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Home My WebLink About913 E 9th St - Building CITY OF PORT ANGELES r�t DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 NMI Application Number 12- 00000529 Date 5/14/12 Application pin number 042763 Property Address 913 E 9TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 7660 -0000- Application type description RES REMODEL on your state excise tax form Subdivision Name to the City of Port Angeles Property Use Y 9' Propert Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 14000 Application desc COMPLETE INTERIOR REMODEL Owner Contractor CEDAR STREET LLC KREPS CONSTRUCTION LLC PO BOX 2976 398 PIERSON RD 913 E NINTH ST SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 460 -2781 din '6•1l0•I1 Structure Information 000 000 Construction Type UNKNOWN Occupancy Type RESIDENTIAL Permit BUILDING PERMIT RESIDENTIAL Additional desc INTERIOR REMODEL Permit Fee 263.75 Plan Check Fee 171.44 Issue Date 5/14/12 Valuation 14000 Expiration Date 11/10/12 Qty Unit Charge Per Extension BASE FEE 95.75 12.00 14.0000 THOU BL- 2001 -25K (14 PER K) 168.00 Permit MECHANICAL PERMIT Additional desc Permit Fee 71.75 Plan Check Fee .00 Issue Date 5/14/12 Valuation 0 Expiration Date 11/10/12 Qty Unit Per Extension BASE FEE 50.00 3.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 21.75 Permit PLUMBING PERMIT Additional desc Permit Fee 134.00 Plan Check Fee .00 Issue Date 5/14/12 Valuation 0 Expiration Date 11/10/12 Qty Unit Charge Per Extension BASE FEE 50.00 5.00 7.0000 EA PL- PLUMBING TRAP 35.00 3.00 7.0000 EA PL -WATER LINE 21.00 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 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. J'l3 /Z D uia rteep %✓,j 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 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 FINAL Date Accepted by 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit Ws SEPA: Parking Lighting 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 T•Fnrmc /Riiilrlinn niuisinn /RuiIrlinn Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION NOW —111 321 EAST 5TH STREET, PORT ANGELES, WA 98362 a Page 2 Application Number 12- 00000529 Date 5/14/12 Application pin number 042763 REPORT SALES TAX Qty Unit Charge Per Extension on yolk state excise tax form 1.00 7.0000 EA PL -DRAIN VENT PIPING 7.00 t� the City Of Port Angeles 2.00 7.0000 EA PL -LAWN SPRNKLR BCKFLW PREV 14.00 Y Q' es 1.00 7.0000 EA PL -WATER HEATER 7.00 (Location Code 0502) Special Notes and Comments May 7, 2012 11:35:57 AM hcatuzo. ALL WORK SUBJECT TO FIELD APPROVAL. Public works electrical engineering has no requirements for this plan review. The Fire Department has reviewed the project application and has no comments May 3, 2012 4:07:41 PM sroberds. The proposal will result in removal of a 700 sq.ft. deck and replacement with a 120 sq.ft. deck for total lot coverage of 22% and site coverage of 34% in the RS -7 zone. No land use issues anticipated. Public Works Utility Engineering has no requirements for this plan review. Other Fees DOUBLE PERMIT FEE 263.75 STATE SURCHARGE 4.50 Fee summary Charged- Paid Credited Due Permit Fee Total 469.50 469.50 .00 .00 Plan Check Total 171.44 '171.44 .00 .00 Other Fee Total 268.25 268.25 .00 .00 Grand Total 909.19 909.19 .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 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. e Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDIING PERMIT INSPECTION RECORD PLEASE PROVIDE A MIN /MUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 Ci 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. Type Inspection T e Date Accepted By Comments P FOUNDATION: n 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 FINAL Date g e L lQ' l l ccepted by 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Q p Commercial Hood Ducts FINAL Date 0- 1O" LXAccepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit fts SEPA: Parking Lighting 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 N Planning 417 -4750 f i N Building 417 -4815 s I 17j- U LL T"Fnrmc /Rnilriinn llivicinn /Ruilrlinn