HomeMy WebLinkAbout1313 Samara Dr - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
Application Number 10 00000542 Date 5/28/10
Application pin number 635538
Property Address 1313 SAMARA DR
ASSESSOR PARCEL NUMBER 06 30 01 5 8 0130 0000
Tenant nbr name DAVID /BARBARA SHILLINGTON
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 4895
Application desc
TEAR OFF RE ROOF THE HOUSE
Owner Contractor
DAVID A /BARBARA SHILLINGTON TR AFFORDABLE SERVICES
1313 SAMARA DR 258663 HWY 101 WEST
PORT ANGELES WA 983631446 SEQUIM WA 98382
(360) 452 9768 (360) 683 9619
Structure Information 000 000 RE ROOF THE HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc RE ROOF THE HOUSE
Permit pin number 166710
Permit Fee 137 75 Plan Check Fee 00
Issue Date 5/28/10 Valuation 4895
Expiration Date 11/24/10
Qty Unit Charge Per Extension
BASE FEE 95 75
3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00
Other Fees
Fee summary
52 -v) rca ni a t'M
T:Forms/Building Division/Building Permit
STATE SURCHARGE 4 50
Charged Paid Credited
Due
Permit Fee Total 137 75 137 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 142 25 142 25 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 fry 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 s and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit t-re o give authority to violate or cancel the provisions of any
state or local law regulating construction or the perform
Date Print Name Signatuke of Contr)tor or Authorized Agent
Signature of Owner (if owner is builder)
BUILDIING 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
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
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
E li I PJk L?/t uo
BUILDING PERMIT
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant 10 baL491 ra
Property •wner pt J t rWcira
Property Owner's Address 13 (3 SQ p-,�
Contractor 5 -0e3S
Contractor's Address 7 0 (�Q t
License Fa2S `'&,10(a Expires
PROJECT ADDRESS I rytrx
Parcel Number Ow(x) 150
APPLICATION Print in ink
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
Phone
Phone
ti �n ,leg
Phone (9CQ Pis_ci ?[C(
l am 9 1 3 A 4 2 2 2 4 2
E -mail j 'KERAL una gctsLakaa4 icti 0 n
D-r
Lot
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
For City Use Only
Date Received 5 10
Permit #J 0
Date Approved
Z
Project Type Brief Description: '6.Residential Multi family
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
0-Re-roof 4-1-louse garage other Xtear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Commercial Industrial
TOTAL VALUATION (.-15
Total footprint of structures sq. ft. -Lot size sq. ft. Lot coverage ok
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
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 to working on p .jects.
Date 7.2Y 10 Print Name L elf Signature.,,
T:Forms /Building Division /Bldg Permit.doc
of bedrooms
of full baths
of half baths
Install
Instal l
f natal l
Install
Install
JC T� Install
Install
Install
Install
Install
Install
Install
DEPOSIT
AFFORDABLE ROOFING
258663 Hwy 101 West
Sequim, WA
Name_C.11 5/ t lit h
Address 1,J3 Qr 'IA-L.
C I r art- s
Tarp house perimeter to protect landscaping
;Remove old roofing and haul to landfill
Plywood
Roofing Felt
Pipe Flashing
Exhaust Vents
Ridge Vents
Attic Vents
Sun Tube
Skylights
Secure Locate Septic Drain Field .-:iron
Pnce Includes Building Permit C'
Customer to Secure Building Perrot
Descnption
Wi th_Scotch.Guard.Algae Block System.
C 11r- C, Ai i,u /0 m
1Y
y lk<
,esk.2.10
Payment in full upon completion of project,
unless other arrangements accepted.
We propose hereby to furnish material labor,
complete In accordance with the above specifications.
All material is guaranteed to be as specified Any alteration or deviation from the above
specifications involving extra costs will be excuted only upon written orders and will
become an extra charge over and above the estimate. All agreements contingent upon
strikes, accidents, or delays beyond ow control. Owner to carry fire, tornado and other
necessary insurance.
A cceptance of Proposal the above prices, specifications and conditions
are sa tisfactory and are hereby accepted. You are authorized to do the
work as specified. Paymt will be made as outlined above.
ac'
Affordable Roofing s Representative:
Customer s Signature of Acceptance:
See attached Warranty Statement.
