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Home My WebLink About820 S Cedar St - BuildingL Owner JASON /MELINDA HOPE 820 S CEDAR ST PORT ANGELES (360) 457 5945 T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A WOOD- BURNING STOVE WA 98362 Permit MECHANICAL PERMIT Additional desc WOOD BURNING STOVE Permit pin number 158279 Permit Fee 60 65 Issue Date 12/14/09 Expiration Date 6/12/10 Qty Unit Charge Per 1 00 Fee summary Charged 09 00001316 280088 820 S CEDAR ST 06 30 00 0 2 6284 0000 JASON /MELINDA HOPE MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 1500 Contractor OWNER Plan Check Fee Valuation BASE FEE 10 6500 EA ME STOVE /FIREPLACE /MISC Permit Fee Total 60 65 Plan Check Total 00 Grand Total 60 65 Paid Credited 60 65 00 00 00 60 65 00 APP Date 12/14/09 _lZ- /q- a9:,P../ .��.t= 7/ Extension 50 00 10 65 Due 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 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. 00 0 Fl e Date Print Name Sign! of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders 1 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit Inspection Type FINAL Date Accepted by FINAL Date 12A5 0 Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By PREPARED 12/15/09 8 54 07 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/15/09 ADDRESS 820 S CEDAR ST SUBDIV TENANT NBR JASON /MELINDA HOPE CONTRACTOR PHONE OWNER JASON /MELINDA HOPE PHONE (360) 457 5945 PARCEL 06 30 00 0 2 6284 0000 APPL NUMBER 09 00001316 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/15/09 LL di MECHANICAL FINAL TIME 01 00 December 15 2009 8 52 06 AM 1pangrle LYNNE 457 5945 MECHANICAL FINAL WOOD- BURNING STOVE AFTERNOON COMMENTS AND NOTES Applicant EAU/ Property Owner TA o,v //y ,Av /%D Property Owner's Address Contractor Contractor's Address License Expires PROJECT ADDRESS 82L 57 jt Lot Zoning Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof /Heat System Other Floor Areas Existing (sq. ft.) Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage the amount of impervio and other impervious surfaces (see PA Max height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be install d? 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 Residential House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other Proposed (sq. ft.) ft. T Lot size Date /2 /y Print Name /3 /7Uili'� /1 T Forms /Building avisKc /Building permit application Multi family Occupancy group Occupant load Construction type For City Use "Only Date Received tZ -N Permit u�— L3 Date Approved Phone Phone 19 6 Phone E -mail Commercial per sq ft. Industrial TOTAL VALUATION /4 ,{t, 0 Q ft. 6e c r g ace on a parcel including structures pave driv ays, sidewalks patios 17 94 135 for exemptions) Site coverage f bedrooms o ull baths of h. .aths I have read and completed this application and know it to be true and correct. t am authorized to apply for his permit and understand that it is my responsibility to determ,nc vhat permits are required, and to u. lain permits prior to woe rojects S gnatur 1 (12/14/2009) Linda Pangrle permit From lynne hope <lynne_syn @yahoo corn> To <Ipangrle @cityofpa.us> Date 12/14/2009 10 00 AM Subject: permit I need Paul Bennett to pick permit for wood stove at 820 South Cedar Street. Thank you Melinda M Hope God Bless Lynne Page 1 J Clallam County Assessor Treasurer Property Details 58380 JASON /MELINDA HO Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 58380 JASON /MELINDA HOPE for Year 2009 2010 Property Account Property ID' Geographic ID Type Tax Area. Open Space Historic Property Multi Family Redevelopment: N Location Address. 820 S CEDAR ST PORT ANGELES Neighborhood: Cycle 5.Res Neighborhood CD 1'0955130 Owner Name JASON /MELINDA HOPE Mailing Address. 820 S CEDAR ST PORT ANGELES WA 98362 Taxes and Assessments Due Property Tax Information as of 12/14/2009 Amount Due if Paid on. r 58380 Legal Description S2 LOTS 19 &20 BL 262 0630000262840000 Agent Code Real 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 N DFL N N Remodel Property N Mapsco Map ID Owner ID Ownership Exemptions. 