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Home My WebLink About224 W 6th St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES t 360-417-4735 Application Number 09 00001209 Date 2/12/10 Application pin number 633769 Property Address 224 W 6TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6420 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc Circuits for storsge unit Owner Contractor TIKKA SAMUEL J OLYMPIC ELECTRIC 1119 E PARK AVE 4230 TUMWATER PORT ANGELES WA 983622740 PORT ANGELES WA 98363 \ (360) 457 5303 �v Permit ELECTRICAL ALTER RESIDENTIAL 1 Additional desc 11 V Permit pin number 156901 Permit Fee 63 50 Plan Check Fee 00 Issue Date 11/20/09 Valuation 0 Expiration Date 5/19/10 Qty Unit Charge Per Extension 1 00 57 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 57 50 3 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 6 00 Fee summary Charged Paid Credited Due Permit Fee Total 63 50 63 50 00 00 Plan Check Total 00 00 00 00 Grand Total 63 50 63 50 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN ZI�2 to FINAL C)17-�s Lift— 9W W COMMENTS N 16,0 tj02 Signature of owner or Electrical Contractor X Date 11/19/2009 09 37 FAX 360 452 3498 Olympic Electric Co PA CITY INSPECT 001/001 RECENEOU" City of Port Angeles Permit Application NOV 1 Q 2009ok Building Division/Electrical Inspections 321 East FI th Street-P.O.Box 1150 Port Angeles Washington,98362 ELECTRICAL J1, Ph:(360)417-4735 Fes:(360)417.4711 INSPECTIONS Date: 1&2 Single Family Dwelling _ d �Multi-Family or Commercial' _Commercial Addition 1 Alteration/Remodel I Repair' Plan Review Mey Be Required,Pleas Co lets Elec ical Plan Review Information Sheet Job Address: 9 7 y Art/ 6zg &rt Building Square Footage: DeeMptlon of above 1 �/�:l�c- —�C �d�f/J'n—Zo h-7-- - Owner Information Contractor Information Name: 7 Name: Olympic Electric. Mailing Address; 9 ?,7h&ggdcZ Mailing Address: 4230 Tumwater Tr City, Port angeles State: wa Zip: 98362 City, Port-Angeles State: WA Zip: 9.8'363 Phone;V=—,ftZJZFax: Phone: 457-5303 Fax: 45z-349,6 License#I Exp. . License#/Exp, OLYMPEC285D1 Unit Charge 9-ti Total(Qty Multiplied by Unit Charge) $93.75 $ Service/Feeder 200 Amp, $113,75 S Service/Feeder 201-400 Amp. $160.00 Service/Feeder 401-600 Amp. $205,00 $ Service/Feeder 601 1000 Amp. $291,25 $ Service/Feeder over 1000 Amp. $ 2,00 $ Branch Circuit W/Service Feeder $ 57.50 1 $�Branch Circuit W/O Service Feeder S 2,00 $ Each Additional Branch Circull $ 72.50 $ Temp,Service/Feeder 200 Amp, S 86,25 $ Temp.Service/Feeder 201.400 Amp. $116,25 $ Temp,Service/Feeder 401-600 Amp. $131,26 $ Temp,ServEelFeeder 601.1000 Amp. $ 75.00 $ Portal to Portal Hourly $ 69,00 $ Slgn/Oulline Lighting $ 75,00 $ Signal Clmuld Limited Energy. Commercial . $ 50,00 $ Signal Circuill Limited Energy 1&'2 Family Dwelling $ 50.00 $ Signal Clrculd Llmlled Energy Multl-Femily Dwelling $ 93.75 S Manufactured Home Connection $ 80,00 $ Renewable Electrical Energy 5KVA System or Less $ 86.25 $ First 1300 Square Ft, $ 27;50 $ Each Additional 500 Square Fc or Portion of $ 57,50 $ Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Hot Tub $43.75 $� Thermostat $_�,�_V Total Owner as defined by RM 19.28,267,(1)Owner will occupy the svucture for two years alter this electrical permit is finalized.