HomeMy WebLinkAbout228 Vashon Ave - Building
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE
U>OL-
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . ~
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . ..0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED: t 1.. P-w (, ~"It)> T?> ~ .26 ~k'?.s
f"~ H.lf.,J:>,"r ~_\t~~ )..l~ (" 2L}O ~4 \)
12iLM-Ln;'!: Al L . tH..llJ~1E.'l> ~, ~ L"Tg\(Prl.
-rbvl? t"1lz.J"~- IN ~jL he.. l"J.D~. [70 j)
'YlQ)f"lLc..r ~E.AL""TT ~~ h..P::~ 1=='120 k.
r*'tLf~/CAL. l>~~~ 1-1~C 350.{2
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
\..
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000930 Date
571440
228 VASHON AVE
06-30-10-5-0-0410-0000-
ELECTRICAL ONLY
8/04/08
RS7 RESDNTL SINGLE FAMILY
o
Application desc
T-stat
Owner
Contractor
DODD, DANIEL
3021 EDEN VALLEY RD
PORT ANGELES WA 98363
(360) 670-6552
ALL WEATHER HEATING & COOLING
302 KEMP RD
PORT ANGELES WA 98362
(360) 9813
131243
35.00
8/04/08
1/31/09
Plan Check Fee
Valuation
.00
o
W
N
00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
Qty
1. 00
Unit Charge Per
35.0000 EC EL-LOW VOLTAGE
Extension
35.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 35.00 35.00 .00 .00
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SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
OMMENTS:
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY 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 . . . .
08-00000928 Date
248096
228 VASHON AVE
06-30-10-5-0-0410-0000-
DAN DODD
MECHANICAL APPL. PERMIT
8/01/08
RS7 RESDNTL SINGLE FAMILY
5960
Application desc
HEAT PUMP INSTALLATION
Owner
Contractor
DANIEL / LAURA DODD
228 VASHON AVE
PORT ANGELES WA 98362
(360) 670-6552
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
Permit MECHANICAL PERMIT
Additional desc INSTALL HEAT PUMP
Permit pin number 131227
Permit Fee 64.80 Plan Check Fee .00
Issue Date 8/01/08 Valuation 0
Expiration Date 1/28/09
Qty Unit Charge Per Extension
BASE FEE 50.00
1. 00 14.8000 ECH ME- INSTALL 100- FAU 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
R ht{ IeJ
1-5-01
Separate Perm its are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This perm it 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.
Signature of Owner (if owner is builder)
T:Forms/Building DivisionlBlIilding Permit (05!J3!08).wpd
BUILDING PERMIT INSPECTION RECORD
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CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 4] 7-4886 FOR BACKFLOW PREVENTION 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 LOCA TION.
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BlOG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEATPUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL I-S-O~ DATE T [.,L-- ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT II's SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 4]7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4 I 7-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
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Jul 31 08 02:04p
p.1
BUILDING PERMIT APPLICA TION 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
. For City Use Only:
I Date Received 0, - '3 \- 0
Permit # (')rJ - 'P2- S
Date Approved
Applicant or Agent
Owner
Owner's Address
Contractor/Engineer
Contractor/Engineer's Address
License #
Parcel Number
PROJECT ADDRESS
Zoning
Proiect Type & Brief Description:
Check alllhat app.!r L.l.
o New Constr~ion...- r\
o Addition
o Remodel
o Repair
oRe-roof
o Demolition
o Sign
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
)4;teat System
o Other
Floor Areas
. Basement
1 sl Floor
2nd Floor
3rll Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
o Commercial
o Multi-family
o Industrial
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area s . ft.
eat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Existinct (sq. ft.) Proposed {Sq, ft.}
@$
per sq. ft. = $
TOTAL VALUA TION $
00
sq. ft. . Lot size
sq. ft. = Lot coverage
%
ft.
Occupancy group
Occupant load
Construction type
# of bedrooms
..# of full baths
# of half baths
I have read and compfeted this appfication 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, a
projects. r.' U I .'
Date -,-1,\. (YO Print Name 0 C~ fL' Signature
T:Forms/6uilding DivisionlBldg Permit Appl.-2006 Code.doc
Jul 31 08 02:04p
p.2
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ELECTRICAL WORK PERM1T APPLICATION
Job wired bl'
~lectrical Contractor 0 Owner
lnstallation description
(:J Commercial )(. Residential
o New
l:l Alteredl Addition
~
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L\\ t-~t L~\v\DC9
Owner as dcfined hy RCW.J9.28.26::(I) Owner will OCCUP.1' the ."rucluJ'c for two
ycars uficr this clccrrkal permit i.I' finalized. (2) Owner ;.,. required /0 hire an dec/rical
cvt71raclor i( ahovc said propcr~" is for sale. ren/ (II' Ica.~e.
