HomeMy WebLinkAbout227 W 15th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp service change and 6 circui *s
Owner
SENTERS DAVID T
227 WEST 15th ST
PORT ANGELES
36) 417 0525
Permit
Additional desc
Permit pin.number
Permit Fee
Issue Date
Expiration Date
Special Notes and Comments
June 22 2009 9 00 12 AM Brian 417
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
148841
105 75
6/22/09
12/19/09
Charged
105 75
00
105 75
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000607
944708
227 W 15TH ST
06 30 -00 0 4 2175 0000
ELECTRICAL ONLY
RS7 FESDNTL SINGLE FAMILY
0
105 75
00
105 75
Contractor
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
Qty Unit Charge Per
6 00 2 0000 ECH EL BRANCH CIRCUIT W /FEEDER
1 00 93 7500 ECH EL 0 200 SRV FEEDER
4708 OK
Paid Credited
00
00
00
2lib lio
2/ co f to
Date 6/22/09
WA 98363
Due
00
00
00
DATE RESULTS
00
0
Extension
12 00
93 75
Signature of owner or Electrical Contractor IX Date
INSPECTOR.
y
FROM A. P S. ELECTR I CAL CONTRACTOR NO.E13160 FD753
JUN 2 2 2099
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:
1 2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition Alteration Remodel I Re ,,air
Plan Review May Be Required, Please C mplete Electrical Plan Review Information Sheet
Job Address: oa 7 k) is �-r P
Building Square Footage:
Description of above 1 t 1 al CIeS4
I)
Owner Information
Name: _bet U t°. F
Mailing Address: a 2. 7 h) 1 5't'�
City' 4 A1. State: fN ,4 Zip: 3 a 7 761
Phone: Li 17 OS a.5 Fax.
License /Exp,
Unit Charge
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
JC
Signature downer, electrical contractor or electrical administrator
SL�R QSI8z 07
a
LIGHT DEFi. I.
Thermostat
)DS ;)S Total
Mailing Address:
City"
Phone:
license Exp..
Contractor Information
Name: A 'P g
rkr
State .„R Zip:
Fax:
Total g Multiplied by Unit Charnel
9 3 45 Service/Feeder 200 Amp,
Service/Feeder 201-400 Amp.
Service/Feeder 401.600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
,00 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_ ServicelFeeder 401 -600 Amp.
Temp. Service /Feeder 601 -1000 Amp.
Portal to Portal Hourly
SignlOutline Lighting
Signal Circuit! Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Famiy Dwelling
Manufactured Home Connection
Renewable Electrical Energy SKVA System or Less
First 1300 Square Ft
Each Additional 500 Square Ft or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Jun. 22 2009 07 17AM -4
Owner as defined byRCW.IaJB.261_ (1) Owner will oceu; thesh:rcbue two years alter this electrical permit is finalised (2) Owner Is required to hire an
electrical contactor It above said property is for sale, rent or lease.
After reading the above statement, i hereby certify that I am the owner of the above nwned property or a licensed electrical contractor lam snaking the electrical
installation or alteration In compliance with the electrical Paws, N.E.C., RCW. Chapter 18.28, WAC, Chapter 296.486, The City of Port Angeles Municipal Code, and
Utility Specifications,
Cash
Check A G
C edit Card 8 /t 7 Q0 O
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CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
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
05-00000869 Date
019787
227 W 15TH ST
06-30-00-0-4-2175-0000-
FIRE ABANDON TANK 'INSPECTION
9/14/05
RS7 RESDNTL SINGLE FAMILY
400
Owner
Contractor
SENTERS DAVID T
527 WHIDBY AVE
PORT ANGELES
WA 98362
PETTIT OIL CO.
638 MARINE DRIVE
PORT ANGELES
(360) 457-9404
WA 98362
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
UNDERGROUND TANK RES
SLURRY FILL IN PLACE
59949
15.00 Plan Check Fee
9/14/05 Valuation
3/13/06
.00
400
BASE FEE
Extension
15.00
'i- '- )
'f:>
.......:I
Qty Unit Charge Per
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 15.00 15.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 15.00 15.00 .00 .00
t
6il
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S-
~
This pennit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examinw this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied
with wheth peCifi1h rein or not. The granting of this permit does not presume to give authority to violate or cancel
the provi of a y'st e or local law regulating the work specified in the pennit.
~ 'yV' ? I US ,
Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date
r-
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire 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
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test # I
Above ground piping inspection/pressure test Piping pressure test pSI
Tank (container) inspection Time initiated
Test #2
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify) .
permit final
Inspection Type
I Date Passed I
Comments
GENERAL COMMENTS:
2/15/00
I
I
I
,
s
.~~
,:; . ".' . '. . . . . qrrYOFPORT ANgELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BmLDINGDMSION
~21,,Bt\~T5THSTREET,PORT ANG,BLES, WA 98362
-'f'?~
05~00000886 Date
538600. ...... ,.'.) ,.