(2)Owner is required to hire an e/ectr/cal contractor if above said property/s for sale,rent or/ease. After readlog the above etatemon%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 Jowl,N.E.C. RCW.Chapter 1928,WAC.Chapter 296-468,The City of Port Angeles Munlclpal Code,and Utility Spedflcattone. Signature of owner electrical contractor of electrical administrator ❑ Cash ❑ Check Date: ` I&I Credit Card# 0 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 0 Application Number 10 00001082 Date 9/28/10 Application pin number 943338 REPORT STATE SALES TAX Property Address 224 W 6TH ST # 4 ASSESSOR PARCEL NUMBER 06 30 00 0 1 6420 0000 on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc 100 amp feeders and 6 circuits Owner Contractor TIKKA SAMUEL J OLYMPIC ELECTRIC CO INC 1119 E PARK AVE 4230 TUMWATER PORT ANGELES WA 983622740 PORT ANGELES WA 98363 (360) 457 5303 4 3gcts Permit ELECTRICAL ALTER COMMERCIAL C� �1�J Additional desc Permit pin number 174219 Permit Fee 135 50 Plan Check Fee 00 Issue Date 9/28/10 Valuation 0 Expiration Date 3/27/11 I Qty Unit Charge Per Extension 6 00 2 6000 ECH EL BRANCH CIRCUIT W/FEEDER 15 60 1 00 119 9000 ECH EL 0 200 SRV FEEDER 119 90 Fee summary Charged Paid Credited Due Permit Fee Total 135 50 135 50 00 00 Plan Check Total 00 00 .00 00 Grand Total 135 50 135 50 00 00 V INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X .Date: 09/.27/2010 14 -47 FAX 360 -452 3498 Olympic Electric Co PA CITYINSPECT Qt001/001 r r RECEIVEDCY SEI 2 8 2009 1 0ti noer_IN� O City of Port Angeles Permit Application ELECTRICAL �1� �,; Kif C3 Building DivlslonlElectncal Inspections INSPECTIONS 321 East Fifth Street-P.O.Box 1150 �`► Port Angeles Washington,98362 Ph:(360))417.4735 FFax;(360)417.4711 Date 173, 0_, _1&2 Single Fsmlty Dwelling Multl-Famlly or Commerclel• Commercial Addition I Alteration/Remodel I Repair' Plan ReviewM2y Be Required Pie se Complete Electrical Plan Review Information Sheet Job Address: ZSL__42 y Building SquareFootage: r� Description of above .--naa2 �� -y7 A t-%-? l Cb2ITS Owner Into allon Contractor Informal t Name: i Name: Marlin Addms ; 1&9 e � Mallin d _s:� �r City State:4_Zlp: City State; Zlp; 24{lam Phone:xS'7 B'Y�, � Fax: Phone: Fax:;Y5'zy9y License#I Exp. License /Exp, Unit Charge gty _Totol(Q"-ulllolied by Unit Charas) $119.90 $/ Service/Feeder 200 Amp, $145.50 $ SeMce/Feeder 201-400 Amp, $204.60 S Service/Feeder 401-600 Amp. $282.20 $ ServicelFeeder 601-1000 Amp. $372.50 $ Servlce/Feeder over 1000 Amp, S 2.60 $`. Branch Circuit W/Service Feeder $ 73.50 S Branch Circuit W/O Service Feeder $ 2.60 S Each Additional Branch Grcult S 92.70 .$ Temp.Service/Feeder 200 Amp, $110.30 S Temp,Servlcalfeeder 201.400 Amp. $148.70 $ Temp,Service/Feeder 401-600 Amp. .$167,90 $ Temp.Service/Feeder 601-1000 Amp. $ 95.90 $ Portal to Portal Hourly $ 88.20 S Slgn/Outane Lighting $ 95,90 $ Signal Clrcult/Limped Energy-Commercial_Additional 1500$5,00 $ 63.80 S Signal Circuit/Llmlted Energy 1&2 Family Dwelling '$ 63.90 '$ Signal Circuit/Umlted Energy MullWamlly Dwelling .$119.90 :S Manufactured Home Connection $102.30 $ Renewable Electrical Energy 5KVA System or Less $110.30 $ Flrst 1300 Square Ft, $ 35.20 $ Each Additional 500 Square FL or Potion of $ 73.50 $ Each Outbuilding or Detached Garage $110.30 $ Each Swimming Pool or Hot Tub .S 56.00 $ Tharmostal 4 402TotoI Owner as defined by RCW.19.28.76f,(1)Owner will occupy the structure for two years ager this electricalpermit Is f nall:ad,(2)Owner Is required to hire an electrical contractorlf above void properly is roma/e,rent or lease.Pormlt expires after air monrhe of lost inspection. After reading the above statement,/hereby certify that I em the owner of the above nomad property or a licensed electrical contractor.I am making the electrical Installation or .atteradon In compliance with the electrical laws,NEC. RCW,Chapter 19,28,WAC.Chapter 2964,68,The City of Port Angeles Municipal Code,and Utlllty Specifications. Signature of owner,electrical contractor or