:"fler r:aJing the ahove statement. I hereby certify 1I1at I am the owner of the abuve
named property or a licens;;d electrical COnine-tor. 1 am making the electrical instal.
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapler
19.28, WAC. Chapter 296-46B, The Cit} of PorI Ang.c1es Municipal Code, and
Ulility Speeitications.
o Cash 0 Check #
~redit Card VlSa
Card #-
Mastercard
Discover
----------------
Date:
~_cttical Lp.ad.Additionsand or..sub.lraclions
~~O LOAD CHANGES
o Baseboard _ KW
o Furnace KW
o Heal Pump Ton LAR
(:J Fan-Wall KW
Expiration Date
of card
fee "
.0::)
SenLicelnfo.rmation
',\
:t Overhead Service
l:l Temp Service
a Underground Service
Voltage
Phase 0 1 l:l 3
Service Size: _
Feeder Size:
SAM.E..J2AY.JNSUC.IlO~,-.CALL...BEEORK1..;J)jl.M1 .~O.::fi1:~.135
(! I ROUGH-IN '\ /' nIER'\1OSTAT /' SERVICE "\
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> Dol' ^""col\'Cd By < \... O~t.: :\PPTU\-cJ Ay \.. j)alc .~f1Pt~\..."\l B~' /
/' FEEDFR
, FINAL r DITCH } \
~ 1/2/09 r:i ) " I
\... II"'~ "rovc~ By ../ [hie '\ppro\.'.:(1 Uy \... Hall.: AfJPfC\l:d 13)' ../
Inspection I Arca, Building or Equipment Inspected Action Taken I Electrical
Date I Inspector
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
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PERMIT NO. ~o
DATE / / /r,h3
ELECTRICAL PERMIT
Sit~ Address: .;;2;2 8
Installed By:
'I
O'1rer/BuSiness:
O"';iner/Business Address:
.!
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
[
'&l: flESIDENTIAL
tJ COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o rEAT PUMP KW_
o 'SIGN
O LI/D ..
eU" s escrlptlon:
[
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3
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W.S. No.
I
CAPACITY:
I 0 O.K. NOT O.K.
A110N REQUIRED: 0 CHANGE TRANSFORMER
I 0 INSTALL SERVICE POLE
,
[
II
o [litch Inspection O.K.
II
o ~lough-in/cover O.K.
A tl\"~ O.K. to connect service
JIf f '1"'1
tJ Final O.K.
flSl /s ~
o OVERHEAD SERVICE
o UNDERGROU~'S~WCE
VOLTAGE: 1?cY..;:( U
~ SINGLE PHASE
tJ THREE PHASE
SERVICE SIZE ';;;MtD AMPS
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
/J1 &-1" -~ ~1A e
{
(
h(~.
:;AU-UP
SERVICE SIZE
ENGR.
DATE
o CHANGE SERVICE WIRE
o OTHER
Site Address:
:[
;;2. 8 l/'
J
r& 3
Noilfy Port Angeles ity Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. c/f'
II .~ NO OCCUPANCY OR USE ESTABUSHED UNDER THfS PERMfT $ IF' f 0
il EleclricallnspeclOt Permit Fee
WHITE - FHe by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall
II
OLYM~IC PRINTERS INC
I,
S~te?AddreSS: J.;1. B
'nstt'ed By: k TTz.
ow;ier/BUSiness: fA
owier/BUSiness Address:
j
;it Residential
'[ Heat KW
qJ Baseboard 0 Furnace/Boiler
q Heatpump 0 Other
OJ Commercial/Industrial load
I[ Total Connected load
(attach breakdown)
II Total Motor load
Ii (attach breakdown)
.I
Details/Description:
II 1JJ S TA-H
:!
-lff.A-1 ~()fv\.P
II .
I mS ljJi\ l
Ii
Jo ~fl-.E.
,
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W.Si, No. Service Size
Cap~lcity: 0 O.K. 0 Not O.K. Comments
a
~ih..l, 11I5peclloII O,.K~
~iil/\..oVVt::1 O.K.
