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HomeMy WebLinkAbout538 W 4th St - BuildingElectrical Permit 538W4 th St 12-1194 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00001194 Date 9/12/12 Application pin number . . . 177594 DITCH Property Address . . . . . . 538 W 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -8440 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . FINAL Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 200 amp service change ---------------------------------------------------------------------------- Owner Contractor ------------------------ BAKER, DEBORAH ANN ------------------------ JEDI ELECTRIC 538 W 4TH ST 331 FORS RD. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460-0556 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee.. .00 Issue Date . . . . 9/12/12 Valuation . . . . 0 Expiration Date , . 3/11/13 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 cam, REPORT SALES TAX on your excise tax form' to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE IZ Z ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION - Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING �1 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) 417-4711 Date: Cl _A9 — I oZ (�i 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 53P tJ e.c -F Building Square Footage: Description of above foo o v,-; Se r/i`(-e C i -Aa K* Z. Owner Information Name: D(-.h'k;k; .�_e Mailing Address: S3k we_ST it rI" City:17 State: LJc Zip: a Phone: Fax: License # / EXD. Item Unit Charge Service/Feeder 200 Amp. $120.00 Service/Feeder 201-400 Amp. $146.00 Service/Feeder 401-600 Amp $ 205.00 Service/Feeder 601-1000 Amp. $ 262.00 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuit W/ Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75.00 Temp. Service/ Feeder 200 Amp. $ 93.00 Temp, Service/Feeder 201-400 Amp. $110.00 Temp. Service/Feeder 401-600 Amp. $149.00 Temp. Service/Feeder 601-1000 Amp . $168.00 Portal to Portal Hourly $ 96.00 Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy - 5KVA System or Less $102.00 Thermostat $ 56.00 Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 Contractor Information Name: �EA7 Lj eC i r IG Mailing Address: 33r Fere 2rt City: f1 State: t,Jc-\ Zip: c'S-363 Phone: Fax: License # I Exp. Scle ` 1�5 7 C Z Qty Total (Qty Multiplied by Unit Charge) $-12,!2 --Total Owner as defined by ROW, 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, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I 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., ROW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Codg arpd Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, ctrical contractor or electrical administrator: ❑ cash check S01i-1 ❑ Credit Card # _._ // _ /�.- Dated: ` —/C- t� 0110112012 PREPARED 3/07/11 9 25 52 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/07/11 ADDRESS 538 W 4TH ST SUBDIV TENANT NBR GLENN P BAKER CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901 OWNER GLENN P BAKER PHONE (360) 452 9407 PARCEL 06 30 00 0 0 8440 0000 APPL NUMBER 10 00001073 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 3/07 11 J MECHANICAL FINAL TIME 01 00 March 4 2011 4 32 53 PM 1pangrle SALLY 452 9407 (I CALLED HER TO FINAL THIS PERMIT ) MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Ductless heat pump ELECTRICAL PERMIT CITY OF PORT ANGELES de 360-417-473 10 00001318 Date 11/10/10 891508 REPORT STATE SALES TAX 538 W 4TH ST 06 30 00 0 0 8440 0000 on your excise tax form ELECTRICAL ONLY to the City of Port Angeles (Location Code 0502) RS7 RESDNTL SINGLE FAMILY 0 Owner Contractor RESULTS INSPECTOR. GLENN P BAKER CASCADE ELECTRIC PO BOX 2383 PO BOX369 FORKS WA 983312383 PORT HADLOCK WA 98339 (360) 452 9407 (360) 531 0385 Permit ELECTRICAL HEATPUMP \ \ ,� Additional desc v \ Permit pin number 177170 Permit Fee 73 50 Plan Check Fee 00 r Issue Date 11/10/10 Valuation 0 Expiration Date 5/09/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 Fee summary Charged Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 Grand Total 73 50 73 50 00 00 INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL yl COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION c Signature of owner or Electrical Contractor X Date. Nov 08 10 07 57a Robert Nordberg 