31171 100 0000000000% First Second Half Half Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 583802008 ST SCH STATE SCHOOL $190 99 $190 99 $15.28 $3 82 $190 99 $210 09 2009 583802008 CC -GEN COUNTY $96 66 $96 66 $7 73 $1 93 '$96 66 $106 32 2009 583802008 PORT PORT $13 69 $13 69 $1 10 $0.27 $13 69 $15 06 2009 583802008 PORT ANG PORT ANGELES $212.01 $212.02 $16 96 $4.25 $212.01 $233.23 2009 583802008 SD #121 SCHOOL DISTRICT #121 $236.20 $236 19 $18 89 $4 73 $236.20 $259 81 2009 583802008 NTH OLY LIB NORTH OLYMPIC LIBRARY $28 09 $28.08 $2.25 $0 56 $28 09 $30 89 2009 583802008 HOSP #2 HOSPITAL #2 $39 64 $39 64 $3 17 $0 79 $39 64 $43 60 2009 583802008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $2.88 $0 72 $36 00 $39 60 2009 583802008 WEED_CONTROL WEED CONTROL $0 81 $0 82 $0 07 $0 02 $0 81 $0 91 2009 583802008 TOTAL. $854.09 $854.09 $68.33 $17.09 $854.09 $939.51 2008 583802007 ST SCH STATE SCHOOL $202.82 $202 82 $0 00 $0 00 $405 64 $0 00 2008 583802007 CC -GEN COUNTY $98 15 $98 13 $0 00 $0 00 $1 -96 28 $0 00 2008 583802007 PORT PORT $14 34 $14 33 $0 00 $0 00 $28 67 $0 00 2008 583802007 PORT ANG PORT ANGELES $211 35 $211 34 $0 00 $0 00 $422.69 $0 00 2008 583802007 SD #121 SCHOOL DISTRICT #121 $236 56 $236 56 $0 00 $0 00 $473 12 $0 00 2008 583802007 NTH OLY LIB NORTH OLYMPIC LIBRARY $28 52 $28 51 $0 00 $0 00 $57 03 $0 00 2008 583802007 HOSP #2 HOSPITAL #2 $9 75 $9 74 $0 00 $0 00 $19 49 $0 00 2008 583802007 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0 00 2008 583802007 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 $0 00 http. //vpn clallam.net 8084 propertyaccess /Property as cad= 0&.year= 2009 &prop_id =5 12/14/2009 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner MICHAEL L /CARRIE M MILLET 593 N FIFTH AVE SEQUIM (360) 808 2568 Permit Additional Permit pin Permit Fee Issue Date Expiration Date desc number 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 98382 Qty Unit Charge Per 7 00 Other Fees Fee summary Charged 193 75 00 4 50 198 25 14 0000 THOU ignatu e f Contractor or Authorized Agent 06 00001356 793296 820 S CEDAR ST 06 30 00 0 2 6284 0000 CARRIE MILLET RE ROOF RS7 RESDNTL SINGLE FAMILY 8997 Contractor AFFORDABLE SERVICES 258663 HI SEQUIM (360) 683 9619 WAY 101 BUILDING PERMIT NO PR FEE TEAR -OFF FELT COMP 92684 193 75 Plan Check Fee 12/29/06 Valuation 6/27/07 T \Policies \I 102_15 building permit inspection record05 wpd [1/4/2005] BASE FEE BL -2001 25K (14 PER K) STATE SURCHARGE Paid Credited 193 75 00 4 50 198 25 IZ`ZG as Date 00 00 00 00 Date 12/29/06 WA 98382 00 89 Extension 95 75 98 00 4 50 Due 00 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 wo II be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel th provisions of any state or local law regulating construction or the performance of on Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -475 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. ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO FINAL FINAL 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 y.� I r, I s I PLANNING DEPT I BUILDING 417 -4815 �xp 1 Wit/\ I I 4-1 n 1 ()I I BUILDING T \Policies \l 102 15 building permit inspection record05.wpd [1/4/21505I t COMMENTS DATE ACCEPTED BY. DATE ACChPTED BY. MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED I YES I NO Lfi O t. pOR7,` limos ANEW Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Pan Applicant :UY' t or Agent n P_. V V I t'JO S Owner G.t /V n I AA (110,k Address: 6 /ALA T Architect/Engineer BUILDING PERMIT APPLICATION Contractors E /P 1t{kav\ State License f#: 2S* 193 t Phone: lQ �37 Address ZS�(olp_3 �C�I W City Zip R7J Z PROJECT ADDRESS 0 Zi) Ooda LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr. Multi- family Addition Commercial Remodel 0 Repair BRIEF DESCRIPTION OF 'Trip, PROJECT PLANNING USE ONLY SIZE/VALUATION 111'1 Stove SF /SF Move Garage SF /SF Demolition. Deck SF /SF Sign Other TOTAL VALUATION <'('q 97 J /ez.k -F/ 1 '11-, C COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load. Construction Type: No of Stories: Lot Size: Existing Sq Ft. Proposed Sq. Ft. TOTAL Sq Ft. Total lot coverage ESA/Wetland(s)- Yes No SEPA Checklist required? Yes No Other 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 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 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 my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T•\Policies\BL 1102_13.wpd Applicant i Cit kniAdfS Phone WO (0-93 iG Phone. 