Permit 4 N CO 0 W W 0 F K2 Q a H 0 r N O a N H N lD UJ r m u H H H W W W v) [A OO a W 24 W S S o a H U F UI a a 0 rl 0 h 0 m z o Ln Q O a c CO H 0 U 2 a- a H F ww w t 0 KC 0 H z a Z ZN,ZNN w 0 (f) z E H H h E z z 0 0 H H H O O (0 1 0 a c i) z H F H 1J H 0 0 a s 0 co) W u) U 0w 0 0 a m 0> a 00 0w a 7a 7KC a 00 0a aQa r(0 z O F 0 0 0 H H U l0 M O a v 00! U' 00 w00 Z A r 000 0 H m F O F 0 0 0) 0 V) O o a 00)0)00 a Q (1) N N N N W a F(MO W [-H F rHH H 0 rn W 0 U) 0 7. H a W 10 N 0 W a o 0 10 l0 Q 00000 0 0 a H H H 0 0 F W O :0: U a ,r4 N 0) (o (0 O) cn m m W F Q z 0 a a a a m m a 0 0 0 0 a< a H a a 1 .c3 7.) I C L .i• H N H 1 O i H 1 Q W W a a 13 a 0 F W W E CO r 0 N F o a l0 a •a 0 N 0 7 qZ 0 0 0 N i rt N W a I U 0 Cx I -C N H i O H W W Co' H CO 1 ra00 a 0 X w OOO o, z F H c X r./ as c o 0 H 0 U 0 Z 0 00S O, a' U w w 0 Z Z H Z 4 z H U))v a i I zX NU zE W zX 0 CO Z z I 41 0 0 0 0 0 0 a 0 0 W X H H t w H U /f 0 a H U 0 U 0 W E-∎\ 2 F\ U E.\ 0 U a V) H a' (0 V] 0 a V) (0 I H H Cu 11 X H H H H H a 0 0 0 0 7 41 0 0 0 0 0 E U 041 cn 0 0 Cr) CI) U m0) 0 a 0 0 V1 W W 0 7 1 W W W W W a a 00 P7 00 040 F0a 0a' a o E H Z W O o a' i M H U ,a E. O 5 H N5 r 6 t, a,) in I ti) E. W� a, [4 0 W AP. U H W U H W H V) W O N a 0 h H (0 Z a m EFOHoo 0 H a i W V) (0 o 0 0 ww 0 N 0 0 W W W w N 0 w w N 00 0 en (0 E. F. 0 w E-HH H P+HH H +0 041 0 ww V) W V)W 7.., H a 0 0 0 41-) 0 0 0 W a 0 0 41 0 0 0 0 i 0,X000 0 0 0 0 0 ,7 a .-1 0 0 0 0 0 1 0X 0X 0Z H W0 0 W0 m 410 m CO 0 I CG 0'1 a' 0 a' U 0 U a 0 w 0 w O H a 0 U) a a z F 0 0 F 0 0 F 0 o O N i a H W U a H 0) H 0, H a, W H' W z z a a .g a a, a a, a m a u a0oa4 a H 0 41 a E, E a H 4 _t I RECEIVED ry T r MAY 32012 my DES BUILDING PERMIT APPLICATION Print in ink BU,�.ile,_ aN CITY OF PORT ANGELES A ttn: Building Permit Technician For City Use Only: 1... 321 E. Fifth St., Port Angeles, WA 98362 Date Receive. 12 Naireiri (360) 417 -4815 fax (360) 417 -4711 Permit 1.24, Date Approved /3., Applicant /f /0pn, (.,,,,r, Phone L/_ ass/ Property Own 4r (7,: /pk s+- LL.0 Phone y77_ v3/ Property Owner's Address /3 .8, gq 7i, Contractor ae n Phone brp/ -x-737 Contractor's Address 3 1ss? Pie(2s„, R,.r License KRc ps 0 cr s 7icw Expires 1= i4_2c13 E -mail keepser, <?Qw q—cffcr .,vim; PROJECT ADDRESS q, L 6., ts Parcel Number ejL'j', 4,r, Lot Zoning S F2 Project Type Brief Description: Residential Multi-family Commercial Industrial Check all that apply New Construction papihr J r l h ><JKp •2 e o Addition J Ct e4.�� u 4,tc.; 47rS. S CN,� yPl� fl4 1 (vAfie `[,,,r5 4- 9 /f4 (P,,,.,,4- Remodel t gi,fftr,es J S h, ji.• 4- »4I4I4 Repair Demolition Re -roof House garage o other a tear off re -roof lay over one layer Heat System Heat pump o wood- burning stove gas fireplace pellet stove o other 'Other 1 n4-en br 1('9 mod Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 1Lk4O 541_ 2 Floor A et) 5 ,1i-- 3 Floor Garage Carport Covered Porch Deck OIROW 54 -ri- 1 20 Sc Shed Other S0o> remove., exAski 113 dew TOTAL VALUATION -a4 Q CQ Total footprint of structures •IA sq. ft. T Lot size Vt l sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including onr.tures, 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 3 Will a lawn sprinkler system be Installed? Occupant load of full baths i Will a fire sprinkler system be installed? "-r.-, Construction type of half baths ___i___ I have road and completed this application 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, and to obtain permits p` r to working on projects, Date Print Name sl kiee/i Signature �i✓,/ce T:Forms /Bullding Division /Building pe nit application :A- 2 7 S l Pi A 3- 1 1 1t NOTES Permit 1 2 S2' ?c-1-4&44, vn<9-s.e utyPr it 1404-12- (S T:Forms /Building Division/Notes a N......4 r c a 9 v elf a7 a. r f r .n tw t F wT'a r Y T CTb 4 CO e y qp�� b 9. f7,ff °�5i ,g" r r Cll F r y g Pia' yin, l.b° n r 1 As rt I �f y n "fir at de /r 1 f 4,,,,:,,,I;14, (y Ww q t $M� a y n e• R.�v kF r rk ns �ry y., fir 'cl a r✓ M g N y 4, L 'N v im" y X }n y d A�. 'y b S `D' P }F e Y p ''''s, a F �r A` /0 pct* A "71.4., \:,":44..