electrical administrator O Cash Check Date; 1 Credlt Card A 4 ELECTRICAL PERMIT ` CITY OF PORT ANGELES 360-417-4735 Application Number 09 00001081 Date 10/19/09 Application pin number 577215 Property Address 224 W 6TH ST # 8 ASSESSOR PARCEL NUMBER 06 30 00 0 1 6420 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc Panel and rewire with 8 circuits Owner Contractor TIKKA SAMUEL J OLYMPIC ELECTRIC 1119 E PARK AVE 4230 TUMWATER v PORT ANGELES WA 983622740 PORT ANGELES WA 98363 (360) 457 5303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 155325 Permit Fee 109 75 Plan Check Fee 00 Issue Date 10/19/09 Valuation 0 Expiration Date 4/17/10 Qty Unit Charge Per Extension 8 00 2 0000 ECH EL-BRANCH CIRCUIT W/FEEDER 16 00 1 00 93 7500 ECH EL 0 200 SRV FEEDER 93 75 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 00 00 00 00 Grand Total 109 75 109 75 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN � C7 FINAL COMMENTS Signature of owner or Electrical Contractor X Date 10/19/2009 10 31 FAX 380 452 3498 Olympic Electric Co PA CITY INSPECT R 001/001 RECEIVED CkofPortAngeles Pan*APPlicagan OCT 19 2009 oK�P.r�y Bulidhro Dluialonoutdul Inapocuum i��yj 3M goat FM$Oak-P.o.onz t15f1 ELECTRICAL Poet Awl"Washlnown,li=t INSPECTIONS r Ph:(3W 41144 Fax:(3801417.711 � Dates: _1&2 Single Farniy Dwelling ZMUIU-Family or Commercial* Commercial Addition I Alteration I Remodel 1 Repair• I "Plan Review Mal►Be Required Please Complete Electrical Plan Review Information Sheet Job Addi'aws:_ZZ I/ d Building Square Footage: 00 Description of above Ivanov hnfb nia ion Name: r NarW--01V=iC Elegtric Maifin Address:1&q 4- r Mailing Address: 4230 Tumwa t e r City.a State: i�Zip: City:Part Ane e s g}�_ Wa Zip: 98363 Phone: Fax: Phone: 457-53 0 3_ Pax: 452-3498 License#1 Exp. License#/FV. OLYMP . - -85Dl ._ :liltC W r r..a., b:L'nitCharnel $ 93.7' Tata.t^..t•......... _�_ $ 97-Zr Gervicalrewler 200 Amp. $113.75 $ ServicelFeeder 201400 Amp. $160.00 S Servioe/Feeder 401.600 Amp. $205.00 $_-_ ServlcelFeeder 601-1000 Amp. $291.25 $ ServioafFeeder aver 1000 Amp. $ 2.00 $ Branch Circuit W/Service Feeder $ 57 50 $ Drench Glrmit wm gerwiee Feder $ 2.00 $ �Each AddlUW Branch Circuit $7250 $ Temp.Servicer Feeder 200 Amp. S 86,25 $_ Temp,ServicafFeeder201-400Amp, $116.25 $---- Temp.Service/FeederQMOO Amp- $131.25 $_Temp.Service/Feeder601.1000 Amp. $ 75.00 $ Portal to Portal ftdy $ 69.00 S 519nioutNne Lighting $75.00 $ Signal CircuIV Urnited Energy Commercial $ 50.00 $ Signal Clmult/Limited Energy 1&2 Family Dwelling $ 50.00 $ Slgnal Circuit/Limited Ener9lr Multi-Famlly Dwelling $ 93.75 $—- Manufactured Hama Connection $ 80.00 $ Renewable Electrical Energy 5KVA System or Less $ 66.25 S First 1300 Square Ft $ 27.60 $ EaohAdditional 500 $ 67.60 Square Fl.or Portion or $ Each Outbuilding or Detached Garage $ 86.25 $�Each Swimming Pool or Hot Tub $ 43.75 $ Thermostat $ /Q9 7 Toil L'anrr as*NMd RLQ LmL-V"(11 Otmar*'I XMP;tt-=EWC Ar ttra yamrs ager!*ekctrtcslprnit Is#MQW.M Off"k raquftd to hills W ekcftalCarr M&rl/AEW slid prtlpxrryls dorsal$rant or M&M. Afdr reading the above subm%"%I hereby as,*that I alit the owner of the above named property of a Nomad slactrfoal oonirardpr.I an making the aleatrlwl hata0xtlon or allaratlon in oampliance with ilia elach @at Iowa,N.E.C. RCW.Chapler IL211,WAC-Chapter 211t1•481B,The Cily of Port Angola$Municipal Cods,and Udlky 8peol "Uma. Slgnaturs of owner,siacuttar sontraslor err Maetrkal adminhp 4W ❑ Cash ❑ Cha$k Darr l /f Credit Card 0 CITY OF PORT ANGELES U 1N DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 06 00000259 Date 3/21/06 Application pin number 993762 Property Address 224 