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Home My WebLink About135 W 11th St - Building Electical Permit 135 W l Ith St 11 - 1388 ELECTRICAL PERMIT CITY OF PORT ANGELES W 360-417-4735 Application Number . . . 11-00001388 Date 12/09/11 Application pin number . . . 507756 REPORT SALES TAX Property Address . . . 135 W 11TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2745-0000- 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 . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 1 0 ---------------------------------------------------------------------------- Application desc 320 amp circuit, 1 circuit boiler ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ QUEEN OF ANGELS CHURCH ANGELES ELECTRIC CCAS PROPERTY & CONST 524 E. 1ST .ST. 710 NINTH AVE PORT ANGELES WA 98362 C ^, SEATTLE WA 98104 (360) 452-9264 v V ------------------------------------------------------ -- ------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 148.10 Plan Check Fee .00 Issue Date . . . . 12/09/11 Valuation . . . . 0 Expiration Date 6/06/12 Qty Unit Charge Per Extension 1.00 2.6000 ECH EL-BRANCH CIRCUIT W/FEEDER 2.60 1.00 145.5000 ECH EL-201-400 SRV^FEEDER 145.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 148.10 148.10 .00 .00 'k-_ Plan Check Total .00 .00 .00 .00 Grand Total 148.10 148.10 .00 .00 �Rc►,vLD u�9r1D K+�t K. INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE 1 ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X r Date: G:AEXCHANGE\BUILDING 0,>----y ELECTRICAL INSPECTION V��N WIRING REPORT `' �F 417-4735 cRKS 6� DATE PERMIT# INSPECTOR /j7/l/ OWNER/CONTRACTOR 2411-E Sri ADDRESS r APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . .. K. . . . . . . . . . . . . . . . . . . SERVICE ... . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: 0tiQS7 Cd�11�1�b1T �7—`-- y � '- S �Z YtiYUq"� �0-2 '�14 1L F'i x+E D WW1TL11+•1�� t�STRUC3'V�� l�lr.G �1�.. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS,INC.(360)452-1381 11/22/20111 08:32 FAX 360 952 9265 Angeles Electric 0 0001/0002 1 R EAC,E V E ,.Ctty�;ofpotf:Anp�la PilmltApppOitlon •• (� ��ru9r; nl �ktfu>In.l DEC NOV 2 2 2�1�3 sIfBtri°L111aot 1150 tw ELECTRICAL rnitdfir. . € #�.mt ELECTRICAL INSPECTIONS INSPECTIONS •�,Mulu-Femfybr-GotnnmwdaP Commei etAddon"l teredod lftamodel/Repsr . •Platiawo A r/t4 Reclutted.Please Complete EleOtr W Men Review Inbma0oe Sheat •. !/ — `Job 1Cddi=: f � 111,44 8i�lldlr}�;5girarefo_olgpe: �y� • •r0e$crlptlon. .above 'Na irtie; New L M tees: <t ltyi Stem 21p:• City. Stater,AA4L,,w 21p: ::. Phone' — �e 'Phone,.y� t__Fa�c s�2•—Ez6rt' r Llan e#l Exp_ LfW" Total 10ty M�bv Unuchame) ' -S :filp0`: � = SanAtelFaeder20oJurp.• �q5 ( _ �.�"15:60' = f3aMo�fFsoder201.t00Amp. s ftYj efFeedereot�aoo :xzo4:eo . .. gip• • •.s�euo s s��loelF..dertoot•t000 An�p. � . �. :s3nso i 3~eedwanir1000Atnp. •�::-...3.:.2.eo :50' � t 6ranoh CtisultYl9 Savla Fader I . i . 5 ....Brame Ckud V i0 8uvloe Feeder EeehAddleaeelBfitd*Midt s..1i�.10 • ; Temp.ft�enAo�IFrader�ODAmp. I .•;'s•tf0�0. f Temp.BarkelFer�tar201•fW.Am� •• . .5.14E.T0 i Temp,BrtNalFadei�101-000Amp. stftTAO:. . . i Tunp 6eMosfFledw501-t000Amp. Paw .� �:a . . � _ ��unmd�►–C�nrnendel.Adar�er,woss�o - a-b3A0 _ Bipnel t2rald linMd Ei»ipy•t i Famep OweBrq . , ' : bkeafOrrAesdakeiaCeietse0oti '� ':1tiaA0 S RerfrHlelfe�6>eu�-SKVAB�marlra ! . ..•`i370:30''� .. s FYirt1300fiqufirFt .. ::J520 5 a Addmm wo*p=FtaFoift or ' :5 73:50 i Ech Ouetltldttg ff bitp W Gaspe _ rr t .�T_ = f�f9nfmdn�Fe6lorHotTltb =—'—TThIMUM W &knliis,dwbfdDyRCN'.1e.uf1:M OMW WW ONSPY the aucw0 f6rwye rsa rs �odrAe�/p�rmftAr flsoedrd M OwnwAmp n an aiKtrfaleartraetord''' srb011sialdpror�rliltiiaaMlArNara.Pe�rtltwxpinaaAsraeranoedta aflaalAarpeenlru. Altst;;. Inp}ta ibova.elebeNnt I Mpbr eaeUM that 1 em tlw owner et9n avow stand pn�pabora panad eMebrleal eonlrealar.l ee� I tfia NeatAsallntlanedon of' i1Gt 1rtp6iAp� lij rSt!ttretrkaf: N.ZC.,MW.Q2pbr19.2&WAC.C1irP1�r29Ffe�3MClgrof.t�ortMoetaBunkiptlCede i IM�4r ° .'S1pn�btn:oTownar;al�laloontreeloror1KtrlraleGnunlstraEor ! D Cqk .. . O hesk• �N , /' �, R SINGLE FAMILY - STANDARD ARTICLE L® DEMAND PHASE NEUTRAL 220.3(b) 3,X a7d' 'a `4100 GENIIRAL�LIG G 220-16(x) 1600 X 2(OR MORE)— .SMALL AP'P'LIANCE 220.16(b) 1500 X 1 (011 MORE)- L.AUNDRY TOTAL _...__--._-.----•--------------_._.__.-�- 220.11 FIP.ST am 100% � 0 $001 - 120000 35% 120001 AND OVER 25% 220.3(cXl) APPLIANCES:' WATER BEATER DLqHWASHER ----- DISPOSAL INSTAHOT TRASH COMPACTOR 311CYi0,3YE Pim 1 220-18 rCab� X.7 DRYER(b000W NM 220-19 — `% X ,7 RANGE 220-21 LARGER OF: BEAT AIR 4I0VYNG 220-1� LARGEST MOTOR X .2b __...._ ........ ................................................. z� :S►� TOTAL *220-17 75%FOR 4 OR MORE APPLIANCES VASTLNED IN PLACE 2,1 -12� 04/18/2006 08 33 3604523498 OLYMPIC ELECTRIC PAGE 01 ELECTRICALWORKPERARTAPPLICATION ; Installation description Job wired by 13 Electrical Contractor ❑Owner ❑ Commercial 17oi6sidential Electrical contractor nna�amyye License number Dale Expires ❑New ❑Altered/Addition .ee-4 r` 1/�C ©" Pu are mailing address T Ci t �� / state ZIP /Jr fir r/ �� s��v�,•� ��/�G „��,�7�7.7r� Tcicphpnc number FAX number Premises owner' name Address or inspection Z.Z 5— r� crt�d�f�Q«/rf Phone number to schedule Inspection Owner as drfined by RCW 19.28.261•(1) Owner will occupy the structtI.,". years after thre electrical permit is finalted. (2)Owner&required to hire a contractor if above said property is for.rale, renr or lease, 0 Cash ❑ Check#3 Aller reading the above statement,I hereby certify that I em the owner ofeo named property or a.licensed clectncal contractor I am making the electrical instal- M'ZreditCard Visa Mastercard Discover v` lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19,28, WAC- Chapter 296-46B, The City of Pori Angeles Municipal Code, and Card# - Utility Specifications. ---------_--,---- signature of owner. electrical contractor or electrical administrator Expiration Date X 08tB, a6 of card $spcction fee /_ �+ Electr cal_Load_Adt�ltLt7Aez�llCtpr subtractions er lc_e_l_nV=M.on O NO LOAD CHANGES ❑ Baseboard _KW voltage ❑ Furnace _KW ❑ Overhead Service Phase 1 O 3 ❑ Heat Pump �.Ton^LAR ❑ Temp Service Service Size. ❑ Fan-Wall _KW ❑ Underground Service Feeder Size; SAME DAX INSPECTION, CALL BEFORE 7 00 AM 360-417-4735 ROUCJF-IN T�RMOSTAT SERVICE Date Approved By Date Approwd By Date Apprvwd By % FWAi, DrTCU %.DER Date ADpMv d Ry Date ApproveU BY Date Approved By Inspection Area,Buildingor Equipment Insected Action Taken Electrical Data Inspector 4�V4 AV �� vt off 117 iL .5-- v .D PREPARED 4/27/06 13 01 30 INSPECTION TICKET PAGE 16 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/27/06 ADDRESS 135 W 11TH ST SUBDIV TENANT NBR REPAIR FIRE DAMG AS NEC CONTRACTOR DOUBLE S CONST PHONE (360) 452 0824 OWNER AKERS GARY/DONA D PHONE PARCEL 06 30 00 0 3 2745 0000 APPL NUMBER 06 00000326 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 4/25/06 JLL BUILDING FRAMING TIME 13 00 4/25/06 DA 04/24/2006 10 20 AM DYASUMUR BRIAN 460 9463 04/25/2006 04 22 PM JLIERLY no answer at door called contractor left message/jll BL3 02 4/27/06 JLLp BUILDING FRAMING TIME 1300 vi 04/26/2006 01 41 PM DYASUMUR STEVE 460 9423 COMMENTS AND NOTES PREPARED 4/25/06 13 00 41 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/25/06 ADDRESS 135 W 11TH ST SUBDIV TENANT NBR REPAIR FIRE DAMG AS NEC CONTRACTOR DOUBLE S CONST PHONE (360) 452 0824 OWNER AKERS GARY/DONA D PHONE PARCEL 06 30 00 0 3 2745 0000 APPL NUMBER 06 00000326 RES REMODEL -- - - -- ---- ---- PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 011251,06 JL BUILDING FRAMING TIME 13 00 04/24/2006 10 20 AM DYASUMUR BRIAN 460 9463 COMMENTS AND NOTES o Ott - a) i d' 4"', CITY OF PORT ANGELES 4�N DEPARTMENT OF COMMUNITY DEVELOPMENT BLUDING DIVISION v 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 06 00000326 Date 4/11/06 Application pin number 049268 Property Address 135 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 2745 0000 Tenant nbr name REPAIR FIRE DAMG AS NEC Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 6000 Owner Contractor AKERS GARY/DONA D DOUBLE S CONST 150 S 4th ST PO BOX 1386 DIXON CA 95620 PORT ANGELES WA 98363 (360) 452 0824 Permit BUILDING PERMIT RESIDENTIAL Additional desc REPAIR FIRE DAMAGE Permit pin number 74294 Permit Fee 151 75 Plan Check Fee 60 70 Issue Date valuation 6000 Expiration Date 10/08/06 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL-2001 25K (14 PER K) 56 00 Other Fees STATE SURCHARGE 4 50 ti Fee summary Charged Paid Credited Due W Permit Fee Total 151 75 151 75 00 00 1 Plan Check Total 60 70 60 70 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 216 95 216 95 00 00 ti 1 rt s 6 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 as 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. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T•\Policies\l 10215 building permit inspection record05 wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGSJ 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 WALUHOLD DOWNS WALLS/ROOF/CEILING — DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS 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. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 4174807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T•\Policies\1102_15 building permit inspection record05 wpd[1/4/2005] 011"".11 Lp 1a/1�4cG /`l V S FOK OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION Date Rec. Permit#� Fill out COMPLETELY and in INK.Your application and site plan MUST BE Pe Aaprovcd. COMPLETE to be accepted for review If you have any questions,call PERMITS (360)417-4815 FAX(360)417-4711 Date Issued: Applicant or Agent: �ow�.Q.t Cm Phone:pc_, Phone: 411—s a o Owner Tnr`nA Q[' cb Phone. I Address. nc y') lk*"- City_ Zip Ar chitect/Engmeer• Phone: Contractor w•1,1`E g �a i� i L State License# errB16%664 Exp 12.3a 6-1 Phone. 41.1 s-aos Address: P o bog 138 b City !�,N Zip q2,3 j,a PROJECT ADDRESS L 35- tJ ZONING LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATION Residential ❑ New Constr ❑ Re-roof ❑ Stove SF @$ /SF =$ ❑ Multi-family ❑ Addition ❑ Move❑ Garage SF @$ /SF =S ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF @$ /SF =$ fC Repair ❑ Sign ❑ Other TOTAL VALUATION $_ (Q4,=0 BRIEF DESCRIPTION OF THE PROJECT r n COMMERCIAL/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 "� f " ' t'^�� r APPROVALS U PLAN BLDG DPWU ESA/Wetland(s) ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other- FIRE.- 0 THE, IREOTHE 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. EVIRATION 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 Buildmg/Residential Code,2003) No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same 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 not the City's, and that I must obtain such permits prior to work. T•\FORMS\BIdgPermitform.wpd Applicant: Date: CITY T ANGELES ELECTRICAL PERMIT ATo LIGHT DEPAEPA RTMENT j� . 14904 Port Angeles, Washington - /--------------------- 19>3 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/elec real work as listed below. J� S`-`---?" llel-' Occu anc Address --- - ------ - p y 're--Q`.r Owner .-' _ :c=__s_-------- ----------------------------- Tenant-------_--------------------------------------------------------- WiringContractor----j'f------- _ -------- ---------- By--------------------------------------------------------------------- / �e a E f ��----- Type of Wiring: Light Outlets................................ ._..... Service. volts .--.---.----.-..--�_c_----- Receptacle Outlets............................... No. wires ------- Armored Cable -.-.--.-----------_-_-_-___Dryer,KW . t Non-Metallic .-- Size wires-_y�l,,. ..- ................................. -f3.6/t Knob & Tube------------------------.-----. Range,KW_--.__.-.-.--. Main fuse......----._.............___.___ e- Rigid Conduit -------._--------------_----- Water Heater: Enclosure ...: ............................... Metallic Tubing ._.-.....----_._......- Type of wiring: KW.--'---------'-`--- Raceway ..-----------._...................... � Entrance Cable-., Heat: RW..,LC!... :!:r.-;2.a-< ¢:- -:::Q_ Circuits, Light------_--------------------__..-.__ i Rigid Con it ------------------------------- Motors: size, volts and phase: Utility --------------------------------------------- al Tubing ..................... Heat ........................................................... Curren runsformers: Range ............................................. -------------------------------------------------------- . . & Size.-------------------------------'-' � Water Heater ------------------------------- ----------------------------------------------------------- Ser.No.............................................. Motor ...................................... Ser. No..__---_.........._.......................... Dryer.....-------...................................... -------------------_----------......................... . Ser. No.---------..-..---- Furnace TotalLoad-------------------------'• Ser. No.-`--....................._..........._.... Total ---`-....._._...-..------------------ Remarks: -- ^_r x — ----- =i-- :�.:. _,_ -= s ------------------------------ ------------------------_------------------------------------_----------------------------------------------------------------------------------------------_------------------- -------------_-----------------------------------------.------------------------------_-__-.