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HomeMy WebLinkAbout136 W 4th St - BuildingPREPARED 7/09/10 8 45 34 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/09/10 ADDRESS 136 W 4TH ST SUBDIV TENANT NBA DAVID SONJA BROWN CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901 OWNER LLOYD W STRANDHOLM PHONE PARCEL 06 30 00 0 0 8830 0000 APPL NUMBER 09 00000402 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 7/09/10 MECHANICAL FINAL TIME 01 00 July 7 2010 9 44 53 AM 1pangrle SONJA 360 460 6629 MECHANICAL FINAL HEAT PUMP AFTERNOON PLEASE CALL HER 30 MINUTES AHEAD SO SHE CAN MEET YOU THERE COMMENTS AND NOTES ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE PERMIT INSPECTOR ti l40q ci -o -0LI N7 OWNER/COTVTRACTOR 4-t AM Tre- c ADDRESS 7 t L) y sx APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED' &re 1 R-D'M.CT PurrCg CL +ms r_ NYC 7 LD•A 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 Application desc 3 ton HP 10 KW furnace Owner Brown David 136 W 4th ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98363 ELECTRICAL HEATPUMP 146795 57 50 5/26/09 11/22/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000494 910610 136 W 4TH ST 06 30 00 0 0 8830 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES (360) 452 1689 Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER Special Notes and Comments May 26 2009 9 39 26 AM BANDERS Brian 417 4708 OK Charged Paid Credited Permit Fee Total 57 50 57 50 00 Plan Check Total 00 00 00 Grand Total 57 50 57 50 00 DATE. Plan Check Fee Valuation Date 5/26/09 WA 98362 Due RESULTS 712t h 7)2o hp 00 0 Extension 57 50 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 05/22/2009 14 04 FAX City of Port Angeles Permit Application Building DIvIslon /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360)417-4735 Fax: (360) 417.4711 Date 5 22- 1 2 Single Family Dwelling Multi- Family or Comma Commercial Addition Remodel Repair' RECEIVED MAY 2 6 2009 LIGHT DEPT Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address 3 4 l .s 115 Building Square Footage DesCripuon of above P_ci itew `p adit Signature of owner electrical contractor or electrical administrator Cash Check -Oats: 5 Credit Card 1# Owner Informatio Contractor Information Name: D0.v� c1 134 Name: 5tuu.�0 G-t rk. Mailing Address: 13 A (p tJ b 54 Mailing Address. City State: t.). Zip: __4 t o 5 6 3 City O G t State: W A Zip A Phone: 7 7 3y °10 Fax: Phone: 2 168't _Fax: License 1. Exp License 4 Exp, Unit Charge Q •1 Total tQtY Mulholied by Unjt ChArcej 93 75 Service /Feeder 200 Amp. 5113 75 Service /Feeder 201 -400 Amp. $160 00 Service/Feeder 401-600 Amp $205.00 Service/Feeder 601 -1000 Amp 529125 5 Service /Feeder over 1000 Amp 2 00 S Branch Circuit W/ Service Feeder 57 50 S'7 Branch Circuit W/O Service Feeder 2 00 5 Each Additional Branch Circuit 72 50 Temp Service/ Feeder 200 Amp 86 25 Temp Service /Feeder 201 -400 Amp 5116.25 Temp. Service /Feeder 401 -600 Amp $131 25 Temp Service/Feeder 601 1000 Amp 75 00 Portal lo Portal Hourly 69 00 Sign /Outline Lighting 75 00 Signal Circuit/ Limited Energy Commercial 50 00 Signal CircuiV Limited Energy 1 2 Family Dwelling 5 50 00 Signal Circuit/ Limited Energy Multi-Family Dwelling 9375 Manufactured Home Connection 80 00 Renewable Electrical Energy 5KVA System or Less ,66 25 First 1300 Square Ft 27 50 Each Additional 500 Square Ft, or Portion of 57 50 Each Outbuilding or Detached Garage 5 66 25 Each Swimming Pool or Hot Tub 43 75 Thermostat 5-7e5= Total I j 001 /002 Owner as defined by RCW.19,28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rem or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or licensed electrical contractor I am malting the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19,28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. Application Number 09 00000402 Date 5/06/09 Application pin number 196834 Property Address 136 W 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 8830 0000 Tenant nbr name DAVID SONJA BROWN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 14975 Application desc INSTALL HEAT PUMP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Owner Contractor LLOYD W STRANDHOLM AIR FLO HEATING CO INC 5205 NE SKIDMORE ST 221 W CEDAR