(360) 683 -9619° (360) 385 -2724 (360) 452 -0840
OSB
State /1 I /1
Install
Install
Install
,Install
Cut In
Install
Install
Phone #1 3641) LkSZ
Phone #2
Zip Code C1 3
Drip Edge Metal
Metal W- Valleys b
Roof to Wall Flashi
Roof to Wall Step Flashing
Chimney Counter Flashing
Chimney Step Flashing
Skylight Flashing
h e )/e Ak
do Rkq efk
T/ ANk /ou
SUBTOTAL.
SALES TAX
TOTAL.
Brand
Color
W Year Warranty
Lifetime Warranty
PROPOSAL
No this propoc i may be withdrawn by us if not
coepaed within 30 days.
Date: 5 &~i()
Date: 5
c- 00
C Ye&
Woricmansh ip
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
DAVID A /BARBARA SHILLINGTON TR
1313 SAMARA DR
PORT ANGELES
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 48 1000 ECH
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983631446
ELECTRICAL ALTER RESIDENTIAL
ANGELES EL/ HOT TUB
90381
ANGELES ELECTRIC
48 10
11/27/06 Valuation
5/26/07
Charged
48 10
00
48 10
COMMENTS /ACTION NEEDED-- -s--
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00001218
536048
1313 SAMARA DR
06 30 01 5 8 013A: ,0.000
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
0
Contractor
ANGELES ELECTRIC
524 E 1ST ST
PORT.ANGELES
(360) 452 '9264
EL -R OR RM 1 4 ALT_CIRCUITS
48 10
00
48 10
Plan Check Fee
Paid .Credited Due
00
00
00
J
vJf f. IR
Date 11/27/06
Plan CiM kr Fee
WA 98362
0 0
0
Extension
48 10
00
00
00
uu
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
DITCH
ROUGH -IN TCOVEk
SERVICE
FINAL
GENERAL COMMENTS:
ip -9 -ob I Al.a?
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N I I
rW- I102.1514/961
11-02-2067,5dAM
FROM ANGELES ELECTRIC INC 360 d52 9265
P.l
.
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ELECTRICAL WORK PERMIT APPLICATIPN
Job wired by
ectricst Contractor 0 Owner
Installation description ~.,.
CI Commercial t3"1lesidential
Electric"l COnltilClor name
License number
Date Expires
o New
D Alluedl Addition
PUTcbascr'~ mailing addrcScs
AI%tLt~ ute! Ii/C, INC.
524 EAST FIRST.
PO~ Isll~.bl!:lIt::" \VA ~~302-
_..fin
~6
.
11~~
a."""""
City
./
TclcphOllC number
FAX number
B/11i B S#JLL/Nt'oldN
<VnvrA-t:?A Del V;".
.
PA-
Pbunc ':lumber 10 schedule in~pcctit)n;
lfsZ-'f'76
Owru;,r"a.f; d(>.fined hy RCw'/9.J8.261:(1) Owner will {)ccupy (he SII"llClu,e /nr 1\010
years afier this electrical p(~,.mit is finali:.t::d. (2) Owrwris rc(}uired (() hire an electrical
contractor (( o.bo~~~ said 1"'nperty js fOT .mk rent or lease.