-__--._-_---__.-_--.------------------------------------------------------------ 11 Permit Fee Treas. Receipt >' ; I ^ ___-___.___----------------------- No---------------------------- $ ✓l 1` 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° 14904 Datecalledfor�9naP//Q ...............................___.............._........-----.-----...-_......---_--....----.................---..._.__..._--- Preliminary-iilecti- ... :................_............................._............-.-----.............................................._..._.-----_.........._.................-_ o<— Inspection completed..._--_-_-.-.'/......-................................................................................ ................................__-.-----------------........ TotalLoad ........:: ..........................................................................._. 1M 3-72 Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 14902 Port Angeles, Washington---/-- ----- -/----�---------------------------------- 19,)3 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 � ' ---/-�-S--�r--�/-- -------------------------------'---------------•----- Occupancy--------------------------------------------- Owner -----=Or e_f_.n �.._----------_-"----------------'----- Tenant-------------------------------------------------------------------- Wiring Contractor �r`. 'su�: ' - ------------------------------ By-------------------------------------------------------------------- Light Outlets........................................ Service, volts --........vo.�jy�.............__..... Type of Wiring: Receptacle Outlets............................... No. wires ... Armored Cable ............................. _..................._........ Size wires_./4 Non-Metallic ------------------------........ Dryer, K W.......................................... ....._.._. Knob & Tube.................................. Range, KW------------------------------------------ -__-------------- Main fuse... .1...!................ ,– Rigid Conduit ----------- ------------_- Water Heater: Enclosure .......... ........................... Metallic Tubing Type of wiring: KW..................._. Raceway ........................................ rf Entrance Cable ............................. I lest: RW...w....�_!cS.:.G-f^c�6':".` ,– Circuits. Light....................................... Rigid Conduit ------------------------ ----- Motors: size, volts and Phase: Utility ............................................. Metallic Tubing ........................... lies[ ........................................_._.. ........................................................... Current transformers: Range --------------------------------------------- ........................................................... No. & Size ................... Water Heater ............................... ........................................................... Ser. No.........._................................... Motor ..................._...................................... Ser. No.................................. ..................._..................................... Ser. No......_..................................... Furnace TotalLoad---------------------------- Ser. No............................... Total ....................................... n r f: Remarks: 01, t•�, r :r r `T = ==� ' ------------ -------------------------------------------------- ---------------------------------------------------------------------•------------------------------------------------------------------------------------------------------ ---------------------'-------------- -------------------------------------------- -----------------------------'------------------------------------------------ Permit Fee Treas. Recei t _ p f / 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 16 r ELECTRICAL PERMIT 1lTO 14902 Datecailed/forSlnspection.ATr.//f '4.............................._....................................................................._.......................................... Preliminary'V P n¢dAee_'... ................. ...................._..._._•..:..........._...._. Inspection completed. ....C.:.L'........._..............................ti� .........................................................................._. TotalLoad ............................................. ...........................................---------------------------- 1M 3-72 Olympic Pnntem, Inc.