc.r dJil ~ IE: '( I~/Y Service Information ::Iectrical Heat Load Additions and or Subtractions LRA Voltage: ,C 'f/"ZJ Phase: j8;"1 0 3 Service Size: Feeder Size: hereby certify that I have read and examined this application and know that same to be true and correct, and I am wthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits lre required; it remains the applicants responsibility to determine what permits are required and to obtain such. ", .Credit Card Holder's Signature: ~ . II) . Owner or Elec. Cont. Signature: Date: .. ~6~ '-~ Date: /c:~f'/.!?Y PERMIT FEE: $ '7 .3.~V ? ,. :/ELECTP-i.QALPEitc;:MIT APPLICATION ELECTRICAL INSPECTION WIRING REPORT 417-4735 ;ffJ. ADDRESS :2/8 tV 1/ APPROVED NOT APPROVED o . . . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0 0.. . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . .. . . 0 o. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 o. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . .'}<1: CORRECTIONS NEEDED: (.;k / C-/ ~U.//- /"-/ K/ rc..r-/IZ.A./ , NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - I -. OLYMPIC PRINTERS, INC. (360) 452-1381