HomeMy WebLinkAbout1628 Milwaukee Dr - Building ELECTRICAL PERMIT I- 0
CITY OF PORT ANGELES
360 417 -4735
Application Number 10- 00000738 Date 7/16/10
Application pin number 200884
Property Address 1628 MILWAUKEE DR REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -9 -9 -0130 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Hot tub
Owner Contractor
DOUGLAS W JANA HELFER ANGELES ELECTRIC
1628 MILWAUKEE DR 524 E. 1ST ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362 'ms
(360) 452 -9264
V
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 169540 1 v
Permit Fee 110.30 Plan Check Fee .00
Issue Date 7/15/10 Valuation 0
Expiration Date 1 /11 /11
Qty Unit Charge Per Extension
1.00 110.3000 ECH EL- SWIMMING POOL /HOT TUB 110.30
Fee summary Charged Paid Credited Due r
Permit Fee Total 110.30 110.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 110.30 110.30 .00 .00 T
G
A'
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: 4gce p f g I t,.
i
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELECTMCAL ;'-z,S[P
.0
Cerr
VARNO ffiErw(
c 4,
tt Nefer,f
ssvakssw' 4174735
DATE PERMIT 4 INSPECTOR
OWNER/CONTRACTOR
A Al (A-LE-5 S.& ig c:r lz-(C__. 1 Vst. 0
ADDRESS
/62e /1-11-WA-t)kf-E. 17 4
APPROVED NOT APPROVED
O DITCH 0
O ROUGH IN/COVER
O SERVICE 0
O FINAL 0
CORRECTIONS NEEDED: 211&.(
0 ---C- 0 IP i"NIS Kri PI. C-- CA ATM TZW-PA 1 1.
3iZ2TW-,X !NZ- 1 4 (C) i
Nig_e_. '6sO z:z 3.
nt 1) 1200 1-- t IA t-412 ,..c l ?.)1 V i k-
N K-. e_ 6,g0- 2
1100
NOTIFY INSPECTOR WHEN CORRECTIO'.S
ARE CO ,‘PLETED WITHIN 15 DAYS
DO NOT REMOVE
07/15/2010 07:37 FAX 360 452 9265 Angeles Electric Z 0001/0002
i '1
RECZTE3
c, r
I of PORLIA6, C
City of Port Angeles Permit Application JUL 1 5
Building DIvIsionlElectdcal Immo:Sons
321.Eastflfthltmet RD. Box 1150 0
Pod Angeles Washington, NM ELECTRICAL
Ph: (3110)417 i Fex 1 )4174711
INSPECTIONS
g
Single Farnity Dwelling
Multi-Family or Commercial*
Commercial Addition /Alteration Remodel Repair*
Plan Review May Be Requir9d,' Ilitt Complete lechical Plan Review Intonation Sheet
Job Address: iL1.444 Eel' VP e.
f 6 4
Bolding Square.Fcote
•Descripbo n of above id2eAe,._&,__.__AIEL______________
0 ,64, •'wturi er n o m err -.-1. o_ _,,rmehon
Name i .4- s ..f.—..A........._ Name: i 4S. 16f.L.EA6 ‘6(AerACen
Mailing iditrgor irry iffrZepr_... i I-, Mailing Address. Cl A ly: State: ...r Zip: 2 My: State: Zip:
Phone: Fax: Phone: Fax
License* Exp. License Elm.
Unit Charlie Qtt Total (ON Multiplied by Unit Cheroe)
8119.90 SentalFeeder 200 Amp.
145.50 Service/Feeder 201-400 Amp.
1 20410 Service/Feeder 401-600 Amp.
1262.20 Sante/Feeder 601-1000 Arm).
372.50 Service/Feeder ow 1000 Amp.
5 210 Brawl) CIFCUltiN/ Servke Feeder
73.50 Branch Circuit W10 Service Feeder
LSO 8 Each AddRonal Branch Circuit
1 92.70 Temp. Service/ Feeder 200 Arm.
8 110.30 Temp. Service/Feeder 201-400 M.
148.70 Temp. Senrke/Feeder 401-600 Arrd.
3 167.90 Temp. Sante/Feeder 601-1C00 Amp.
95.90 Portal to Postai Hourly
88.20 SigntOutine Lighting
95.90 Signal Circa Linked Energy Commercial. Additional 1500 $5.00
63.90 Signal Chuff limited Energy- 1 8 2 Far* Dwelling
1 63.90 Signal Ora/ Unified Energy Mullifamly Dweller°
119.90 Manufacbired Mane C.Ofirled011 1 r-,
1102.30 Renewable Beckical Energy WA System or Less
:8110.30 Feet 1300 Square FL
8 35.20 1 Each AddMonal 500 Sewn* Ft. or Portion of
8 _Each Otribidlna or Detached Gerage
,,,,A119,30,.. 9 //A -w SwirrenirgroMartiorrub
Thermostat
Total
ii(5
Owner as defined by RCW.19.21.2.1: (1) Owner will occupy the structure lot Iwo years after tale sharks, porn* la finalized. pj &merle requked to alto an electrical connector lf
above sal d properly k break rent or lease. Pane akolres after :Sr months of last Inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property era licensed electrical contractor. I am making the electrical Installation or
alteration in =motion:a with the electrical laws, N.E.C., RCW. Chapter 1928, WAC. Chapter 298-4813, The City of Port Angeles Municipal Code, and Utility Specifications.
