HomeMy WebLinkAbout501 W 11th St - BuildingPREPARED 11/16/10 8 31 11 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/16/10
ADDRESS 501 W 11TH ST
TENANT NBR JOHN JOY HIGGINBOTHAM
CONTRACTOR ALL WEATHER HTG COOLING INC
OWNER JOHN M AND JOY L HIGGINBOTHAM
PARCEL 06 30 00 0 3 2395 0000
APPL NUMBER 10 00001306 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL
REQUESTED
TYP /SQ COMPLETED
ME99 01
11/16/0
INSP
RESULT
PERMIT
DESCRIPTION
RESULTS /COMMENTS
SUBDIV
PHONE (360) 452 9813
PHONE (360) 457 4797
MECHANICAL FINAL TIME 01 00
November 15 2010 1 50 23 PM 1pangrle
JENNY (ALL WEATHER HTG 452 9813)
MECHANICAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 ton heat pump
Owner
JOHN M AND JOY L HIGGINBOTHAM
501 W 11TH ST
PORT ANGELES WA 98362
(360) 457 4797
Permit
Additional desc
Permit pin number 177048
Permit Fee 56 00
Issue Date 11 /10 /10
Expiration Date 5/09/11
Qty Unit Charge Per
1 00 56 0000 ECH EL LVT
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
ELECTRICAL HEATPUMP
Charged
56 00
00
56 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00001309
843671
501 W 11TH ST
06 30 00 0 3 2395 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Paid
Contractor
ALL WEATHER HTG
302 KEMP ST
PORT ANGELES
(360) 452 9813
THERMOSTAT
56 00
00
56 00
Plan Check Fee
Valuation
Credited
00
00
00
111l�l/a IQ
Date 11 /10 /10
COOLING INC
WA 98362
z "1.7) TI
Due
RESULTS
00
00
00
0
0
Extension
56 00
I
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date
City of Port Angeles Permit Application
Building DivislonlElectrical Inspections
321 East Fifth Street— P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417.4735 Fax: (360) 417.4711
Date: l `c�� I 0
!li 2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition Alteration Remodel Repair
Plan Review M�yG.Be Required Pt a Comple Electric I Plan Review Information Sheet
Job Address: c7C3 )11
Building Square Footage: 147
Owner I f rrRtign
Name r
Mail' joie fit Mir;
City' a :ss7,
Phonuoi E1rL
License Exp.
co
Is &SAKI
Unit Charae
93.75
$113.75
$160.00
$205:00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
$57.50
86.25
43.75
State:
ax:
Signature of owner, electrical contractor or electrical administrator
t70/£0 39Cd
CA_ Date: 1
9NI1C3H 2i3H1C3M 17C
Total :(Qty Mulliolied bbl ,nit Chard
I] Cash
Check
Io Credit Card fs
LB ,ADD
ELECTRICAL
INSPECTIONS
Description of above ?l1.1_C�1 tCY) CA— &4gEleir
r lit
Contra f
Name:
Maili 5
City: r ti.
Phone: ?iit:1
License Exp.
le
.r
l
LI I e B L f'
eSS: lib r r %tl 11%741
'liy17
2
Service/Feeder 200 Amp.
Service/Feeder 201.41)0 Amp.
Service/Feeder401 -600 Amp.
Service /Feeder 601 1000 Amp.
ServicelFeeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201.400 Amp.
Temp. Service/Feeder 401.600 Amp.
Temp. ServicelFeeder 601 -1000 Amp.
Portal to Portal Hourly
SIgn/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft,
Each Additional 500 Square FL or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
(.815Total
90Rf
rgepR
State: :.t Zip:
Fax: gin) f iT
Owner as defined by RCW.10 28.261 (1) Owner will occupy the smile for two years after this electrical permit is finalized, (2) Owner Is required to hire an
electrical contractor If above said property Is for sate, rent or lease.
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 296468, The City of Port Angeles Municipal Code, and
Utility Specifications.