PORTLAND OR 972182153 SEQUIM WA 98382 (360) 683 3901 Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP Permit pin number 145391 Permit Fee 64 80 Plan Check Fee 00 Issue Date 5/06/09 Valuation 0 Expiration Date 11/02/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 EA ME FURN /HP /FAU 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 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 5 S Joy S►tt eA C Date Print Name Signature of\ontractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding 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 Fumace 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 FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By °7/09, d V v E per co ol` v rORrq 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 hone call cd Sottj& 96 /o'? Qe' P S VA lives 11ev"e ear'S. So,4i 134.64A Phone 1 (2O Owner's Address Contractor /Engineer Contractor /Engineer's Address tai License Applicant or Agent Owner ki PROJECT ADDRESS 13(Q %g Parcel Number Proiect Tvoe Brief Des Check all that apply CI New Construction o Addition Remodel o Repair Re roof o Demolition Sign KH System o Other Floor Areas Basement i Floor 2 Floor 3'd Floor Garage Carport Covered Porch Deck Shed Other I d So c).ec�5e.� �,-i1,e�r- V/ h �aS Sa�15a r+•o i 5 5115r? d 54- 1- ahckt- okvv Work S +rand holm 5205 NE SKdrnore. Pot -tl ar ,OR .er f Icr n o tun< .c1 L►nrne a. Phone �3(Q W. 144 tea ht4(9E 5 vJ 5 E 60 0A tiJ a.t3' 1 ftiit FLo IAS Phone _NA k I R aifd Oi 1 Cie --i Expires cription. o Residential o Commercial o wall- mounted o projecting o freestanding o awning o other Total sign area sq. ft. Maximum allowed sign area sq ft. KHeat pump o wood burning stove o gas fireplace pellet stove other Existing (so. ft.) proposed (sg. ft.) Total footprint of structures sq ft. Lot size Max. height of proposed structures ft Occupancy group Will a lawn sprinkler system be installed? Occupant Toad Will a fire sprinkler system be installed? Construction type ILSE C89 09E o Multi family For City Use Only Date Received S 5-o? Permit* 09- y 02 Date Approved Poi t 44 E 1_E5 vJ Lot Zoning per sq ft. o Industrial TOTAL VALUATION !115 sq. ft. Lot coverage of bedrooms of full baths of half baths Ltsi 34.k9a Pr V3 =3901 have read and completed this application and know if to be true and correct. t am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, d to obtain prior to working on projects. Date Print Name L A&C..__E-1. Signatur -11�, gov■ T:Forms /Building Division /Bldg Permit Appl. -2006 Code.doc 01.d ?I I d WULE T T 6002 SO geW 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 3 ton Heat Pump 10 KW furnace Owner Brown David Sonya 136 west 4th street PORT ANGELES WA 98362 (360) 457 3490 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 43 7500 ECH EL LVT THERMOSTAT Special Notes and Comments May 7 2009 8 04 53 AM banders Fee summary Permit Fee Total Plan Check Total Grand Total cooz. i-LA ,l jL z INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL HEATPUMP 145417 43 75 5/07/09 11/03/09 Charged 43 75 00 43 75 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 09 00000404 935708 136 W 4TH ST 06 30 00 0 0 8830 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor AIR FLO HEATING CO INC 221 W CEDAR SEQUIM WA 98382 (360) 683 3901 6t3 3`. 11. Plan Check Fee Valuation Brian 417 4708 OK Paid Credited Due 43 75 00 43 75 00 00 00 DATE RESULTS 6/c/09 44 Date 5/07/09 00 00 00 00 0 Extension 43 75 Signature of owner or Electrical Contractor X Date INSPECTOR. P 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) 4174711 Date: 5 11 2 Single Family Dwelling Multi Family or Commercial' Commercial Addition Alteration Remodel Repair' Plan Review May Be Required, Rose Com_pjete Electrical Plan eview Information Sheet Job Address: 1 Sr 1 P eed. Et-E5 W* Building Square Footage: 3 n KG—) Description of above A nD H i X19 r' P &u 442 N F C Owner I fo ation k Name: tD &A" Mailigg Address: City ittc Phone: '6120 License Exp Unit Charoe 93.75 $113.75 5160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 5131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 5. 