227 Wi5'TH' ST
06-30-00-0-4-2175~0000-
RES ADDITIOlf);'
9/28/05
Separate Permit!; arer~quired fore.lectrical work, SERJ\' Shor~nne, ESJ\,~tinties, private and public: improvements. This pe~lt~ecomes
nu II and void if Ylork orconstructionauthorlzed'.isnot comlJl~.l)q~~:within180 days " ifconstructi()rlorworkl!;,suspend~~'?t,.~balldoned
for a period of 180 daysafterthe work as commenced; orifr!,!quir~d Inspections have not beerirequested within 180.daysfrom the last
inspection. I hereby certifY that I have read and'examinec:tthis ~pplication and know the same to betJ;ue andcorrf.jct.AII provisions of
laws an rdinance . g()verning this type of work will, be complied Y'ith whether specified hereinor not. The granting ofapermit does not
presu 0 give utho to violate or cancel the provisicifi~ofany state or local law regulating construction or the performance of
constr con. .
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use . . . .
Property zoning . . .
Application valuation
RS7 RESDNTL,.SINGLE FAMILY
6390
OWner
Contractor
SENTERS DAVID T
227 WEST 15tn ST.
PORT ANGELES
( 36) 417-0525
Other structinfo
K, C.~()~CTING
P.O;BOX 2261
PORT 'ANGELES
(36.0)452-4856
TOTAL t LOT COVERAGE
NUMBER OFSTORJ;ES ',.
EXISTING. ".. ~ )::OyEAAGE
LOT .sIZE
PROPOSED LOT'CoVERAGE
TOTAL LOT;COvERAGE
, , . . -' .
NUMBER OF UNITS
WA 98362
WA . 9'83'6~
17.50
2.00
,1098.00
"7000.00
132.00
1230.00
1.00
,......, .... .... .-, ,.-.' .. ..........-. .." -.'. - "
- --- -- - - - - -- --- -- - --- - - - -----. -- -- ----------- - ---. '-.' -----..-- - -. ---- -- - -. - --.~.- - -.---
". . ... . ." '. ...... '....... .... . .. '.'
permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
61242
162.75
9/28/05
3/27/06
Plan Check Fee
Valuation
65.10
6390
Qty Unit Charge Per
Extension
92.75
70.00
BASE FEE
5.00 14.0000 THOU BL-2001-25K (14 PER K)
Special Notes and Comments
09/21/2005 10:45 AMSROBERDS...- Tl1ep~()slll.will ,result
in the addition to '. a deck in' the RS-7 zone~' No land use
issues are anticipated.
MAINTAIN CLEARANCES FR9MSERVICE. WI~S. ....
Electrical load calculations and elctrical' permits are
reqUired'.
Public Works. Utility Engineering has no requirements for
this plan review. . .
-'
Other Fees
STATE SURCHARGE
4.50
i:. ".' "'C"'''_:'. '.",
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.75 162.75 .00 .00
PlanCneck.Total 65.10 65.10 .00 .00
Otner Fee Total 4.50 4,50 .00 .00
Grand Total 232.35 232.35 .00 .00
Signature of Owner (if owner is blJilder)
Signature of Contract()r or Authorized Agent
T:\Policies\ II 02_15 building pennit inspection rec:ord05. wpd [1/412005]
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BUThDING PEJ,WITINSPECTION RECORD,. ..03" ~
CAI.,L 417-4815 FOR BlrrLDING INSPECTIONS. CALL 417-4735 FOR ELEcrRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
.PLEASE PROVIDE A MINIMUM 24 HOUR NOTICKii ISUNUWFUL TO COVEll, INSUuiifoR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS A TJOB SITE
t..."...1
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO .'
.
FOUNDATION: .
FOOTINGS
WALLS
FOUNDATION" DRAINAGE I DOWN SPOUTS
pIERS ..'
. POST HOLES (poLE BLDGS.) 'O,,;2S"0.~ OA :J:
PLUMBING .
. UNDER FLOOR I SLAB
ROUGH-IN . "':..
WATER LINE (METER TO BLDG) :
GAS LINE .'
BACK. FLOW /WA.TER ...... :::
AIR SEAL :.
WALLS I
CEILING' I
FRAMING . .
JOISTS I GIRDERS ':':
SHEAR W ALLlHOLD DOWNS .
WALLS I ROOF I CEILING '. > .'
DRYWALL (lNTERlORBRACED pANELONL Y) :
T-BAR ...::,;.. "
:INSULATION "":.'C...... ..