3603799043 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections ELECTRICAL 321 East Fifth Street — P O. Box 1150 / Port Angeles Washington, 983625PECTIONS Ph (360) 417-4735 Fax (360) 417-4711 Date: 1 g D 1 & Single Family Dwelling _ Multi -Family or Commercial" _ Commercial Addition I Alteration 1 Remodel I Repair' ' Plan Review Ma Be Required Ple Com9tete Electrical Plan Review Information Sheet Job Address. _.r7 R !!!V� �� S T Building Square Footage: Description of above V10 �-ft�t�s�_ti� UI,V Owner InformatioLr % Ake Contra for Info ion e Name: _ Name: CQSC4 cl Mating /Ndr ss: 5 3V Mailinc due 'V City. State: L4/ -*t zip. City l' St; Phone: Fax: License # ! Exp. Phone: Fa License # i Exp. �3t Item Unit Charge QtV T Service/Feeder 200 Amp. $119.90 Service/Feeder 201-400 Amp. $145.50 Service/Feeder 401-600 Amp $ 204.60 Service/Feeder 601 1000 Amp. $ 262.20 Service/Feeder over 100D Amp $ 372.50 Branch Circuit WI Service Feeder $ 2.60 Branch Circuit W/O Service Feeder $ 73.50 Each Additional Branch Circuit $ 2.60 Temp Servicel Feeder 200 Amp. $ 92.70 Temp. ServicelFeeder 201-400 Amp. $110.30 Temp ServicelFeeder 401-600 Amp. $14870 Temp. ServicerFeeder601 1000 Amp $167.90 Portal to Portal Hourly $ 9590 Sign/Outline Lighting $ 88.20 Signal Circuit/ Limited Energy I First 1500 sf — Commercial $ 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 & 2 Family Dwelling $ 63.90 _ Signal Circuit/ Limited Energy Multi -Family Dwelling $ 63.90 Manufactured Home Connection $ 119.90 Renewable Electrical Energy 5KVA System or Less $102.30 Thermostat $ 56.00 NEW CONSTRUCTION ONLY. Iet..1-0-., e. First 1300 Square Fl. $ 110.30 S Each Additional 500 Square Ft. or Portion of $ 35.20 S Each Outbuilding or Detached Garage $ 73.50 S Each Swimming Pool or Hot Tub $11030 S E Total - 5 (] Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical perm' s -finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I 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, KE C RCW Chapter 19.28 WAC. Chapter 29646B The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications Signature of owner electrical contractoy or electrical administrator, t3 Cash D Check A A -Credit X Dated: �� 6 01A112010 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 DUCTLESS HEAT PUMP Owner 10 00001073 Date 9/24/10 266485 538 W 4TH ST 06 30 00 0 0 8440 0000 GLENN P BAKER MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 3901 Contractor GLENN P BAKER AIR FLO HEATING CO INC PO BOX 2383 221 W CEDAR FORKS WA 983312383 SEQUIM WA 98382 (360) 452 9407 (360) 683 3901 Permit MECHANICAL PERMIT Additional desc INSTALL A DUCTLESS HEAT PUMP Permit pin number 174086 Permit Fee 64 80 Plan Check Fee 00 Issue Date 9/24/10 valuation 0 Expiration Date 3/23/11 Qty Unit Charge Per 1 00 Fee summary BASE FEE 14 8000 EA ME FURN/HP/FAU < OR = 5 TON Permit Fee Total Plan Check Total Grand Total Extension 50 00 14 80 Charged Paid Credited Due 64 80 64 80 00 00 00 00 00 00 64 80 64 80 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) �(IAIPq ,5,q, � � 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. _ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type -7 Date Accepted By Landscaping Comments FOUNDATION Construction R W PW I Engineering 417-4831 Footings Stemwall Foundation Drainage / Downspouts Piers Planning 417-4750 Post Holes (Pole Bldgs.) PLUMBING FINAL Date Accepted b 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. FINAL i Date Accepted b J Heat Pum / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney�'1 Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. ESA. Parkin / Lighting ]SHORELINE. Landscaping FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit �-g QQ 00 E St C BUILDING PERMIT APPLICATION Print in ink f 10 � '-CITY OF PORT ANGELES ,- Attn. Building Permit Technician �— 321 E Fifth St. Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 ,1( QwhW ff &ocn)kj Websiie, (3 le h n P Oc Ke -) P o Box Z 38'x, f6 H<,r w q 83 1 Z3J Applicant or Agent __kk QLD E Phone Owner " 7EhKP__f1L Phone Owner's Address Lk _ S I>,-eT IpoRr kap E Contractor/Engineer R t!