Signature dimmer, electrical contactor or electrical administrator CI Cash
r Check
Ai.
d_...c.... It& d, nate: di‹ Card 11 F 1 W Crl'e
s
k ii 6 tai OR T
NGEL
CITY 'OF
r artaNa'00' W A S .H I N G T O N, .U. S. A.
��a Helfer
f
Public Works Utilities D.epartment
:J ,:,r. sixteenth I was requested to inspect a hot tub installation at your residence. During the inspection I noted four
�h corrections that needed attention by your electrical contractor and the hot tub manufacturer. Of most concern to me is
that the hot tub did not have listing certifications. All items need to be listed to be deemed safe per WAC 296 -46B -999
a and NEC 110.3. Without the proper listing I could not approve the installation and told you not to use the hot tub until
C the corrections were made and all the required inspections are completed.
Q
k t,� At that time, we looked at the manufacturers instructions for information on their listing requirements and did not find
a anything. You called the manufacturers technical support and I discussed my concerns with them. The manufacturer
4* claimed that it was listed and offered to mail out a sticker. I told you that I would riot accept them mailing a sticker, that
A 1 ifi a field evaluation would be required.
The other electrical corrections shall be made prior to the next inspection'and before use of the hot tub. The electrical
,,t contractor understands the corrections that he is responsible for. He understands that once the issue with the hot tub is
ti 1, �MN 0 4i resolved and the electrical violations are corrected he will be requesting another electrical inspection.
1„ 01
o
4'
;For,
Trent Peppard
F X. Senior Electrical Inspector I
tn.:, ?e
r .L ce* 1
i. 43
5 i
Phone: 360- 417 -4800 Fax: 360- 417 -4542
1 Website: www.cityofpa.us Email publicworks @cityofpa.us
321 East Fifth Street P.O. Box 1150 Port Angeles, WA 98362 -0217 0
4
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Furnace and HP no load change reduction of 2 5kw
Owner
Helfer Doug
1628 Milwaukee Dr
PORT ANGELES
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
WA 98363
ELECTRICAL ALTER RESIDENTIAL
146332
61 50
5/19/09
11/15/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000460
925500
1628 MILWAUKEE DR
06 30 00 9 9 0130 0000
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
0
Contractor
Charged Paid Credited
DATE
Date 5/19/09
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES WA 98363
(360) 457 5303
Yss 3"1918_
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
2 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Special Notes and Comments
May 18 2009 2 40 47 PM GANDERS Brian 417 4708 OK
61 50 61 50 00
00 00 00
61 50 61 50 00
RESULTS
51 246
slio/09_ -/g?
Due
00
00
00
00
0
Extension
57 50
4 00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
—fer7
05/18/2009 10 54 FAX 360 452 3498
City of Pod Angeles Pennit Application
Bulldbrg Division,Ebstrical Inspections
321 Ent FIRh Sheet- P.O. Boa 1150
Pert Angeles Washington, 0S$S
Ph: tam 4174738 Fa:: (380)41?-4711
Data: S /ir /o
2 Single Family Dwelling
Multi- Family or Commercial"
Commercial Addition Alteration Remodel Repair=
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Jab Addr+asa: /l r 4 Qi
Description of above
Owner Infamtatian
Name:
Mai Address: h 7t, /<r_.
City State: /447 ?p: 9xM T
Phone: 7W T Fax:
License
Unit Charge
ce.
3113.75
3160.00
3205.00
$291.25
2.00
3 57.50
2.00
$72.50
6625
3116.25
3131.25
75.00
69,00
75.00
50,00
50.00
$93.75
80.00
86.25
27.50
5t.50
atr.LD
43.75
Q4t
Ol Electric Co PA CITY INSPECT 12001/002
MAY 1 8 2009
UGH? DEPT
//7 /44/ T
Qontraatar Infarmakan L
r 174 G i ri
Mailing Addfess ?ice L,. 2, 7I
City A. t4, -4 State: z.67 Zip: SAP' S
Phone:7- 4 rJF Fax: er,z -J
License Exp. /7 /�/Y# ..21R i74'
Tgj (Q4t Multiplied by Unit Charnel
A r *RiCao i r 2nn An n
SemIcelFeeder 201400 Amp.