LLTSZSb09£T BE OT 0TBZ /S0 /TT
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 10 00001306
Application pin number 653748
Property Address 501 W 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 2395 0000
Tenant nbr name JOHN JOY HIGGINBOTHAM
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 12511
Application desc
HEAT PUMP INSTALLATION
Owner
JOHN M AND JOY L HIGGINBOTHAM
501 W 11TH ST
PORT ANGELES WA 98362
(360) 457 4797
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 14 8000 EA
Fee summary Charged
Permit Fee Total 64 80
Plan Check Total 00
Grand Total 64 80
MECHANICAL PERMIT
HEAT PUMP INSTALLATION
177014
64 80
11/05/10
5/04/11
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Extension
BASE FEE 50 00
ME FURN /HP /FAU OR 5 TON 14 80
Paid Credited Due
64 80
00
64 80
Date 11/05/10
Plan Check Fee 00
Valuation 0
00 00
00 00
00 00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required forelectrical 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. c
J) f l b See. MC K aD t,v „if,— 7 c �1�y✓
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
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
T Forms /Building Division /Building Permit
Inspection Type
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
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
FINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Comments
Accented by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Q
6'
Applicant
PROJECT ADDRESS
Parcel Number
Project Term Brief Descriotlon.
Check all that apply
o New Construction
o Addition
XRemodel
o Repair
o Demolition
o Re -roof
$Heat System
o Other
Deck
Stied
Other
T:Formsleullding Clutalon /Bldg Permit.doC
b0 /b0 39Gd
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
J A -4e i na *000Mo
Ak Illyylmo,
to cl
Property Owner
Property wner's Address vG 1 r
Contractor }QQ,
Contractor's Address
License ALL
4Residential o Multi family
Lot
—.4
For City Use Only
Date Received -1
Permit# (Q' 130
Date Approved
Zoning
Phone
Phone I l of
Phone
E -mail Icc o LiK./1 CerY1
o Commercial o Industrial
o House o garage a other a tear off re -roof a lay over one layer
,-feat pump o wood burning stove a gas fireplace a pellet stove a other
Floor Areas Existinq fso. ft.) Proposed (sq. ft.)
Basement per sq. ft
1' Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
TOTAL VALUATION Q. I .QS
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
of bedrooms
of full baths
of half baths
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will afire sprinkler system be installed? Construction type
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 o rking on projects.
Date Name n��(5 A)h Signature ea, ►1it
9NIlv3H 2I3H1v3M 11C
LLTSZSb09ET 9E 0T 0T9Z /S0 /TT
Clallam County Assessor Treasurer Property Details 59233 JOHN M AND JOY L Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 59233 JOHN M AND JOY L HIGGINBOTHAM for Year 2010 2011
I Property
Neighborhood
Neighborhood CD
Owner
Name
Mailing Address.
Account
Property ID
Geographic ID
Type:
Tax Area:
Open Space.
Historic Property
Multi Family Redevelopment:
Township
Range
Location
Address. 501 W ELEVENTH ST
PORT ANGELES WA
Taxes and Assessment Details
Cycle 5 Res
10955130
Property Tax Information as of 11/05/2010
Amount Due if Paid on. E.
59233
0630000323950000
Real
0010 PA 121 PORT ST CNTY H2 L
N
N
N
I Year Statement ID
2010 42134
2010 42134
2010 42134
2010 42134
2010 42134
2010 42134
2010 42134
2010 42134
2010 42134
2010 42134
2009 592332008
2009 592332008
2009 592332008
2009 592332008
12009 592332008
Taxing Jurisdiction
ST SCH STATE SCHOOL
CC -GEN COUNTY
PORT PORT
PORT ANG PORT ANGELES
SD #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
HOSP #2 HOSPITAL #2
WEED_CONTROL WEED CONTROL
2010 42134 TOTAL.
ST SCH STATE SCHOOL
CC -GEN COUNTY
PORT PORT
PORT ANG PORT ANGELES
S #121 SCHOOL DISTRICT #121
NTH OLY LIB NORTH OLYMPIC LIBRARY
Legal Description.