& P -UW 14 N'[- t N &— Phone Contractor/Engineer's Address a. W CEb�R- S� SEQUA License # Expire. PROJECT ADDRESS Parcel Number Project Type & Brief Description. Check all Mal apply o New Construction o Addition ❑ Remodel ❑ Repair o Re -roof ❑ Demolition For City Use Only - Date Received -Z?r 10 Permit # I d-) 0-13 Date Approved *b (o �SiE lei Lot Zoning V(Residential o Commercial o Multi -family o Industrial o Sign ❑ wall -mounted o projecting ❑ freestanding Total sign area sq. ft. Maximum allowed si+ ❑ Heat System K Heat pump ❑ wood -burning stove o gas fireplace ❑ p ❑ Other Floor Areas Basement 1" Floor 2"d Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Existing (sg. ft. l Proposed ($1 ft.) Max. height of proposed structures Will a lawn sprinkler system be installed? Nill a fire sprinkler system be installed? o awning ❑ other area sq ft. it stove ❑ other per sq ft. = $ TOTAL VALUATION .S 01 ro s sq ft. - Lot size sq ft. = Lot coverage _ ft. Occupancy group # of bedrooms Occupant load # of full baths Construction type # of half baths have read and completed this application and know it to be true and correct. l a horized to apply for this permit and inderstand that it is my responsibility to determine what permits are required, a o obtai permits prior to working on )rojec E ���� )ate t Print Name AtNY�R.S -Signature ;Forms/B ildinglimsiontaldg Permit Appl —2006 Code.doc I Cl 1L66 689 096 071A N I d WuLt, 6 0102 22 das Clallam County Assessor & Treasurer - Property Details - 56238 GLENN P BAKER for Page 1 of 5 Clallam County Assessor & Treasurer Property Search Results > 56238 GLENN P BAKER for Year 2010 - 2011 Property Account 538 W FOURTH STmm Property ID- 56238 Legal Description. Geographic ID- 0630000084400000 Agent Code. Type. Real Name. Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code Open Space N DFL Historic Property- N Remodel Property - Multi -Family Redevelopment: N ST SCH STATE SCHOOL Township- $13574 Section Range $13574 `2010 Location CC -GEN COUNTY J $72.24 Address. 538 W FOURTH STmm PORT ANGELES WA Neighborhood- Cycle 5 Res Neighborhood CD- 10955130 Owner Name. GLENN P BAKER Mailing Address: PO BOX 2383 FORKS WA 98331 2383 Taxes and Assessment Details Property Tax Information as of 09/24/2010 �Mapsco Map ID- 2 LT 10 EXC S 50' BL 84 11 N Owner ID- % Ownership Exemptions: 12219 100 0000000000% Amount Due if Paid on NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due http.//vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=56 9/24/2010 First ISecondl _ __ Half Half jI 1 Year Statement ID I Taxing Jurisdiction _ - Base Amt. Base Amt. Penalty j Interest I Base Paid p 201_0 39288 ST SCH STATE SCHOOL $135.74 $13574 $000 $000 $13574 `2010 39288 CC -GEN COUNTY J $72.24 $72.23 $000 $000 $72.24 2010 39288 PORT PORT _ $1016 $1015 $000 $000 $1016 2010 39288 PORT ANG PORT ANGELES $167.24 $167.25 $000 $000 $167.24 # 2010 39288 SD #121 SCHOOL DISTRICT #121 $17581 $17582 $000 $000 w $17581 2010 39288 NTH OLY LIB NORTH OLYMPIC LIBRARY $2099 $2099 $0 00 $000 $2099 i2010 39288 �- HOSP #2 HOSPITAL #2 $2964 $2963 $000 $000 $2964 2010 39288 WSMET PK DIST WILLIAM SHORE MET PARK DIST $943 $943 $000 $000 $943 2010 39288 CITY—STORMWATER CITY STORMWATER $3600 $36 00 $0 00 $0 00 $36 00 2010 39288 WEED_CONTROL WEED CONTROL _ $0 82 $0 81 $0 00 $0_00 $082 2010 39288 TOTAL. $65_8.07 $658.05 $0.00 $0.00 $658.0_7 2009 562382008 ST SCH STATE SCHOOL $15551 $1 55 51 $000 $000 $311 02 2009_562382008 CC -GEN _COUNTY __ $7870 - 78 71 $000 $000 $157_41 2009 562382008 PORT PORT _$11 15 $11 15 $000 $000 $22.30 2009 562382008 PORT ANG PORT ANGELES $172.62 $172.63v $000 $000 $345.25 2009 562_382008 SD #121 SCHOOL DISTRICT #121 $192.31 $1_92.31 $000 $000 $38462 2009 562382008 NTH OLY LIB NORTH OLYMPIC LIBRARY $22.87 $22 87 $000 $000 $4574 http.//vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=56 9/24/2010 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT 'N'° 16532 Port Angeles, Washington ...._.....�K—C;7r; - -----------I 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- mission is hereby 2granted to d�o/el ctrical work as listed below. Address ...... J- � Ci%- l� Occupancy_ ?� -------- ------------------ Owner% ? - Tenant ---------------------- ---------- ----------------- ---------------------- �}i-- Wiring Contractor V:.F t0- :�--------------/- �Bvy�--Y---------------------------------------------------- ------------- fv20 la Light Outl Receptacle Dryer, KN Range, Kw ----------- _.._.