„.4,„...,,,,„.:*'*44444:0144,1,. ids y a 407 p i r oa 4. kn N ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 cET Application Number 12- 00000514 Date 4/30/12 Application pin number 054504 Property Address 913 E 9TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 7660 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp service and 15 circuit. 2x fee no permit Owner Contractor CEDAR STREET LLC BEST ELECTRIC PO BOX 2976 P.O. BOX 2445 913 E NINTH ST SEQUIM PORT ANGELES WA 98362 SEQUIM WA 98382 (460) 2248 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc DOUBLE FEE WORK WITHOUT PERMIT Permit Fee 390.00 Plan Check Fee .00 t \�Jfvt Issue Date 4/30/12 Valuation 0 Expiration Date 10/27/12 Qty Unit Charge Per Extension BASE FEE 195.00 15.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 75.00 1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due Permit Fee Total 390.00 390.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 390.00 390.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE 6 l i ROUGH -IN /a 10 FINAL t jl I Z COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X s. Date: G: \EXCHANGE \BUILDING oF poR Zo ELECTRICAL INSPECTION `FN WIRING REPORT cwoRirs 4174735 DATE: INSPECTOR OWNER c rz LLC CONTRACTOR ir LG ADDRESS rL APPROVED OT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: KO VSTS re 137E f'l -1 Qi;1tz LL71 e. Zt j �i c 1.3 P c_ p UC-L� T 2th C- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE P EDT l 9 [1 A \TOO i l N CITY OF PORT ANGELES PERMIT APPLICATION APR r 1 Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL _,:d_�: d_ v I Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Date: 1 36 k 2 Single Family Dwelling Plan Rev Be Re wired Please Complete Electrical Plan Review Information Sheet Job Address: 1 Z L Building Square Footage: '7 nC� Description of above -.ice _-s_' a Owner 10,tormatipn 5 Contrac r 'r Infor ation Name: C-14 Y C Name: Z y Mailing Address: Mailin. Address: 41 1.1/1PilC�i� -7 City: State: Zip: Cit State: 1 -(Zip: 9 0" Phone: Fax: Phone: Ti Tax: License Exp. License Exp. is r 1 TZ Item Unit Charge gy Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. $120.00 •/6 6 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 'x 5 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 00 Note: $5.00 for each additional T -Stat q NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 ct i--- Each Outbuilding or Detached Garage 74.00 �J Ij Each Swimming Pool or Hot Tub 110.00 OK I C�N p Tota r. 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 re uired 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., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contra r or electrical administrator: Cash Check V j Credit Card X Y Dated: k 0110112012 1 0 N ELECTRICAL INSPECTION N WIRING REPORT 417 -4735 DATE: PERMIT INSPECTOR 911811z. RiEiDo t *___p OWNER C pP vT -VET wC.., CONTRACTOR ADDRESS 9 1 v- s 7 APPROVED OT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL V> CORRECTIONS NEEDED: 1C t- A'. C.-71 R i 4. LAO )2. l< R51Q f'1 t j a 0112.r 16cFovZps A'4y tA.5 of4 1.c c_.0 vil vcr-ZV VA- L 1 -l-C/5". O 2) g...t.,&c,'=RtLnt,. i►+34;5 _Gtaiof1, p 5 weal) 2 V 0 T o P1 col i p c.: i'ovi tEVL A1MtG lLi .t 4 O%O NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Apr 18 12 01:11p p.1 1:. DAILY JOB BRIEFING This must be filled out each job. WA 296 45 135 Truck Number: '4 i t 53 Person in charge: Tr Job Number: `{7C Lf I Date: L (4Z 1rt_ Job location: G 6 Ti fit. Job Type: ■R.^o, a.c {v, —f- 4 Inspection f 4 Regular Work Emergency Work r.0.... HAZARDS ASSOCIATED WITH THE JOB: Energized Equipment ;High Voltage Traffic Control Excavation Hazards Hazardous Materials (PCBs) )2 Pinching hazards or sharp edges Confined Space ,2 Eye or face Hazards Tripping or falling Hazards p Overhead Hazards El Weather Other Hazards WORK PROCEDURES INVOLVED: Accident Prevention Plan Other SPECIAL PRECAUTIONS: Working with Other Crews Proximity to Other Utilities EI Other t f r C tit `Vehicle parked in a safe location. Barricades or cones have been set and a safe work zone has been established. Energy source controls required: id i L_ PERSONAL PROTECTIVE EQUIPMENT REQUIREMENTS: Access job site for potential hazards, Use proper PPE H ead Protection Hearing Protection 0 Clothing i/Hand Protection F Eye /Face Protection Safety Belts 0/Foot Protection Respiratory Protection Other Print a nd Sign Name, Personnel on work site v ,i (I 1 \r�r l J V C vl i vvhL. t c9-t -1 K --e ne-f -c(D cam' Z iU 1-r CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt.> 17317 /' ... 51 "'() Port Angeles. Washlngton......._..........._.._. ................................... 19.r.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- :~::s: i:.~:.r:~.~2~::;;_r~..::_:::t_~~_.::IO:~cupancy___&~.........._____...........__ o~~er ...9.....~V~:./~~ ~r'!k...m....m........-.....-...........--...-...................m.. WIrIng Contractor mm~..J::'~........._..._._....____........__.._____....... By...___................____...mm..._...m...._.....m.m....... . . Light Outletsh.____h______________________________. Service, volts I--"::;"'PL:??.:"i!.:--- a' No. wIres ..m.mm-;7m..........c_.... 0/1 t:~'/ SIze wires........................~.........._.. Main fuse _____~~h~_____nn .:s:-- Enclosure ....................................... Receptacle Outlets............................... Dryer, KW..n_....__............____............... Range, KW m..m. Water Heater: KW.hn_______________h_______________UU__ Type of wIring: Entrance Cable ...............h.m........ Heat: KW................................................... Motors: size, volts and phase ~ ~--- /- r-I' J6{.h' /5-- -t.. h---~4-c.---u;-"'----h"1&J 1 ,Y,- W-1Kd.a7~~~';{! Rigid Conduit ...m.mmm....m........ Metallic TubIng .........................d Current transformers: No. & Size....................................... Ser. No.............................................. Ser. No. dn......................................... Ser. NO...........d.................................. Type of Wiring: Armored Cable ............................_ Non.Metslllc _______.0.0.0.___________0.______ Knob & Tube................................_ Rigid Conduit _m_mm__mhh__hhh___ Metallic TubIng ........................... Raceway ......................._......_._..._ Circuits, LIght....................................... Utility .___hu___u______hunnnn.________n___ Heat ......................................._...... Range ............................................. Water Heater ............................... Motor _._........................................ Dryer ....................._........................._ F urn ace .........................,~................... Remark:~ta:__:~~....-...~..~~:;~~~~,r:::..~,~:;:~.~:;::-.~::-::.-:..-:;~~~,~..~....~:~.~:..~::-.-:::-::::-:::-::::-:::~::~:::-:: ..__.___.____..____.._..h___.__.______________..._....._u_______.___.__..______.__._._...__________..______..____.._..____.....___._.._.___.__._________.___..._....___.._... -;~;;;,;;-;~~------...................----;~~~~...~~~~;~~..--u-------u---..-m.........u7?(jj::~..;t.......;/u........ $:........................--__......... No........................_... By ...........f.::..u.l.~~:.4~:.r:.~..~(!::.~:~..~.~.,~.r.~~ NOTICE-Current must not; be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due noUce 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? 17317 Address........__........._...................................................................................................................Date..._......_n_.._.._.........._......_......_......... Owner..................................._......_.._......_......_.._...........................................................Tenant.........................................................n......... ;::::WiringContractor...........................................................-............................_,............................By.............................................................. '\ ~OTICE--Current must not; be turned on until Cerdficate of Inspection has been issued. If work Is to be con- cealed'-~e notice must be given the Inspector so that work ~y be 1Dspected ,before concealment. \ -......,,, . 1M Olympic Printers, Inc.