Agent Code
Land Use Code
DFL
Remodel Property'
Section
Mapsco
Map ID
JOHN M AND JOY L HIGGINBOTHAM Owner ID
501 W 11TH ST Ownership
PORT ANGELES WA 98362
Exemptions:
LOT 20 BL 323
11
N
N
2 k ys\ *N Q
30405
100 0000000000%
NOTE. If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
First Second
Half Half
Base Base I
Amt. Amt. Penalty Interest Base Paid
$185.26 $185.26 $0 00 $0 00 $370 52
$98.58 $98_60 $0 00 $000 $197 18
$13 86 $13 85 $0 00 $0 00 $27 71
$228.26 $228.28 $0 00 $0 00 $456 54
$239 97 $239 96 $0 00 $0 00 $479 93
$28 65 $28 65 $0 00 $0 00 $57 30
$40 44 $40 45 $0 00 $0 00 $80 89
WSMET PK DIST WILLIAM SHORE MET PARK DIST $12.87 $12.87 $0 00 $0 00 $25 74
CITY STORMWATER CITY STORMWATER $36 $36 00 $0 00 $0 00 $72.00
$0 82 $0 81 $0 00 $0 00 $1 63
$884 71 $884 73 $0.00 $0.00 $1769.44
$212.31 $212 30 $0 00 $0 00 $424 61
$107 45 $107 44 $0 00 $0 00
$15.22 $15.22 $0 00 $0 00
$23567 $235 68 $0 00 $0 00
$262.55 $262.56 $0 00 $0 00
$31.22 $31.22 $0 00 $0 00
$214 89
$30 44
$471 35
$525 11
$62 44
http. /vpn.clallam.net:8084 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop_id =59 11/5/2010
Application Number 10 00001267
Application pin number 327570
Property Address 581 W 11TH ST Apt
ASSESSOR PARCEL NUMBER 06 30 00 0 3 2382 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 ton heat pump 10 kw furnace
Owner
JOHN M /JOY L HIGGINBOTHAM
222 DEVONSHIRE LANE
WILMINGTON NC 28409
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL HEATPUMP
176487
78 70
11 /01 /10
4/30/11
Charged
78 70
00
78 70
Signature of owner or Electrical Contractor,X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Paid Credited
78 70
00
78 70
DATE.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
00
00
00
Date 11 /01 /10
RESULTS
'77
WA 98363
0 0
0
Extension
73 50
5 20
Due
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
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: X29 1Q
X 1 2 Single Family Dwelling .Multi Family or Commercial*
Plan Review May Be Required, Please Cpmplete Electrical Plan Review Information Sheet
Job Address: n L st
Building Square Footage:
Description of above T!� n /_O 11i 111 aLttt .CY OLCf1I
Owner Information
Name: O7
Mailing Address: SD 111"11,
City' .2_11_ State: jg Zlp fl �a
Phone: Fax:
License Exp,
Item
Service /Feeder 200 Amp,
Service /Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp
Service/Feeder 601.1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service/Feeder 401.600 Amp.
Temp. Service /Feeder 601 -1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy SKVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft,
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Not Tub
Unit Charge
119,90
$145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
$110.30
$148.70
$167.90
95.90
88,20
95.90
63.90
63.90
119.90
102.30
56,00
110,30
35.20
73.50
110,30
gbC
QORxq tiF
I
OCT 2 0 KO t L---
ELECTRICAL M/
INSPECTIONS
Commercial Addition Alteration I Remodel rI Repair*
3
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2)
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 contr
the electrical installation or alteration In compliance with the electrical laws, N.E.C, RCW Chapter 1928, WAC. Chapter 296 -461
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatu`of owner, electrical contr. .r or electrical administrator Cash 0 Cheek
P Credit Card ft tril
Dated: 141_02 9— /0
0110112010
Contract r In
Name:
Meiling d
City' State: Zip:
Phone LFax
License #1 Ex LJ ..13
Total (qty Multi' died by Unit Charge
70 Total
Owner is required
Ictor I am making
The City of Port
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16264
~...,- ~~ :,.;;;~.