$LAB ...... I
. .. VI Al;14J'LOOR / CEILING I I I . '
~ECHA~<;~
HEAT PuNJ:r I FURNACE I DUCTS
GASLlNE ..
WOOD STOVE / PELLET I CHIMNEY .. . ......
.' ".
COMMERCIAL HooDI DUCTS .' .
MANUFACTURED HOMES .....
FOOTING / SLAB
BLOCKING & HOLD DOWNS '.:'
SKIRTING ...
PLANNING DEPT. SEPARATE PERMIT #'$ -. SEPA:
PARKJNGlLIGHTING T ESA:
LANDSCApiNG , .' SHORELINE: ':'..
< ".,' '"> "I
':"'. F?N.AL1NSPECTIONSREQU~ PRIOR TO OCCUPANCYIUSE .
RESIDENTIAL '.1)A TE YES NO COMMERCIAL DATE ACCEPTED' .
. . .... YES NO
.
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ ..> CONSTRUCTION - R. W. i
ENGINEERING 417-4807 ..' PW I ENGINEERING -
FIRE 417-4653 FIRE DEPT. '. .'
, -
PLANNING DEPT. 417-4750 PLANNING DEPT. '. ,.
BUILDING 417-4815 11-1.( -D f' Jit,., BUILDING
T:\Policies\II02,"-15 building permit inspection record05.wpd [1/412005]
-'
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to'
PREPARED 11/28/05, 12:40:14
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
227 W 15TH ST
K C CONTRACTING
SENTERS DAVID T
06-30-00-0-4-2175-0000-
05-00000886 RES ADDITION
SUBDIV:
PHONE (360) 452-4856
PHONE : ( 36) 417-0525
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL6 01
10/25/05 JLL
10/25/05 AP
BL99 01
~tf2-
BUILDING POST/COLUMN FTG
10/24/2005 04:37 PM PBARTHOL
10/25/2005 04:15 PM PBARTHOL
BUILDING FINAL
11/23/2005 03:32 PM PBARTHOL
CHARLES 460-3359
DECK IN REAR OF HOUSE
PAGE
DATE
9
1,1/28/05
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 10/25/05, 13:37:33
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
11
10/25/05
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
227 W 15TH ST
K C CONTRACTING
SENTERS DAVID T
06-30-00-0-4-2175-0000-
05-00000886 RES ADDITION
SuaDIV:
PHONE (360) 452-4856
PHONE : ( 36) 417-0525
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL6
01
11J!~r- It)
BUILDING POST/COLUMN FTG
10/24/2005 04:37 PM PBARTHOL -----------------------____
-------------------------------------- COMMENTS AND NOTES --------------------------____________
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360)417-4815 FAX(360)417-4711
Applicant or Agent: P4v,',;{ Sl,rfe/$
Owner: 1J,.,,,,J. Seltteff
Address: 1Z 7 "Jest' (5'111 .:51lu,1
Phone: '/17 - D576
Phone: l t , (
City: Art' A"Jelt-5
Zip: ff5[,Z
Architect/Engineer: Phone:
Contractorj(C Co/r'k,t.:f'/ State License #:~xp: ~ / I~ !O?
Address: PO b"x 1.2.(,1 . City: Port ir"J'lU
PROJECT ADDRESS: 2~7 Wt~r l.sr~/fur-
LEGAL DESCRIPTION: Lot: I " Block: l.fll Subdivision: II/II
CLALLAM COUNTY PARCEL NUMBER: ()(,o/I 3-CJ1/eJO / ~/ ~I ;}-/7~/ ,t)OcJO .
Phone: VS7...-<{fSfo
Zip: 1 ~J/; 2.',. '
ZONING: l?S - f
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
~ Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition .0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition <2i Deck
o Repair 0 Sign 0 Othej
BRIEF DESCRIPTION OF THE PROJECT: 1ler (,low/)
/2 )t'1t,{ I'J e,,.) ell, tl(
City:
Exp. Date:
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF.@$ /SF.=$
TOTAL VALU~TION $ Ii (D31j{)
II xb ex;sri~ dult' 8r1lt__
:t>. ,.~.
of ·
COMMERCiAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: _ Lot Size: f/lrt h Existing Sq. Ft. 10 e; V & Proposed Sq. Ft. J 3 Z. = TOTAL Sq. Ft. /2..3D
Tota110t coverage I 7,5 %
l. ~
ESAlWetland(s):DYesDNo SEPAChecklistrequired?D Yes 0 No Other:
'\ ..
,."",
VALUATION OF CONSTRUCTION: In all cases, a valuation amount ~,oo by the appli=t This figure will be "viewed
and may be revised by the Building Divisio~ to cOl~ply with curren~ fee schedu~es. Ci>nfii.~tb~ Coor~ina~or at 417 -4815 f~r assistan~.