ServicelFeeder 401.600 Amp.
San/Ice/Feeder 601 -1000 Amp.
ServlcelFeeder over 1000 Amp.
Branch Circuit W/ Service Feeder
3 s7 5 Branch Circuit W/0 Service Feeder
3 W. °o 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/Outllne Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi -Family Dwelling
Manufactured Nome Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft
Each Additional 500 Square Fl or Portion of
Each Outbulldhlg or Detached Garage
reach swimming htol or Mot 1 uo
Thermostat
6'/. F To1M
J'
QM11(IIf 4W00211 ROC RAMP a' Orel( RV ma (eft Mary far (tIQon 4l rthis eencratatftal (1/ Nrcr h! f al* Aim in
electrical commaa* OgieNt said property Is for sale. rent or base.
Altar rustling the strove statement. I hereby ter* that 1 em the owner or the show named property Of Ikenasd aleotrbul oontraotor. I am making the elnfrloal
Inclination or slteratlen in cotnpllnnea with the electrical laws, N.E.C., RCW. Chapter 19.20. WAC. Chapter 206488, The City of Port Angeles Municipal Code, and
Udllty °pacificatione.
Signature or owner. Noabbel eentracter e1 eleotrloel administrator
lei
nate: 5 /f /o
Soh
Cheek
LA' Credit Card 8
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000397 Date 5/04/09
Application pin number 621513
Property Address 1628 MILWAUKEE DR
ASSESSOR PARCEL NUMBER 06 30 00 9 9 0130 0000
Tenant nbr name DOUGLAS W /JANA HELFER
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 10125
Application desc
HEAT PUMP INSTALLATION
Owner Contractor
DOUGLAS W JANA HELFER PENINSULA HEAT INC
1628 MILWAUKEE DR 782 KITCHEN DICK RD
PORT ANGELES WA 98363 SEQUIM WA 98382
(360) 452 7433 (360) 681 3333
Permit MECHANICAL PERMIT
Additional desc INSTALL HEAT PUMP
Permit pin number 145292
Permit Fee 64 80 Plan Check Fee 00
Issue Date 5/04/09 Valuation 0
Expiration Date 10/31/09
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 8000 EA ME FURN /HP /FAU c OR 5 TON 14 80
Fee summary Charged Paid Credited Due
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Grand Total 64 80 64 80 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 fora 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 presumes eve authority to violate or cancel the provisions of any
state or loca law regulati construction or the per rmance of co c 'on.
5 9 a74/k--4 ,iV 1
Signature of`Contractor or Authorized Agent Signature of Owner (if owner is builder)
Date Print Name
T:Forms/Building Division/Building Permit
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 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 1 ESA.
Landscaping 1 SHORELINE.
T:Forms /Building Division /Building Permit
Inspection Type
FINAL Date Accepted by
00
FINAL Date 5—Z6-0 /Accepted by jCL
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750 1
Building 417 -4815 1
3
PREPARED 5/26/09 8 51 03 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/26/09
ADDRESS 1628 MILWAUKEE DR
TENANT NBR DOUGLAS W /JANA HELFER
CONTRACTOR PENINSULA HEAT INC
OWNER DOUGLAS W JANA HELFER
PARCEL 06 30 00 9 9 0130 0000
APPL NUMBER 09 00000397 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 5/26/09 LL,
Nk
SUBDIV
MECHANICAL FINAL TIME 02 00
May 22 2009 2 42 35 PM 1pangrle
DOUGLAS 452 7433
MECHANICAL FINAL HEAT PUMP
PLEASE INSPECT BETWEEN 2 00 5 00 PM
COMMENTS AND NOTES
PHONE (360) 681 3333
PHONE (360) 452 7433
05/04/09 07 17 FAX 3606812086 Peninsula Heat
BUILDING PERMIT APPLICATION
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98382
(360) 417 -4815 fax (360) 417 -4711 Na-dolie Applicant or Agent 4 er-so,i
Owner Ao q V/P..#
Owner's Addre3e?" Hi /k/7uke 40-1-7',Thej
Contractor /Engin er eel inskact Pc/7
Contractor /Engin er's Address 7
License Re////A//-/7
Parcel Number
PROJECT ADDRES
Project Type Brief Description.
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
o Re -roof
o Demolition
o Sign
Heat System
o Other
o Residential Commercial
Phone 611" 3
Phone V5
Phone .4:5/ 333 3
c�E��L! /iz7 %/f 9,F38"
EEcpires
Lot Zoning
o wall- mounted a projecting o freestanding o awning a other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
—feat pump o wood buming stove gas fireplace o pellet stove o other
Floor Areas Existinn (sa. ft) Proposed (sa. ft)
Basement
1 Floor
2 Floor
3' Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft Lot size
Max. height of proposed structures ft Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
I have reed 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 o ain p rmits p or o yv orking on
projects
Date. �f,z// 11 �1 Print Name�6lGsI'�O�s4°_r -rte Signature ,e
7 :Forms/Building Division/61dg Permit Appt. --2006 Code.doc
G$
TOTAL VALUATION /Q,
sq. ft Lot coverage
per sq ft.
of bedrooms
of full baths
of half baths
Print in ink
For City Use Only
Date Received LI4)
Permit* 0°1
Date Approved
a Multi family o Industrial
e102
r
Site Address:
,A'.:..