Port Angeles, Washlngtonm.mmL.m.....-"m:::::.~.mmmum..____.u., 1900:0000./
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
C)trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
;mission is hereby granted to do elefltrical work as listed below.
]eV t.tr ./ /i:.:/ ~ . f ~
Address moommmm.__m_uu__.m_.m_'____.oo.,m-mmmoo-unmnnn.moo.m. Occupancy___moooom_.mn__nmm_nn___hhhoooo
/} ,;-' _<F/,' II..,
Owner __m__~:~'t~_'?t{.:'.:::'_~:~______'::::.~_.::...f~:__~-'_::__i::::_:..~._:.:u~Tenant____..___~__u___..m__m.._..__.uh___.mn___nm.._____...uu~n
1fT' ,/, ~.
Wiring Contractor nnh;;-'oo5"o'-:,.:O~.:'mm<.u'oom_numnn_nn__m. By_uoo..um.mmm.mmummm.u_oo__noo_muuuunuu
Light Outlets___________.____...____._______...........
Receptacle Outlets........___m__.m_.m.___..
Dryer, KW...nn.n...nn...u__...._u_.____u__.
Range, KW _...hhn.....n.......u_"...n....._...
Water Heater:
KW.mh____h.h__hmmn_mmn__nm.n
/J ,.' . '"
Heat: KW.m./..U...~.'/I.!.~E/.;)._='-=f;r~.-.
Motors: size. volts and phase:
Total Load.n....n....................
.. ~~.,& ~~"P-If
serv~c:.. ;~::: :::.~~::::::~:::~:;.:::::::
{// .'
};"(./ :;.> .
SIze wires...,;;....\.'........................_._..
7c;p (j l: 4-
Main fuse .....~::::-......___._...::..m_.;....;.
. .;:s'"
Enclosure ........._.............................
Type of wiring: :;J
Entrance Cable ...h........nhmn.
Rigid Conduit "mnnnmn
Metallic Tubing "..nm
Current transformers:
No. & Size..m__.m___mnmn...._
Ser. NO._............._...............nn......n....
Ser. No. n.....n_nn............_..........n......
Ser. No. ._.....__.._...........................n._._
Ser. No. n....n_.__._.................hnn.._..__.
Type 01 Wiring:
Armored Cable .....mn..hn..............
Non.Metalllc oooooohoooo_h...oo__...........
Knob & Tube......._.._.._...__n_.n_._......
Rigid Conduit ooh___.ooh...h...oooooo...__
Metallic Tubing m..__...__.m_....m...
..:;;~
Raceway ......................................._
Circuits, LighL_______.____.___..._.__.._..___.......
Utility ............._.......__....._u.___n___n__.
roo
If eat ._._..~.:......__._......_._.___...._.__......
Range n..._............._.......n.__nnnnnn_
Water Heater m.mmm._................
Motor ___..___....___......__........_.............
Dryer __._n....nnnn.___.n.nn....__.n.n...._._
Furnace ......................n.._......_.......n..
Remarks: __u.___mmmum.m___m_mmm__n_____oo_______n______..umuuuuoou_...uoooo.____...__mn_u___m.m.mumm___mmumum
Total ....n..nn.._..__.._.._._n_._._.._n
_mmm..nn....nmmnm.m__m....mum_______u.._____m_..m___mm....m_mu....mu.._..u.nnm__mmmu___u___._..uu.._oo_____T.u........
Permit Fee Treas. Receipt ."j ;,' C;1(. l ..:~
$muuu___mu.._._______mumoo NO..umm_uu..___......... By ../"L.~..,J':.~~:':.:~::u:~:_~,..~..:_:_::.~"m~=.m.
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
Address
ELECTRICAL PERMIT
N?
16264
......_....................... Date..._..._____.__.____...__.___._._...._......__........
Owner ..........n....hnn___n..n_______nn_n__..n_.____..___._..:~_....,...........n_......nn....__..__................ Tenant_____...........hn..nnn___nnnn____..................n.n..
WiringContractor..................................._.........................................._____________...._................._...___.By._........____._...._____.___________...._.__.................
NOTICFr-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.