After rCllding the above statement. I hereby certify th.-t I 1111' the ()wm:r flo( the ..bove
named'propcrty or a Iicemcd electrical contractor, 1 am making the de~1rical instal-
lation or llltef3rion in" compliance ""ith the electrical laws. N.E.C.. RC:\.\'. Chapter
19.2S. W.A,C. Chapter 2!J6-46B. The City or Port Angeles Municip<lI'Codc. 3'l')d
Vtilit)' Specifications,
S~gn:uure 0: 7er, elcct~ical contract:. or eledrical admhlistraror
X t2?", - Date: 'J. V'b
Electrical Load Additions and Dr subtractions
o Cash 0 Check II
~ard Visa
Ma.<:;tcrcard
Discover
Cardif ____-_~_-_li/.F--____
Expiration Date
of cHrd
:::I Ovemead Sel"Vice
o Tamp Service
o Underground Service
Service Information
Voltage /2tJ~WJ
Phase~'
Service Size: ~~
Feeder Size: ~
o NO LOAD CHANGES 50 ;(-
CJ Baseboard KW
o Furnace KW
C)" Heat Pump _ Yon _ LAA
"O.Fan-Wall KW
29>1 $fA
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH.IN THERMO~TAr /' SERVICE
D:lIC Arlpro~~,j fly D;alc Arr....''''e<lI'.)' Dlllc "f'"m~ed By
FINAL ;' FEEOffi
1Pt:t:J& ~ DITCH
:lIe ^Pl'fl;>~C" Ry / O:lIC A.f'P((l~~d Po)' O;llc "l'r"''"'v='' My
Inspection I Area. Building or Equ,ipment Inspected Action TakCTI Electrical
Dale Jnspcctor
.
~/) // It, lot.
/ I .-
,.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
PERMIT NO. 1JL!9.:;-
DATE /- ;;g-c;<f
ELECTRICAL PERMIT
Site Address:
-=3/3
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
J
Phone:
Sq. Ft.
'ttI RESIDENTIAL
;fr COMMERCIAL
o BASEBOARD KW
Q FURNACE KW
.l'9 FAN/WALL KW
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
Z( REMODEL
PI ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Details/Description:
/2d!d~~ftf ~ .tfb~/LM~6-
Cl~fij }//,1477;4 ,~..hJ7JZ.-
v
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
.i '(/v
Permit/Receipt No.
1"-Y7'~
Installer:
New Meters
.
Notify Port Angeles Cit Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and K for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Buil9.iA9 P mi. PHONE 457-0411, EXT. 224.
/7 C NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 3;;;... CJ 0
Permit Fee
WHilE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
QLYMPtC PRINTERS INC
~:?7
.-:>
FEE ECEIPT NUMBER
I
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CITY OF PCJRT ANGELES
DEPARTM~'::NT OF LIGHT
APPLICATION ANU ELECTRICAL PERMIT
A
,;.- .It '
~ERM~MBEA
.
- i 30~ , III MA Ii "I~M. j) Lf, .
TOTAL FEE &'I'I/AI'IA I
, CONT. L1G. NO. TIME TO COM PLETE - NO. STORIES LEGAL OCCUPANCY
I
Site Addtress
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner t,l.bll, ~NsIAIk.T"i~;J Installation By ';JAYIJIII,D LitLe-TAle:;,
Owner's Address 1-11 I) it J.I4IA J P(!~I AI'''J.~'; Installers Address '1.1 T P. O. Del" {'6 JO'lc,;;:", AA
Da Phone J.J (? - l:::l 32.... Installers Phone qll1i/ -j'7{" q ,
AP~IiCation'is ~~r~bY made ior Permit to install Elect;ical Equipment as follows: HFAV 1/ LL:; ,
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
'^Hnn~Me\hod NM-13
.
CJi:) I '40V .
AMP AMP ?JfJ ~R
USE OF CIRCUIT NUMBER PER o ~C~ FEE YSe OF CIRCUIT NUMBER PER FEE
CIRCUITS CIR 30 CIRCUITS CIR 30
LIGHT' ~ J< ./ SIGN
LIGHt ". 50 VOLTS
; OR LESS
Cfi.lo/'.'ENr/rJ '1 ;/0 ./ MOTOR
CONVENIENCE , MOTOR
APPLIANCE MOTOR
DISHWASHER J: At) --;7' FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE .~;. .st.1 / MISC.
OVEN ~A ~-'zY:/l I 1'7&> , V
WATER HEATER - I 30 V
LAUNDRY. I ':It? V" ..
DRYER , 7/J ~ v-: REINSTALLATION LIGHT FIXTURE #
FURNACE lA, SUB TOTAL FEE
GAS-OIL-. -- - .... -. .~
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT t- -;;:;.. ~O ~/ b},~C!1
IV..... TOTAL FEE
ELECTRIC HEAT I 7"; ~... SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ::UJt' AMP ldi PHASE
i=EeDER " SIZE OF SERVICE ENTRANCE CONDUCTORS ' "
SERVICE - . ,- .. /,IJ 'lib 2J /" - A.W.G.