W 6TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6420 0000 Application type description RE ROOF Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 2135 Owner Contractor TIKKA SAMUEL J LARRY S ROOFING 1119 E PARK AVE 352 AVIS ST PORT ANGELES WA 983622740 PORT ANGELES PORT ANGELES WA 98362 (360) 452 2215 Permit BUILDING PERMIT NO PR FEE Additional desc TORCH DOWN OVER HOT MOP Permit pin number 73163 Permit Fee 109 75 Plan Check Fee 00 issue Date 3/21/06 Valuation 2135 Expiration Date 9/17/06 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL-2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 114 25 114 25 00 00 1 V Separate Permits are required forelectrical 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 as commenced,or if required inspections have not been requested within 180 days from the last inspection. I her by certify that I have read and examined this application and know the same to be true and correct. All provisions of laws inspect, ordinan governing this type of work will be complied with whether specified herein or not. The granting of a permit does not pres to give hori o violate or cancel the provisions of any state or local law regulating construction or the performance of con tion. ZJ-OL Signature of Contractor or Au t rized Agent Date Signature of Owner(if owner is builder) Date T•\Policies\1102_15 building permit inspection record05.wpd[1/4/20051 WELDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES Q PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE �l INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 1 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL w HEATPUMP/FURNACE/DUCTS w GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. w LANDSCAPING SHORELINE. \� FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT Q d PLANNING DEPT 4174750 v PLANNING DEPT p BUILDING 4174815 L`Z - I� BUILDING nI TAPolicies\1102 15 building permit inspection record05.wpd[1/4/20051 .. !mss FOR OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION Date Rec. 3121 fog - Permit k Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved:AT.1 Ob COMPLETE to be accepted for review If you have any questions,call Date Issued: PERMITS(360)417-4815 FAX(360)417-4711 Applicant or Agent: R Phone: Owner- Sw l�q Jr Phone: Address: City. )1 ZIP Architect/En weer Phone: Contractor State License#`1-RrrW r Ogg Exp 11-21—C6,Phone: Address: City Zip PROJECT ADDRESS ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATION ❑ Residential ❑ New Constr bk Re-roof ❑ Stove SF @$ /SF =$ ❑ Multi-family ❑ Addition ❑ Move❑ Garage SF @$ /SF =$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF @$ /SF =$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT COMMERCLAL/RESIDENTIAL. Occupancy Group-_ Occupant Load. Construction Type- No. of Stories:_ Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Total lot coverage % PLANNING USE ONLY APPROVALS. PLAN BLDG DPWU ESA/Wetland(s) ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other- FIRE OTHER. VALUATION OF CONSTRUCTION In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE.IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section R105.3.2 of the International Building/Residential Code,2003). No application can be extended more than once. /hereby certify that 1 have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that . is my responsibility to determine what permits are required,not the City's, and that 1 must obtain such permits prior to work. '11 (I TAFORMS\BIdgPermitform.wpd Applicant: Date: �(� kk� A I T -3� 1131 I l� rr Z Foos dMols `` `� 4 - ,. -S° 3�J 7S a 1 t j t. t� {, 3 i� l CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N° 15904 Port Angeles, Washington............. / — --•--•---------- 19-r... 