86.25 27.50 57.50 86.25 43.75 2 d State: W Zip: A536 45/— A as Sign of sr, electrical contractor or electrical administrator X oats: 5. [6toci. ILSE E89 09E RECEIVED MAY 5 2009 LIGHT DEPT Contractq Information Name: A ((Z P LO EkT Mailing Address: C City 5F-15h1V State: W Phone: License (Exp. Total �Oty Multiplied by Unit Charggl Service/Feeder 200 Amp. Service/Feeder 201- 400.Amp. Service/Feeder 401-600 Amp. Service/Feeder 601 1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit WIO Service Feeder 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 Sign1Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Horne Connection Renewable Electrical Energy SKVA System or Less First 1300 Square Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage ach Swimming Pool or Hot Tub $_9,L Thermostat Total 0 s Owner es defined by RCW.19.26.261 (1) Owner wilt occupy the structure forfwo years after this electrical pound Is finalized (2) Owner is required to hire an electrical contractorr if above said property is for salt rant Or lease. After reading the above statement, I hereby certify that am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 2964468, The City of Port Angeles Municipal Code, and Utility Specifications. 0�.d 2 f I d WtJL£ I I 6002 SO ReW Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. .:;>~~.s /t9~?/9z; I . ~ . ELECTRICAL PERMIT DATE Installed By: ~ il:il'1EADY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Owner/Business; Phone: Owner/Business Address; Sq. Ft. ~ Residential Heat KW ~ o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair !!f Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ~ Overhead o underg)p;unr{p Voltage ~ 2.- . ~10 0 30 Service size Amps o Temporary DetailslDescription: WIRL ;;( 6,A~~\ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. 1f'",,)i1 Rough.in/cover O.K. r:r 'b O.K. to connect service ~~ Final O.K. Size Comments 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 Pian Review approved/pending Installer; Permit/Receipt No. :2gS3 Site Address: New Meters . Notify the Department of 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 457.0411, EXT.158 or EXT. 224. .- - J~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT "./U'1 ~ ~o~ , Insp ctor Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTE;RS. INC. t9<l' '17 FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 000,106 PERMIT NUMBEA " .- /.-1:pJ- ~"Me~*J.tf/~ . ( l-foN1~ TOTAL FEE d CONT. LIe. NO. TIME TO COMPLETE NO. STORIes LEGAL OCCUPANCY - 1 ELECTRICAL PERMIT ONLY 14 NO OCCUPANCY OR USE ESTABllSHED UNDER THIS PERMIT E T ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED T' . ~~ Owner Installation By 1319 13 ~ E L.cc. Owner's Address J.?t W Y-I--L Installers Address /"); ().. 7 ~~..eA' /'l1l?ir Day Phone' Installers Phone 4- Z - .,...~ ' Application is h.erl?by l"fIade for permit to install ~Iectrical Equipment as follows: t".H~ ~ '/ ~~ ~~ _3 171'/ / dw .I de 'J/,' j"je5 Iff} /-~ Wiring M!3thod . AMP 240V NUMBER AMP 120V 24QV FEE . USE OF CIRCUIT NUMBER PER 120V 100A FEE - USE OF CIRCUIT PER 100R CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT I SIGN LIGHT - - 50 VOLTS -. _. OR LESS . .. - CONVENIENCE MOTOR CONVENIENCE - . \ MOTOR ,', , , 3 .' .,:. ~ \ MOTOR .- . ., ,'0.,,; APPLIANCE ... - " .. DISHWASHER _ I FIRE ALARMS .. . DISPOSAL / BURGLAR ALARM RANGE / MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTAllATION LIGHT FIXTURE # . . FURNACE - sue TOTAL FEE - GAS. Oil FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT '1;5. 0,0 TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT ~REAKER - A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS -.. SERVICE AW.G. - I SUB-TOTAL J~ <l, gf) SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in c 1915..> cr~ r ectrical Code. Date Application made Date Permit Issued .-. 'l- r -r-S- I WARNING I CONTRACTOR OR OWNER AUTHORIZED AGENT) Permlssio_n is hereby given to (jo the above described work, according to the conditions hereon and accordin to the approved plans,and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. '~ .. - DIRECTOR OF CITY LIGHT _ -BY~~~/~- \~ -, PLANS AP veD . \ f \ . '. I' I , . - - 1.... I NotIfy Department of City light by Street Address and Permit Number when ready for inspection. Work'must 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. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPICPRINTERS, INC. _ __ .- .- '. . \ ",; f ,i' j'I';" U\:U REPORT OF INSPECTOR DATE OF VISIT MADEBY REMARKS , ., , '. .. '. , ; . , . , , ,- . , .. " , , . . . .. ~ , . \ . , . . , I .', , ./ . . I , , - .. ,jJ!z;/.,n ,L -1/1 Jr: i0/r ~ f.-.V ILl J (fz.rJ I . , . . . - . . - ,. . .. - .. .. . - , 1- '1- (S- m//f '. , c' ,., O.K. FOR COVERING .J, , , U.n.. IU....UI~'......... !lEP"'~ Iq-/~t '. , ~b . 1/J'fJ FINAL O.K. I'. I ' " . , . -. . I . , . . z Cl a: < ::E ~ :I: I- Z W l- . l- e z e c . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16032 . . /0 -;;r ?...-> Plirt Angeles, Washlngtonoom.._..m..oo..........oo.................oo.......mm. 19m...oo I 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 ___!,..?.b....J'~.oo.~r.t:...u.moo...oo.mmoomoommum Occupancy....oo.d:_/.~.moomoo_m___...m. ~:~=~ ~.~:~;:.~~~~~:~..~~::~~;::~~::::::::::::::::::::::::::::::::: u /:)0/:;;;-0 Light Outlets..............................._.._..... Service, volts /........::...._........:....h........ Receptacle Outlets....m_....................... No. wIres ....___.~..................t..L.. Slz. wlr.shh_~4._r."?:::.~_.. Main fuse -:?:..-!F.9D...9...4:..... ~ Enclosure ..n...:............___......m....... Dryer, KW __uuuu...u......._.........u...._... Range, KW..h_....h......h....h.... Water Heater: KW.......h.hhnnnh..........n Type of wIring: Entrance Cable .m..'" Heat: K.W................................................... Moto~~....v01t8 ~i!hase: A.......'L~J.L...................... Rigid Conduit .h.....n.........h.......... Metal\1c Tubing .........nh.... Current transtormers: No. & Size...._................_...... Ser. NO.................h........h..__.............. Ser. No. .................n.......................... Ser. No. ............................................. Total Load............................. Ser. No.............................................. Remarks: oo.m.oo.........m.mmmm.oomoo..m...........__...__....un..oo..__..____.___.oomoom...m.m.oomoo...mm...oom.....mm.m.m Total............_.......................... Type 01 Wiring: Armored Cable ..........................:._ Non.Metalllc ................................. Knob & Tub.hn.............................. RIgid Conduit .h............................ Metal\1c Tubing ........................... Raceway ..............................._......~ CIrcuits, Light....................................... Utility ..............._......_.................n. Heat ......................................._...... Range ......................_......h.............. Water Heater ............................... Motor ..._....................._.................. Dryer u.....h......................................._ Furnace ........h..___...........R................... __n.nn_____u__.__u..u.._._~___h____.________n_____.n..____.unn....__...nn_hn__n.__n____n__n__u.___....n_..___u.n______.________________hnnu___.n.~_ .;:~;~--;::uu--.--.--.....oo---mm.;~~~:.oo~:~~;~~...u--...----__m....mumu'--Oi~/--OOij7"'l.m.m..~.m.m. $.~......_______________.._.n_.__..._. NO._______.....n.m.......... By ._-:-~~__..~...!___~4..h_~~:._~_!:!d:.-..::" NOTICE-Current must not be turned on until Certificate at Inspection has been Issued. If work Is to be con- cealed due noUce must be given the Inspector so that work may be Inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16032 Address.............._......._..................._........._..........................................._.......................................Date..._......_.._......_.........._:.._.__..._.__......... Owner ........n....n............nnn._.........._......_......_n_.........................................h................ Tenant..h..n...............................................nn.....n.. WirlngContractor..................................._n...._.............._................................h...........................By............................................................._ NOTICE-Current must not be turned on untn CertIffcate ot Inspection has been Issued. It work Is to be con- cealed due noUce must be given the Inspector so that work may be inspected betore concealment. ......,.~_,~ t)pl~.....a T.....