500 e 2i L Zip ae3a. Z Phone Subdivision. Date: /7 ZONING FOR OFFICIAL SE ONLY Date Rec.: 0 6 Permit 6 Date Approved. 06 Date Issued: APPROVALS. PLAN BLDG DPWU FIRE. OTI:LLR. 09/11/2006 ION 13'56 FAX 360 683 2715 RE /MAX Fifth Avenue Affordable Services "ame C addres C tr. 62 Tarp house perimeter to protect landscaping Remove old roofing haul to landfill Install Plywood Install Roof Felt Install Install Pipe Flashing ±i Install Install Exhaust yeti Install Instal Ridge Vents; Install Instal Attic Vents Cut In Instal Sun Tube Install Instal Skylights Install Instal Instal Instal Instal Secure Locate Septic Drain Field Lqcation Price ncludes Building Permit Customer to Secure Building Permit Comments 10 Year Installation Warranty Affordable Services' Representative Customer's Signature of Acceptance 258 663 HWY 101 West Sequim, WA. SInce 1971 (360) 683.9619 360) 385 2724 (360) 452.0840 BID PROPOSAL Phone #1 0?5.4>k Phone #2 Zip Code State Braadn Year Co r Customers Lol Drip Edge Metal Metal W Valleys Roof to Wall Flashing Roof to Wall Step Flashing Chimney Counter Flashing Chimney Step Flashing Skylight Flashing .1111.11.W WNW Date X 001/001 Bid prices are subject to reasonable increases due to any necessary alterations, additions, increases in material and or Labor to complete work. Homeowner will be notified of any neoestuy es, ivh m:. affect cost, before hand. i1Z:4' a Services Lnittats Date 9-0 tl1J 16501 Port Angeles, washlngton__mj{__=m.~_Y_~-----m--------.-..-.-----., 19/?_! . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 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 electrical work as listed below. Address ...;r.a.J]_..._llJ__m~~--.m--..---....h..mh.m- Occupancy__..--:1.L~..-----------..m---.. Owner ,Dt)...""u.d. a<~,;_~.. TenanL__......._m....._...____m___mmm_______.m____m______.... Wiring ~.~:~~~t~~-~~:~---.--...----.--..--.....-m By......____mm____mmmmm_______m___________....m___.... Light OUtletsn...:nLQ.mn.mnnn_mn Service. volts 11.~.()/.f?.r..<?nn Type of Wiring: Receptacle outlets__"%~""h_"''''' No. wires ..__2..._.................._...... Armored Cable .............................. Dr!er, KW.....hnC,_n......nmnm.mmn. Size WlreSn.:Jt"~n..<&.!?:..nnn Non-Metalllc nnnmmmmmnnn.._n_ / -; '0.'-0 A Knob & Tube.....__........................_ Rarjge, KWm.__. __..~;n.____n__________ Main fuse ..~;....._a....._......._ Water Heater: KW...hm.fX.{.hnnhnmmm He.jt, KWm/j,ufn!(J..v::;:n.P/3 Enclosure .$............................. Type of wiring: Entrance Cable ..........h Mqtors: size, volts and phase: /Jk~n'--....nm..nnnn.mmm Rigid Conduit nnnm.m.nnmnnnnn Metallic Tubing m............. Current transformers: No. & Size.._.___.....mm__..._.... Ser. No............__................................. Ser. No............_.............._.................. RIgid Conduit nn___m________m.n..."n Metallic Tubing __......................... Raceway ...............................___._ c:;;. / Clrc~:;lt~~~.t:~::~::::::~::::::::::::::::~:: /?' I-Ieat ......................................._...... ';;J Range ........____......._..____....__............. Water Heater ..~............m..._... :::::. _.~~~~~~..~~..~~~~~~~~..~~~~~~~~~~~~~~~~== Furnace __..____.................,~___..._.._..__..... Ser. ~'o. ..........._................................. Total Load............................. Ser. NO....._.....__.....__......m_......._....._. Total ..:?..~..~~.~.......... R~marks: __:.~...'-I..I.;-.l2.~m.h.4.f?-4:J,(.~~m---mm.uuu--....u.m-----.uu.----.__.__u..______....u__..____ \ __..u__.m..mmmh___________.m__uumm__mu__uh____.m___m____u__.h_____uummmm_u__..u____mmum__m_mmm____~-m--...--m.-- :.:=_~~__~::...u___m_________ ::~_~.~:__:~.~_~~.~.~........ By uJf....t_9I~_~~~,4_. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It 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 j ELECTRICAL PERMIT N? 16501 A.ddress..................__.................................................._..............__...__._..._.._...____...____.....................Date..._......_.._.._.._.........._......_......_....____ Q,wner___....___.___________....__......._....___..__...____._..._.._.................._.......................___...._._._._.__Tenant___n_______.____...........___......._................_.......... WiringContractor....................._..__......___....