---G-Q:K. lO connect service-
{'f\ ~ 'f ~bal O.K. ,-,1/, vv,flE /Jo, 3 k-
'[ '" III {-I '- T. fL--
Site.lAddress:
it ;2- 'J.. ?J
Inst:ter: I< f rr
'I
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mu~'t not be covered or electrically energized before inspection and O.K. for covering or service has been given
~bY t~e Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
1 ft1cf-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 2 0 ~
, Inspector Amount paid
WHI]E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYM~IC PRINTERS. INC.
I
.
.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. /5"'7 S
"3-7-U'
ELECTRICAL PERMIT
DATE
VAr-l) 0 W
f-LLc
"E>fAR.
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
IL
Phone:
Sq. Ft.
o New Construction
o Remodel
o Service update/alter/repair
~ Add/alter circuits'
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Overhead
o nderground
Volt ge
o 1 030
Service size
o Temp ary
rJfw
t=u {LN IK- f.
5 kllJ
MJfJ
2.. 7t> N
IS
'fhf (..,c..f_ -i+, f_
A-f) 0.. ()
<C~ IS-hNj
Co M).
'B.g.
rhA--r-
I\ln
Date
Hold for: 0 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
V f"d~ '0 ,J
Permit/Receipt No.
/ 5' 7 c::;-
Oate:
:S-7-88
{CUC(lJLIC
New Meters
o
Nt?
j7 - d P ~J-:-
Port Angeles, Washlngton______________________________________________________n____. 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~lectrlCal work as Hsted below.
Address .--.i::.~:?:.-f;yr:.f5~-----on-m----on--onon-- Occupancy___A_/._:~oom__m______..______.
~::~~-~~~:~~~~.:::~:;;C;.;:::~~::::::____~~::~~;::::::::::::::~~~_~~~::::::::=::::::::::::::::=::::::::::=:::::::::
Light Oullets.__.....L...?nnnmm_n_nn. Service. volts .../"<P.nl:>./.--?:.nY...Ci. Type of Wiring:
Receptacle OUtletB____Z__~__.....h_....... No. wIres ..___....~...........h......u_--... Armored Cable ...unon....................
, C- jy tf""J./
:::::, ::-_-_--._._._..Z_~:..._.._.:..---.:...-. ::~n ;~::s:~~:;;j::::::::::::::
:s-
Enclosure __n__.n.....____.....................
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Water Heater: /"
9i ") .
K~--nn1/;3:p.m-f)D
He>': KW....nLL._n.nn/l."-r::iP.,P....
Type of wIring:
Entrance Cable ......._.um__.......
Motl--.::t;;ltsm~~~n~_~:~~:n.nn.
/---dV-~....:.:.:nn.nnnnm_nnm...
Rigid Conduit nnn...n.mm.mm.nn.
MetalHc Tubing U___mnnnm..__......
Current transformers:
No. & Slze...................________.._____.....
Ser. No..............................................
Ser. No. -.......------............--.................
. .
.
16650
Non-Metallic .........................____....
Knob & Tube.................................
Rigid Conduit ..n_m.......................
Metallic Tubing ......................._..
Raceway ...............................__..._
~
Circuits, Llght..(:.....mn...............___n
~ :~ti ty _.:::r..~:~~~~~~~~~~~~~~~::~~~~:~=
'J
::t~: ~::~..~~~~~~::~~~~::~:~::~~::~~
::::~...~.~~:::::....:::..~..:::::..~~:::::::::..~~
Furnace ..........._......._...._.........._.......
Ser. No.....____...................................... ;;
Total :Load........................_.... Ser. No. ................._.........._........n.... Total ......:?:..__.....___................
Remarks: ..n..___oooon____m___~.-t.~"~_-______Q"'::>""~:__c.on.n__oo___________m_________________________________________________
___.~.___________u_..________..___u__________u_.._____u__.______..____.___._...________uu.__u.._uuu.___u......_u........______uu__u___u__.u____u__u______u_
-:~r_ii~~_-_-_~~~~-..~-.~~~~~~-__-_m--...--::~~_~:~~:~_~_~~.~.~.....~__.----------oon---:~-::lZZ;:l:;~Z::~
NOTICE-Current ,"uat.not be turned on until Certificate of Insp~Ct1on ~as be~n issued. If work is to be con-
cenled due notice must be gtven...:the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
rc~'-":_.ELECTRICAL
PERMIT
Address ..............__..._............................_.__........_......
N?
16650
Ovoner........_......._.................._.........._......_......_.._...........................................................Tenant............................_...........___............._..........
