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Home My WebLink About1115 E 8th St - BuildingCITY OF PORT ANGELES fi� I Q.— DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00000855 Date 8/10/11 Application pin number . . . 723940 Property Address . . . . . . 1115 E 8TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -2 -2170 -0000 - Tenant nbr, name . . . DANIEL & K LOCKHART Application type description RES REPAIR Subdivision Name Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 7500 ---------------------------------------------------------------------------- Application desc REPAIR WATER -DAMAGED CEILING & RE -PLUMB ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DANIEL R & KIMBERLY LOCKHART ANGELES PLUMBING INC 150 LOWER ADELMA BEACH PO BOX 1151 PORT TOWNSEND WA 98368 PORT ANGELES WA 98362 (360) 301-2631 (360) 452-8525 -----------------------------------------7---------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . REPAIR WATER DAMAGE Permit pin number . 190785 Permit Fee . . . . 179.75 Plan Check Fee .00 Issue Date . . . . 8/10/11 Valuation . . . . 7500 Expiration Date . . 2/06/12 Qty Unit Charge Per Extension BASE FEE 95.75 6.00 14.0000 THOU BL -2001-25K (14 PER K) 84.00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . RE -PLUMB Permit pin number . 190793 Permit Fee . . . . 57,00 Plan Check Fee .00 Issue Date . . . . 8/10/11 Valuation . . . . 0 Expiration Date . . 2/06/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -WATER LINE- 7.00- - - -- -------------------- - Other Fees . . . . . . . . . STATE SURCHARGE --- 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- ---------- Due Permit Fee Total 236.75 236.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 241.25 241.25 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. 9ho I Ili : h f AV,-\ L, U. " rJ :� -F1'j rR ( Jv�_ 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 Date I Accepted By Comments FOUNDATION: Footings �Sle-wa!! F Foundation Drainage / Downspouts Piers jPost Holes (Pole Bldgs) PLUMBING: Under Floor / Slab Rough -in 'K_ Z,21 r 11 Water Line (Meter to Bldg) IGas Line Back Flow/ Water FINAL Date Accepted by lAIRSEAL: Walls (Ceiling FRAMING: Joists / Girders I Under Floor Shear Wall / Hold Downs Walls / Roof I Ceiling Drywall (interior Braced Panel Only) T -Bar INSULATION: Slab } } Wall / Floor !Ceiling r- MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -in Gas Line Wood Stove / Pellet / Chimney lCommercial Hood / Ducts FINAL Date Accepted by IMANUFACTURED HOMES: I Slab 1Footing Blocking & Hold Downs ISkirting IPLANNING DEPT. Separate Permit #s SEP& I Lighting ESA: ISHORELINE: IParking Landscaping j FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY( USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 cf— (1, — I I -r-1Ptoriinn ni,iiinn/Ruildina Permit V_ PREPARED 9/16/11, 8:13:50 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/16/11 ------------------------------------------------------------------------------------------------ ADDRESS 1115 E 8TH ST SUBDIV: TENANT, NBR: DANIEL & K LOCKHART CONTRACTOR ANGELES PLUMBING INC PHONE (360) 452-8525 OWNER DANIEL R & KIMBERLY LOCKHART PHONE (360) 301-2631 PARCEL 06-30-00-0-2-2170-0000- APPL NUMBER: 11-00000855 RES REPAIR PERMIT: --------- BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------' BL99 01 9/16/11 ---------------------------------------- BLDG FINAL TIME: 01:00 - -- September 15, 2011 3:55:08 PM 1pangrle. DAN 360-301-2631 BUILDING FINAL - REPAIRED WATER -DAMAGED CEILING & RE -PLUMBED AFTERNOON HE REQUESTED THAT YOU CALL HIM 10 -MINUTES BEFORE YOU GET THERE. ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------- PL2 01 — --- ----------------- 8/23/11 -- — ----------- — ---- — ----------------------------- JLL PLUMBING ROUGH -IN TIME: 01:00 8/24/11 AP August 23, 2011 8:38:39 AM 1pangrle. DAN 360-301-2631 "PLUMBING" (ROUGH -IN?) AFTERNOON August 24, 2011 4:29:03 PM jlierly. PL99 01 9/16/11 J L PLUMBING FINAL TIME: 01:00 September 15, 2011 3:56:31 PM 1pangrle. DAN 360-301-2631 PLUMBING FINAL - RE -PLUMBED AFTERNOON HE REQUESTED THAT YOU CALL HIM 10 -MINUTES BEFORE YOU GET THERE. -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 8/23/11, 8:46:36 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/23/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 1115 E STH ST SUBDIV: TENANT, NBR: DANIEL & K LOCKHART CONTRACTOR ANGELES PLUMBING INC PHONE (360) 452-8525 OWNER DANIEL R & KIMBERLY LOCKHART PHONE (360) 301-2631 PARCEL 06-30-00-0-2-2170-0000- APPL NUMBER: 11-00000855 RES REPAIR --- - --- ----------------- ------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS - — ------- PL2 01 8/23/11 L PLUMBING ROUGH -IN TIME: 01:00 August 23, 2011 8:38:39 AM 1pangrle. IV DAN 360-301-2631 "PLUMBING" (ROUGH -IN?) AFTERNOON ----- --- COMMENTS AND NOTES 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 Applicant 7(-)A\/\Loc.�V,,,4,� Residential Property Owner CSA- w,_.e_ Property Owner's Address i g - c7 Contractor , q ��s p ( V^ Contractor's Address WA Ga License # �_�s.� u,a.11� P1� 4,L, so, C6�,��• PROJECT ADDRESS Parcel Number Expires /05 E .9-Fk SLt.t Phone Phone Phone E-mail Lot For City Use Only: Date Received g— 1 O - i Permit # 11_ Ss 5 5 Date Approved 3 (-Cl - 3o i - 9(-3 / � t t Tom nor. v--) A c! b ( -V Zoning Proiect Tvpe & Brief Description: Residential ❑ Multi -family EJCommercial ❑ Industrial Check all that apply �4�1�J A walls ❑ New Construction WA Ga n,osrt p -e 00, i- �_�s.� u,a.11� P1� 4,L, so, C6�,��• ❑Addition �Qww�.e_ d �L4�2 i' !� v.�n1e✓ �I �.b;i� < /� I d (�n l,l ❑ Remodel Repair ❑ Demolition ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Basement 1 s` Floor 2na Floor 3fd Floor Garage Carport Covered Porch Deck Shed Other Existin (sq. ftt Total footprint of structures ` Site Coverage = the amount of i and other impervious surfaces Proposed (sa. ft.) sq. ft. _ Lot size ous surface on a parcel, includin PAMC 17.94.135 for exemptions per sq. ft. = $ � ,�j `�� eW ti 1 TOTAL VALUATION $17 ! C-00 i sq. ft. = Lot co erage % :ures, paved driveways, s ewalks; tios, Site cove qe Max. height of proposed str turesft. Occupa y group # of bed oms Willa lawn sprinkler syste be. installed? Occu nt load # of f baths Will a fire sprinkler syste be installed? Co truction type # half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and undersi that it is my responsibility to determine what permits are required, and to obtain permits prior working on projects. Date /01// Print Name,L)A� L ,c lL af1f Signat�llv,.�-'C_�. � T:Forms/Building Division/Building permit application Clallam County Assessor & Treasurer - Property Details - 57895 DANIEL R AND KIM... Page 1 of 1 Clallam County Assessor & Treasurer Property Search Results > 57895 DANIEL R AND KIMBERLY LOCKHART for Year 2011 - 2012 r Property - Account Property ID57895 Legal Description: Geographic ID. 0630000221700000 Agent Code: Type: Real Base Amt. Tax Area: 0010 - PA 121 PORT ST CNTY H2 L WMP Land Use Code Open Space N DFL Historic Property: N Remodel Property: Multi -Family Redevelopment: N $1211.49 Township: Values Section: Range: 'Taxing Jurisdiction Location Improvement / Building Address: 1115 E EIGHTH ST Mapsco: Neighborhood: Neighborhood CD: Owner Name: Mailing Address: LT 13 EXC W1 2'&W25' LT 14 BL221 11 N N PORT ANGELES, WA Cycle 5 Res Map ID 2 10955130 DANIEL RAND KIMBERLY LOCKHART Owner ID 37517 150 LOWER ADELMA BEACH % Ownership: 100.0000000000% PORT TOWNSEND. WA 98368 Exemptions: Taxes and Assessment Details Property Tax Information as of 08/10/2011 Amount Due if Paid on: 47p]. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 152583 $1265.28 $1265.20 $0.00 $0.00 $1265.28 $1265.20 ► Statement Details 2010 40874 $1211.49 $1211.48 $0.00 $0.00 $2422.97 $0.00 Values 'Taxing Jurisdiction Improvement / Building Sketch Property Image _. ... Land __ ._ _ .. Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N/A". Website version. 