____.________._.._____._..._.._......_....._...__._.........................._.....By._...._................................_____._________.___._.. NOTICE-Current must not be turned on until Cert1f1cate of Inspection has been issued. If work is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. . 1M Olympic Printers, Inc. 1 I' I CITY OF PORT ANGELES I LIGHT DEPARTMENT ELECTRICAL PERMIT Nt! 16202 y- ;1;1- // Port Angeles. Washlngton_u..___...uu___u_...___..______.___u___uu___.._m___.. 19___00___ 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 d6 electrical work as listed below. I rc/O L ~~ Address ___Oo___.__..____Oo___.____._...___.__.~..OoOoOoOo..Oo.Oo._____________Oo__________00 Occupancy 00._____...____.__________.00._______00________ . C;( 'WI' "ff... ~ ~::~~.~~~~:~~;-:::~~:~:::::::::::::::Oo--~~:~~~;:::::::::::::::':_'::::::::::::=::::::::::::::::::=::::::::::::::::::: /,,)..0/:;) fiCo Service, volts ........_......._......_n....__...... <' . No. wires ___~.................................,.. /Yt? o:e-f/ Size wires...__...........n_.............._.. - -' 9<.? d! /I Main fuse ....::;';___.....____.m.______........ ~ Enclosure __.~.............__n......mu... Light Outlet...._____,__________..____....._.______. I Receptacle Outlets.........._...__..._.__........ , :::J~. ::.:--:-------..----.::::.--:.-----:.-::.--.-.-:--..-. Water Heater: Hea'~:~:::::zZ2::jJ.;J:::--.::.. Motors: size, volts and phase: Type of wIrlng: Entrance Cable ...:__..... Rigid Conduit .hnnnn___............_.... Metallic Tubing _____nn...nm Current transformers: No. & Slze._____............_____...... Ser. No............................__................, Ser. No. ............................................. Ser. No.............................................. Type ot Wiring: Armored Cable .............................. N on.Metallic ................................_ Knob & Tube................................_ RIgid Conduit ...._.........nm__mm_... Metallic Tubing ........................... Raceway ..............................._....._ Circuits. Light....................................... Utility n_...n____..T_mmmn_n___m.___.. Heat ....y~...=.............._...... Range ............................................. Water Heater ............................... Motor ..._........................................ Dryer ......................n.......................... Furnace ..........._.............~.........._...... Total Load............................. Ser. No............................__................ Total ..................__................... Remarks: ____.m_...-:-::?>__~..,..._-"'"'O___..._~--e:!_...r__.L..<:'!.,~~....__.__...........Oo___.............._............._......._...... I . -- .-- hU.r_______.___.__._____n__________n__nn.__________n____.un___u__u.uuunnnnnu.uu_uuhu_uh..U___h_.._UUUn__nu..______.....h.__nnh.h_____ --___1_Oo..._............................_._Oo____...._m_____...____...............____mOo_Oo.......__Oo..........__.......___.....___..._m_....____...................___ By .9f~9&;i.~~~~~t~ Permit Fee Treas. Receipt $:_.................................... No......................___.... NOTICE-Current must nC)! be turned on until Certificate of Inspection has been issued. It work is to be con- ceB.;led due notice must be given the Inspector so that work may be inspected berore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR I~SPECTION ELECTRICAL PERMIT N? 16202 1,\ 'I Address.....................................................................................................................:..................Date..._.........._......_.........._......_......_......... Owner ..................................._.........._.................._........................................................... Tenant...............................................nnnn.nnn...... Wlring Contractor .....................................__................................................................................... By .............................................................. NOTIC~urrent must not be turned on until Certificate of Inspection has been issued. It work is to be con- c~led due notice must be given the Inspector 80 that work may be inspected berore concealment. . _ IM_ .Olympic Printers, Inc.