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. Q Address - *!-----:---��-----------(�-�J/--------- -----------------------.. Occupancy---r'J c!re ...........----•----•---- Owner .�-- --_t.--��p--`---0_--------- ----6-......• ------........... Tenant------------ _-_--------------------- --------_-----_---------- Wiring Contractor.CI��P--: =v� �w /n----------- By---------------------------•-----------•-----------------•------------ Light Outlets..............................._......... Service, volts ....................................... Type of Wiring: Receptacle Outlets............................... No. wires .........._-------------_--_--_. Armored Cable .........._.....__.......... Dryer, KW...................................... --- Size wires...................................... Non-Metallic ................................. Knob & Tube-.............................- Range, KW------------------------------------- Main fuse -------------------------------- Rigid Conduit ............................... Water Heater: Enclosure .................... Metallic Tubing KW.........................._._......_....__. Type of wiring: Raceway ......................................- Heal: KW................................................... Entrance Cable ----------------------------- Circuits, Light...................................... Motors: size, volts and phase: Rigid Conduit ............................... Utility ........_................................... ........................................................... Metallic Tubing ........................... Heat ......................................._...... . Current transformers: Range ............................................. ........................................................... No. & Size....................................... Water Heater ............................... ----------------------------------------------------------- Ser. No............................................... Motor ........................................... ........................................................... Ser. Na.............................................. Dryer................................................_ ......................................................... Furnace_.................._..__._............... , TotalLoad----------------------------- Ser. No--------------------------------------------- /Total ......_......._......................._ —" Remarks: -- 'y�J' `�' -`�---f------ ---`=ll 4 I ---------------------------•----------•• -------•------ ------------------------------------------------------------------------------------------------------------------------------- - - - - ---------------------------------- - Permit Fee Tress. Receipt r --------------------------------------- No.... ........ ......... By - ____.. .__ ._ r ...['��Z�K/-h"'(ir,�-•.v'----- 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 N? 15904 Address .................................................................................................. Date..............-................_......_......_......... Owner ..........................................---..............---........................................................... Tenant....................................---............................. WiringContractor.......................................................................................................................... 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. i IM 'Olympic Printers, Inc.