1 SUB-TOTAL SIZE OF GROUN6~ ~ ~JiMl6?ENTRANCE SWITCH 7&!t!J4Nl?
I certitj that the work to be perf rmed under this permit will be'done by the installer and in con~ormance r5. the N.E.C.'
Date Application made ,19 'i<G, By ,
~ - . _. .. NTRACTOR OR OWNER (OR AUTHORIZED AGENT) _
, "j;. ,
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .'
~ ~DIR CTOR OF :..I~Y ~IGHT '. ,.' .'
By' ::0n ,,' ~.dIJ.4c-v.",' . ~/7',
:Oate Permit Issued - ~
PLANS APPROVED ., -": '. II
Notify Department of City Light by Street Address and Permit Number when ready"f6r inspectio~n:Work ~ust not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE.Orlgin.1 CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
C'
..' .
REPORT OF INSPECTOR
\
.\,..,...
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
..\ ~ .,~.. . Rl' .... O.K. TO CONNECT SERVICE
.cy~
<f I>d'/IJ{, IU::J FINAL O.K.
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FEE R~CEJPt NUMBER
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T~TAL FEE / G : OD
" CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICALPERMIT
"
A
Jjf~(
PERMIT NUMBER
.
S/t'181t:,~
15
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address / ? I 3 'i tJ M d I? A . 'f) R If) ~
Owne; L~ fZ c.; t\};~ER~~t6:JONSIBILlTY OF APP"CANT,~,:::,'~:;:'~HB:R~A~~ CA~E~L~~~ I~ '
Owner's Address3'2.IO f .L-:-\):i~ A 'P6rL l1n'f~ InstallersAddress Fltl. b -$' . ~)'fl~"
Day Pho~e 45d-.- la., =3ri.. Installers Phoneg~ ,a, tiC} " q'il~~3
APPliCai\on Is hereby made for Permit to Install Electrical Equipment as follows: 'TtmPoi2.~~ ~ ,<.t...R.. VI c..&:-
I J iW-3
. '~. ~
Wiring Metho.d
use'OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA'
CIA
-120V
10
24QV
100R
30
FEE
USE OF CIA"CUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
120V-
10
240V
100R
30
FEE
~
- ,,\
~<
'~ '- ",
'" ~'
.(/) ~N
/:.. < 1'-\0
"
SIGN ,;<
SO VOLTS _ \
OR LESS <
MOTOA ~-
MOTO..l ,,'V~
MOT"l~''V
l).~S
~{3~AlAAM
~'M
.:/
,
LIGHT
LIGHT
.
'.
.
.
CONVENIENCE .
CONVENIENCE
APPLIANCE
DISHWASHER
DISPOSAL
RANGE
OVEN
WATER HEATER
LAUNDRY'
DRYER
FURNACE
GAS - OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
..
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
~.
'REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE /0,0,)
SIZE OF SERVICE SWITCH OR CIRCUIT BAEAKER
((? ,)
AMP _
SIZE OF SERVICE ENTRANCE CONDUCTORS
- PHASE
AW.G.
- I SUB-TOTAL
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
Date Application made
Dc.~O"I-\h-C!l' J b
,,~2~
f)
I certify that the work to be performed under this permit. wili be done by the installer and in
By
ONT TOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described .work, according to the conditions hereon and according to the approved plans and
speCifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angele . J 1.... V
. . DIRECTOR CITY L1G/J,;;'T .rA\e.k~'<c
'A)"(' / 7r "
. V /. , ,V
. .. ~
Date Permit Issued
... )o//(O/6'S
~RNING
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not'
be covered or current_ t~rned.on before inspection and O.K. for covering or service has been given by I nspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
~
WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD -Inspector's Report
DATE OF VISIT
i;..IJRIl?r
I
MADE BY
: '
~ /J./
REPORT OF INSPECTOR
REMARKS
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O.K. FOR COVERING
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O.K. TO CONNECT SERVICE
FINAL O.K.
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