, -,
CITY OF PORT ANGELES
LIGHT DEPARTMENT
1.-
ELECTRICAL PERMIT
PERMIT NO. .;2 7;:'
DATE J'U 0
/fp
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Psrz -/~
Phone:
Installed By:
Owner/Business:
Owner/Business Address:
Sq. FL
fiX Residential
Heat KW
o Baseboard D Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor ioad
(attach breakdown)
D New Construction
o Remodel
o Service update/alter/repair
o Overhead
o undergrounfi t/<O
Voltage I?.J!) 2-
~10 030
Service size r6JO Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
qCSpecial equipment
(list below)
DetailslDescription:
M--4i--
.
'-, ,e(~9
/ c;2 Au;
.
(;~
, \/ W.S. No. Service
;0...'( Capacity: D OK D Not O.K.
'J 0 Ditch inspection O.K.
o Rough-in/cover O.K.
.J( O.K. to connect service
if r Final O.K.
Size
Comments
Date
Hold for: D Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
New Meters
-
.;2
Site Address:
.
Notify the Department City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-04WEXT. 15~EXT. 224.
I~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT IT 2[) _
I nspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom; City Hall
OLVMPIC P~INTEFlS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'?
17203
port Angeles, washlngton___3_::-:___~j__..__...____________________________, 19.2.-0
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 .j./tL.?::,__:(_______~-----iS)!!---L------ Occupancy____________LL&:<t...J..:_______________
~~
~::;~.~:~~~t~~-:_::i8:~::_:~_:::~nn~~::~~;::::::::::::::~.._-_~~~~:::::::=:::::::::::::::::::::::::::::::::::::::
.--
Light outlets____uu_;;l___~__u__7,____u_____. Service, volts I_:;__Qu~u'!::_~I..Q_u___u
Receptacle Outlets_____b.u_J!!..______uuu. No_ wires _12M____'l/.Lu(C,u,)
D,ye,_ KW __n__nu________~u-------------- Size wlres--.:74:u~-~i"4f
Range. KW ___._.-.....I........._.n..___........ Main fuse .n1n.'L.~n_m ....~.......
Water Heater:
KWnnn____n!I.n~
Heat' KW___n___a.:.___Q._____f.__~._.!____
Enclosure m..mm........nn................
Type of wiring:
Entrance Cable .......unm...............
Motors: size, volts and phase:
Rigid Conduit ..u............m
Metallic TUbing .m........m..
Current transformers:
No. & Size..............................
Ser. No....................___......._................
Ser. No..............................................
Ser. No. ...........n..................._............
Type of Wiring:
Armored Cable ...._............._.._....__
Non-Metallic .................................
Knoh & Tuheuuun____________u_________._
Rigid Conduit u____________u_____________.
Metallic TUbing ..m...........m........
Raceway .....__................._.._.____._
o
Circuits. LlghL_u.______________________________
Utility .____u__~u_____u_n_____nuu_______
Heat ._..~!::::......_.................._.._
Range uuAun_______________n___uu___n_
Water Heater ........~.............
Motor .............__..............................
~~,:~~~u::_~~::.~::::::::~:::_-:-_:::::::~~
Total Load____________uuu___uu Se'_ No__uuuu____u__uuuuu___________u Total ____iL.:._~------u---uuu-u-
Remarks: n__~N________n~nJ.n_n__________________________________________________________________________.____...___
.._..u___.______.____._________u___..._______________._____..__________..__.._____________________.______...___________.____.___._______________._______________u_._.........
Treas. Receipt
U.U_nn__.._nuununudn__u__n_unuUUnn_n.___nu.h.ndnnn_n_u_Un_n.uU_UnUn._.n_nun_uuuUU_._n_n_nn.u_u_h..n_u_uu_u_u__
Permit F~
$:.2___~===_____________
No..______________...._..._____
By -f.!.J~____~"_"'~__~~..___
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
Address
..................._._..._.............__u..__.._nn...........d.._.............__...........__....................................
Owner............___...............__..._.....__..___...._....._____...__.........._n..................._.....................Tenant...............__........................_...._.....................
Date...___...._.._......_.........._......_.._._.__........
------
I
/
N?
17203
Wiring Contractor ................................__.___................._..............................._................................. By................................_.............__..............
NOTIC~urrent 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. ..
1M Olympic Printers, Inc.