-------.._------- ---- Water Heater: KW ... Heat: KN....f...!.' Motors: size, volts and phase: Total Load ............................. Remarks: Service, volts ' No. wires ........ Size wires....�. n .. Main fuse----.l.."',a �...p..._a,(........... /T .............. Enclosure ....... Type of wiring:" 15 ............... Entrance Cable ............................. Rigid Conduit ----------------- Metallic Tubing ........................... Current transformers: No. & Size ....................................... Ser. No.. ............................................ SecNo.` ............................................. Ser. No .............................................. t • Type of Wiring: Armored Cable ............................. Non -Metallic ................................. Knob & Tube ................................ - Rigid Conduit ........................ _.... Metallic Tubing ........................... Raceway ....................... ____ Circuits, Light ....................................... Utility............... ....... _.................... Heat-------------------------- ------------ _...--- Range............................................. Water Heater ............................... Motor..._ ........................................ Dryer.............................................. -- Furnace ............... ................... Total Permit Fee Tress. Receipt / $ --------------- -------- ----- No ............................. By 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 u� Address Owner ELECTRICAL PERMIT N° 16532 ............................... By .............................................................. rent must not be turned on until Certificate of InsDectfon has been issued. It work is to be con - must be given the Inspector so that work may beinspected before concealment. iM Olympic Printers, Inc. b CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT NV 16528 Port Angeles, Washington......-- f_ •= ---------------------_--- 192 G7_ 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 electrIC14 work as listed below. 5 3 bc%'' X Address------------------------------------- ---------- ---------------------------- Occupancy......, — --------- --------------- Wiring Contractor LightOutlets ............................... .... ..... Receptacle Outlets ............................... Dryer, KW .......................................... Range, KW ------------------------------------------ Water Heater: KW ............ . . . Heat: KW.... ... -`�--- -.................... Motors: size, volts d phase: Total Remarks: Permit Fee $'.:---�C-o-:K2_ By-----P------ Service, volts _/;24 ��.. .. No. wires ........ ~�/�.................`f, .. Size wires../..'4't:.../._.. Main fuse ......f "l.,............ Enclosure .......t Type of wiring: Entrance Cable Rigid Conduit ............................... Metallic Tubing ........................... Current transformers: No. & Size ....................................... Ser. No .............................................. Ser. No. Ser. No. Ser. Treas. Receipt Type of Wiring: Armored Cable ............................. Non -Metallic ................................. Knob & Tube............ ....... ...... __.... Rigid Conduit ........................... _.. Metallic Tubing ........................... Raceway Circuits. Light ................................. Utility--------------- __.... .................... Heat....._................_.............._.._-- Range............................................. Water Heater ............................... Motor.............................................. Dryer................................................ Furnace ............................................ Total $----------------- --- ------------- No ............................. BY // ..... 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 Owner N° 16528 WiringContractor................................... ......... !............. ........................... .................................... By.............................................................. NOTICE --Current must not be turned on untIPCertlflcate of Inspection has been Issued. If work is to be con- -ccealed due notice must be given the Inspector so that\work may be Inspected before concealment. 1M Olympic Printers, Inc.