9.0.32.2200 Database last updated on: 8/10/2011 3:57 AM © 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=57895 8/10/2011 %; . CITY OF PORT ANGELES 1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000828 Date 8/17/09 Application pin number 744096 Property Address 1115 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 2170 0000 Tenant nbr name DANIEL &KIMBERLY LOCKHART Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 6120 Application desc TEAR OFF & RE ROOF HOUSE Owner Contractor DANIEL & KIMBERLY LOCKHART LARRY S ROOFING 150 LOWER ADELMA RD 352 AVIS ST PORT TOWNSEND WA 98368 PORT ANGELES WA 98362 (360) 452 2215 Structure Information 000 000 TEAR OFF & RE ROOF HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF & RE ROOF HOUSE Permit pin number 151837 Permit Fee 165 75 Plan Check Fee 00 Issue Date 8/17/09 Valuation 6120 Expiration Date 2/13/10 Qty Unit Charge Per Extension BASE FEE 95 75 5 00 14 0000 THOU BL 2001 25K (14 PER K) 70 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 165 75 165 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 r�X91 Grand Total 170 25 170 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 from the last inspection I hereby certify that I have read and examined this application and know the same to be true and c ect. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granti of a rm t does not presume to give authority to violate or cancel the provisions of any state or local law regulating constru or the performance f cons ru n. - ��-C� Date Print Name Signature of Contractor 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By Comments FOUNDATION 417-4653 I Footings Building Stemwall I I Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs) i PLUMBING 1 Under Floor / Slab I Rough -In Water Line (Meter to Bldg) Gas Line Back Flow / Water I FINAL Date Accepted by AIR SEAL. Walls J Ceiling I FRAMING Joists / Girders / Under Floor I Shear Wall / Hold Downs I Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar I INSULATION. Slab I Wall / Floor / Ceiling MECHANICAL. I+ Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line I Wood Stove / Pellet / Chimney Commercial Hood / Ducts i FINAL Date Accepted by MANUFACTURED HOMES. Footing / Slab Blocking & Hold Downs I Skirting PLANNING DEPT Separate Permit#s SEPA. Parking / Lighting I I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 I T - Form s/Building Division/Building Permit °`''oRrq"cfr BUILDING PERMIT APPLICATION Print in ink ►'*�- CITY OF PORT ANGELES For City Use Onl Attn Building Permit Technician Date Received gid' 321 E. Fifth St. Port Angeles WA 98362maw, Permit # Com: 82: (360) 417-4815 fax (360) 417-4711 Date Approved Applicant Phone 4S2- ZZ15 Property Owne.r `>mn,`el RA'Wrn:loet,(m LbclLk&r -' Phone Property Owner's AgdreR Q ISO L w er A&be_( m a (20 r+ T'ew Seen ct , lf� r- q $ Contractor J grt-yj oe i&.6) Phone Contractor's Addre s-` 33z- A(&S a j- License#o�frU�i�og Expires I1 -v"9 E-mail PROJECT ADDRESS Ills G B �� Parcel Number Lot Zoning Proiect Tvpe & Brief Description. V Residential ❑ Multi -family ❑ Commercial ❑. Industrial Check all that apply ❑ New Construction ❑ Addition kTAlyf}LJe- Q�(I$ I fJ , llh5L 11 Sri Q(- ul- ❑ Remodel 1 ❑ Repairs (�( ❑ Demolition r X Re -roof X House ❑ garage ❑ other )ii/ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Basement 1" Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other Existing (sp. ft.) Proposed (sq. ft.) @ $ per sq ft. = $ TOTAL VALUATION $ b1 D Total footprint of structures sq ft. - Lot size sq ft. = Lot coverage % 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 % Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths / have read and completed this application and know it to be true and correct l am authorizeLrkjPnPg'yjk7 it and. understand that it is my responsibility to determine whatpermits e re .red, and to obtain permits prior to DD / Date 0-11— Print Name Qm ,�0 Signature T Foams/Buildino Division/Bldg Permit.doc I% i I* 1272, CITY OF PORT ANGELES _// FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A (o PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE ( 52 r -� I I CONT. LIC. NO TIMETOCOMPLETE I NO. STORIES + LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner A)?M_UR K. HAssEL Installation By %/AL✓O/QSFA/S ELE A71r, Owner's Address Installers Address 1426 W Day Phone 457 - /44 Q Installers Phone 4s7 -17A0.'l Application is hereby made for Permit to install Electrical Equipment as follows: CZJAA/GE '10QA mFA5W l [E F.f�OM D✓FRN,5AD TD L!A/06R6POL/it/Dt 4,61tIODGL !V/ 7: A10PI al,411AIa z M USE OF CIRCUIT LIGHT LIGHT CONVENIENCE ICONVEN I ENCE APPLIANCE I DISHWASHER DISPOSAL �(RANGE 4 (OVEN IWATER HEATER LAUNDRY DRYER FURNACE GAS - OIL FURNACE ELECTRIC ELECTRIC HEAT (ELECTRIC HEAT A C. UNIT FEEDER SERVICE NUMBER CIRCUITS AMP 20Y PER 10 CIR I I I I I I I I I I I I I I SUB -TOTAL 240V 1.0 OR FEE 30 Wiring Methori AMR USE OF CIRCUIT NUMBER CIRCUITS AP CIR SIGN 50 I OR LESS ESS I II MOTOR I I I MOTOR I I MOTGR I I II FIREALARMS I I I IIBURGLARALARM I I I MISC. I I II II I I _I II I l I REINSTALLATION LIGHT FIXTURE N II SUB TOTAL FEE II ENERGY FEE BASIC FEE �I TOTALFEE 120V 240V 10 10OR FEE 30 SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER 400 AMP SIZE OF SERVICE ENTRANCE CONDUCTORS A.W.G. SIZE OF GROUND SIZE OF ENTRANCE SWITCH PHASE I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application mads AU% 219 19 91-' By CONTRACTOR 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 thp City of Port Angeles. �DI�TORGHT Date Permit issued Y I I - Bit `��/\/// L 666 PLANS A R6VED 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. IWARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD- Inspector's Report OLYMPIC PRINTERS, INC DATEOFVISIT MADEBV REPORT OF INSPECTOR REMARKS •lUic 1 � 9.�I..�d ea.e4 oaN�l �o' Ulh4ic Dltas It J2 i -d . (f,( O.K. FOR COVERING , kv- E O.K.TO CONNECT SERVICE FINAL O.K. CITY Or PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N9 15672 Port Angeles, Washington----------------------------------- 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 granted to do lectrical work as listed below. Address--•,-,-�--,e------------------------- -=--- "---- - -- - Occupancy---.4_P_F------------- -----••-------- Owner -----`?tea :rr i'P_='= ------------Ga e ,'figRant ----------------_--------- -- --------------------- • ---------------- Wiring ContractoVr s f'��(/n=1 `= = P `='' By ---------------------------------------------------------------------- Light Outlets_ ............................. ... .. Receptacle Outlets ...................... .----- _ Dryer. KW .......................................... Range, KW ----------------------------------------- Water Heater: KW...........-�yy..-......:/�.71........-.---------- IIeat: KW......_G._y.....u.'..�..c:..�21/.. Motors: size, volts and phase Total Service, volts No. wires.2 ............................... Size wires... .... rl I Main fuse -----/--------T-- --- ---------........ Enclosure --- 5`-�-.-." _/!0 ............... Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing .. Current transformers: No. & Size .............. Ser. No .............................................. Ser. No .............................................. Ser. No. Ser. No. Type of Wiring: Armored Cable - Non -Metallic ..... Knob & Tube..... Rigid Conduit ... Metallic Tubing f /y Remarks- ------------. ��.�ef-----------------------_----_-------------_-_---- - _--------_ Permit Fee Treas. Receipt $------------------------------------- No ............................. By ..l..L-----V ---'-----r Y[/', £ ?-rtccL_FC •.. NOTICP 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 No 15672 Address Owner WiringContractor........................................... _.............. _............................................................. By .............................................................. NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con. cea led due notice must be given the Inspector so that work may be inspected before concealment. a 1M Olympic Printare, Inc.