Date..._......_.._.._.._.........._......_......_......._
.:\\'lringContractor........................___........_......_.............._..........................._.................................By..............................................................
), NOTICE--Current must not be turned on until Certificate ot Inspection haa been issued. It work is to be con.
\ lc~aled due notice must be given the Inspector so that work may be inspected before concealment.
, \
1M Olympic Printers, Inc. \
CITY OF PORT ANGELES
LIGHT I DEPARTMENT
ELECTRICAL PERMIT
N? 16070
Port Angeles, WashlngtOn.u.u.l!.~u::'Z?:uooo_ooo_u____ooo....._oooooo__, 19_?!:>-
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-
:~:::s: i~_:'~~~:!E~:s~:_Z~2;~o.~~__~~_::~~_~~__::IO:~cupancY_.__--,--~-~-------------------.-.-----
~:: ~.~~~~~=~!~~::~t~::::?_:.:::::ooo_~~~~~~;:~L::::::::::=:::::::::::::::::::::::::::::::::::::::
II
Llght.OUtlets.nnn..::::'n<?..._......_.._._._. ServIce, volts .../P..'Y:..-??."..'::.nn... Type of WIring:
RecePtacle OUtletB......(...~..n..n..... 1'0. wIres .--...:~7n-nn--7;.-nn-- Armored Cable 0000......__...._...000000....
K r,,? 81 i //d ~ Non-Metallic ..._._..m....................._
Drye" : 'W _____________"__;;:;0000____00.0000.00.__ ze w resn,.~-n--...--n"An.......n-------
/ . ~ -1tJ,t) Knob & Tubeh...............m.mn......_
Rangej KW __U...h.h___=mhmu.hn....... Main fuse .....~.~\;;~...m"___...............
_..;:, RIgid Conduit 00_.00000000.......00..........
Water Heater:;;; ....-- Enclosure ....___......___.....n.m___......... M tIll T bl
" ""I e a c u ng .....00....00..............
. y~'
KW.........mnmhummumm..uumu. Type of wiring:
Heat: KW.....m.._../.2:.......I;j~n Entrance Cable m....h...h...............
Motors: size, volts a.nd phase:
~::~:~~~::::::.:::.:::::::::::.:::
/
Rigid Conduit .........00........
Metallic Tubing .....m......
Current transformers:
No. & Size...........m......m..n...
Circ:::~::;h.~::::::~:::::::::::::::::=:::~~
,,:::;
~:~tity..:::2.P::::::::::::::::::::::::::::::::
2.
Range ...................._.......__...............
"'9
Water Heater ..~.........................
"..... ..0000. .0000.00....0000.............__..............
Ser. NO..nn..h...................n.n_...........
::::~...~~~~~~..~~....~~~~~~~..~~....~~~:~~~~~~~..~~~~
Furnace .........................._...................
Ser. No. ..n.........................................
+_....00.000000.....0000................................_
Ser. f\'o............u................................
30
Total ._..........__........_................
Total Load...n..............._........ Ser. NO.......mmn..._............_m..........
/
7,' ,
Remarks: .mmnmm:~::::\;_<?.-:!.~'!__~::-::-~n..___n.c:..~:J2L_.t.::...-d~f.::__-:...nm___m..m.h____h___m..mnm.__.n_.nmmn..m.mm
_;~~~;~--;~~ooom--umm---___uooo--;~:~:.--;~~:;~~m___-------.--------oooooom-ooo-my-ooo---::lm:;{oooooo---ooomoooooo--ooo-
$.._...$.!..6._(2ooouooomooo___ NO.uoooooouoooooom__ooou__ By u)i.:./(:L___~::'u::~:=-_::'{.__,=,=--~'
~'J'OTICE-Current must not, be turned on until CertifIcate of Inspection has been issued. It work is to be eon-
ceallld 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?
16070
Address........................................................................................................................................Date..._......_......_.._.........._......_....___...._....
Owner ..................................._......_.._......_......_.._..........h.....h..........nn....hn..n.........u... Tenant....................n......nn.hhn..nn._n.....u___....nn.
WjJ::ingContractor_...__..........___.............._._......_.............................................................................By.._......___..................................................
\
NOTICE-Current must n()t be turned on until Certlflcate at Inspection has been issued. It work js to be con.
cealed'dl;1e noUce must be given the Inspector so that work may be inspected before concealment.
"
1M Olympic Printers, Inc.