PLAN CHECK FEE: IF a plan check fee IS due It must be subnutted at the tIme the buildmg pemnt'apphcatlOn 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.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply
for this permit and understand that it is y resp si ility to determine what permits are required ,not the City's, and that I must
obtain such permits prior to work.
T:\Policies\BL-11 02_13. wpd
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Date:
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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
~nstr cUpn ~ 7
Applicatlon Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatlon description
Subdivision Name
Property Use
Property Zonlng . . .
Application valuatlon
~
04-00000590 Date 7/08/04
.343770
227 W 15TH ST
06-30-00-0-4-2175-0000-
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
4250
EXPIRED
V!i/ Dr;?
Owner
Contractor
SENTERS DAVID T
527 WHIDBY AVE
PORT ANGELES
PENINSULA CONTRACTING/ROOFING
732 W 7TH
PORT ANGELES WA 98363
(360) 417-1039
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, SHEET, COMP
134.75 Plan Check Fee
7/08/04 Valuation
1/05/05
.00
4250
Qty Unlt Charge Per
Extension
92.75
42.00
BASE FEE
3.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 134.75 134.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 139.25 139.25 .00 .00
Date
Signature of Owner (if owner is bUilder)
Signature of Contractor or Authorized Agent
T \PLANNING\FORMS\1102 15 [11/14/2003]
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17565
port Angeles, washlngton.......ll.....___L2.m__m.m__.m.:......., 19.YJy7
/
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 ele~tricMrk as listed below.
Addresc;;:ig--.~...fmA-~mL.;:_.------...:.------.mmmm----m. Occupancym7<1.L~.~m~____...____m.mm..__
Owner ~...,.&,,{i'.!.mQ<2-e.-:2..''-.''------m----... TenanL____m.....m..h_.__.__d__d..__.m__mm.mm.____.__.__m__
Wiring Contractor __m~"'.-!:::2-:;~.~------...mm----.--...---- Bymm.__m............m..____.__m__mm.__________m.________
LIght Outlets....____________._........................
ServIce, volts ......_____............................
No. wIres ........._......_......................
Receptacle Outlets___m__............m...._...
Dryer, KW nn..._............____....____.____
Range, KW _._.____..h.___.__._____
Size wlresu_n_...........u..n............_..
Main fuse .......................................
Water Heater:
Enclosure ........._..................._.........
KW.m__m____"",mh''''-'p/nm__m
Heat KWhj)./...?n/!L~mm
Motors: size, volts and phase:
Type of wiring:
Entrance Cable ......._.....................
Rigid Conduit m.._......m___..__.........
Metallic Tubing ..000000___......
Current transformers:
No. & Size.................._....................
Ser. NO..._.._..._..................nn__n.........
Ser. No. _..n_..............n_..n._nnn____.n__.
Ser. No.........._....................................
Type of Wiring:
Armored Cable m.............n........._..
Non.Metamc nnhh....h.___.___mm.....
Knob & Tubemm..mmhhm.mhmh.
Rigid Conduit m.'mmm.___nh"m'___
Metall1c TUbing ____m.m_.n......m...
Raceway ..............................._....._
Circuits, Light._______________________.....__........
Utllity .mh..m"mm___'mhhm"'mmm
Heat ______..._..____.n............................
Range .........................___...______________
Water Heater ...._00..00....................
Motor ._....__.....__.____._..................._._.
Dryer _..n_....nnn....n.._.nn_.___._..._.........
Furnace u___.._._..nn....._...._.n____n__.u__n.
Total Loadnn_nn...nnn...nn__.. Ser. NO........n...._............._...4........... Total ..........._.........................._
:~::~~~:m:::::::=:~:::~::::::::::::::~~::~~~:t~:~::::::::~::=:::::::::::::::::::::::::::::::::
.mmm..m__.m.__m..m..____.m.__m.m____mm____mm__.mmmmmm.__.__m__________.--..mmm.m.m7------m.--..__..__.....__...m__m
Permit Fee Treas. Receipt 'lI ~)f:. ~~
$______m.__.m.m__m.m__.____.. NO.__m...__..........__.___.. By/L.l!.m.mf...m,m.__..t:::.C!:__m.:__ .m..,.m.&..;::L!-
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~1 7 565
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"\~.~,ess hnn..nn....n_.nn......n..._..__h.........n.._......_..n.....hn..........n.n......n__...nnn__._n.................... Date..___....._n_.._.._.........................._.........
::::;~=~:~=c~~~::S::::.:~::::::::::~::::::~::::::~::~::::::::::~::::::::..::::.::::::::::::::..:::.::::.::::..~~~~~t.:~..:::::.::.::::::.::::::::::::::::::::::::::::::::::::::::::
. \
~ . NOTICE-Current must not. be turned on until Certlficate ot 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.
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