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Home My WebLink About1914 W 18th St - Building Electical Permit 1914 W 1 8`h St 12 - 1507 ELECTRICAL PERMIT N CITY OF PORT ANGELES x-- 360-417-4735 Application Number . . . . . 12-00001507 Date 11/16/12 Application pin number . . . 477959 Property Address . . . . . . 1914 W 18TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-1-1-1900-1000- 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 . . . . . . . INDUSTRIAL LIGHT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc HVAC replacement 1-4 circuits ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PORT OF PORT ANGELES ANGELES ELECTRIC PO BOX 1350 524 E. 1ST ST. ^ PORT ANGELES WA 983620251 PORT ANGELES WA 98362 •�JJ (360) 452-9264 ---------------------------------------------------------------------------- t Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee . . . 86.00 Plan Check Fee .00 Issue Date . . . 11/16/12 Valuation . . . . 0 Expiration Date . . 5/15/13 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 (�(� Grand Total 86.00 86.00 .00 .00 V C16 A ��yh � kd 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: G:\EXCHANGE\BUILDING 11/15/2012 15:28 FAX 360 452 9265 Angeles Electric 100002/0002 j 0� � t . CITY OF PORT ANGELES PERMIT APPLICATIi N Building Division/Electrical Inspections 321 East Fifth Street—P.O.Boz 1150/Port Angeles M shinon 98362 Ph: (360)417-4735 Fax: (360)417-4711 I tP3S?`Ciir:b`' Date: _Multi-Family 6r Commercial' `Commercial Addition/Alteration/Remodel/Repair" "Plan Review May Be Required,Please Complete Electrical P19in Review Information Sheet Job Address: Building Square Footage: �P'►[Y3 Description of above t AA Owner Inf ation Contractor Information Name: t N Name: Mailing Ad s: Maili gess 6Wly - R1 City: State: Zip: City: State:, �i Phone: ax: Phone: Fax — lkense N I Exp. license ff I t::p. Item Unit Charaegyt Total(Qty Multiplied by Unit Charnel Servioe/Feeder 200 Amp. $132.00 $ Servioe/Feeder 201400 Amp. $160.00 $ Servioe/Feeder 401.600 Amp $225.00 $ Service/Feeder 601.1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuits 14 $ 86.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Servioe/Feeder 601-1000 Amp $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline lighting $ 88.00 $ Signal Circuit/Limited Energy—Multi-Family $ 64.00 $ Signal Circuit/Limited Energy I First 1500 sf—Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or less $113.00 $ Thermostat $ 56.00 $ Total 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 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,1 hereby certify that I am the owner pf the above named property or a licensed electrical contractor.I am making the electrical installation or alteration in compliance with the electrical lows,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.000 regarding Electrical Pe it Applications. Signature of owner,electrical contractor or electrical administrator: ❑ ❑ Chea, CreditC.,dI Dated: /�' is /Z 01/0112012 PREPARED 3/06/09 8 49 25 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/06/09 ADDRESS 1914 W 18TH ST SUBDIV TENANT NBR CLALLAM CTY OLD JVNL FAC CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER PORT OF PORT ANGELES PHONE PARCEL 06 30 00 1 1 1900 1000 APPL NUMBER 08 00001096 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 3/06/09 JLL BLDG FINAL March 6 2009 8 45 24 AM 1pangrle MARK 477 5409 BLDG FINAL PERIMETER MANSARD RE ROOF AT THE OLD JUVENILE HALL PLEASE CALL HIM BEFORE YOU GET THERE COMMENTS AND NOTES �c CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION G� 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 08 00001096 Date 9/03/08 Application pin number 572016 Property Address 1914 W 18TH ST ASSESSOR PARCEL NUMBER 06 30 00 1 1 1900 1000 Tenant nbr name CLALLAM CTY OLD JVNL FAC Application type description RE ROOF Subdivision Name Property Use Property Zoning INDUSTRIAL LIGHT Application valuation 20000 Application desc TEAR OFF AND RE ROOF THE PERIMETER MANSARD Owner Contractor PORT OF PORT ANGELES HOCH CONSTRUCTION PO BOX 1350 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 983620251 PORT ANGELES WA 98363 (360) 452 5381 Structure Information 000 000 TEAR OFF & RE ROOF PERIMETER MANSARD Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF PERIMETER MANSARD Permit pin number 133579 Permit Fee 347 75 Plan Check Fee 00 Issue Date 9/03/08 Valuation 20000 Expiration Date 3/02/09 Qty Unit Charge Per Extension BASE FEE 95 75 18 00 14 0000 THOU BL-2001 25K (14 PER K) 252 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 347 75 347 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 352 25 352 25 00 00 '0 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 Y 3o8 t. A QOL"NA A Elate" Print Name Signature of Contractor or Aut ized tent Signature of Owner(if owner is builder) 'r.forms/Building Division/Building Pennil(05/13/08).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. .� INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/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 ..3 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 11'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 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT TBUILDING n n 417-4815 BUILDING / -�- JS Po Px 1�� f'fl tr�>R �g3r�2-©251 .,� Poi--�- jP�� °Rr BUILDING PERMIT APPLICATION Print in ink 1�i CITY OF PORT ANGELES v im Attn: Building Permit Technician ��C Date For City Use Only_ Received 321 E. Fifth St. Port Angeles,WA 98362 Permit# OR' (360)417-4815 fax(360)417-4711 pP� Date Approved Applicant or Agent J t>A c-�t y�,i„�p�`�J ` Phone Property Owner ea'Nu y-, c<w Phone ALA. 2-42-1 � r Property Owner's Address ZL22 GA5T -VR tit. , 5,�.� � , ?opr aiv�I�S ,��_r, c CGntr aer p� - h�rno hpaA Phone 502., Z31d 33oo Contractor/Engineer's Address �o �0)C g(-03$ B � az, License # coX&M4-�� , ,�cri Expires PROJECT ADDRESS ��I�} -� &vk Parcel Number 4(036 0011 MO !oo of Zoning Proiect Type &Brief Description. ❑ Residential1�Commercial ❑ Multi-family ❑ Industrial Check all that apply /� ❑ New Construction ❑Addition ❑ Remodel tepair Mena /❑ Re-roof t ❑ Demolition ❑ Heat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sg. ft) Proposed(sg. ft.) Basement @$ per sq. ft. _$ 1"Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other �►-�\_`p$ 20/oeo 0 0� TOTAL VALUATION $ Total footprint of structures sq ft. T Lot size sq.ft. = Lot 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 I have read 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 obt -n pep ts prior to working on projects. Date Zo of Print Name oEl� I�J�lo Signature T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc WEST 18TH STREET OLD JUVENILE JUVENILE AND FAMILY SERVICES OUTDOOR RECREATION JUVENILE SITE PLAN SCALE: 1"=30'-0" O??OR T qHC CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 /ja / (206) 457-0411 PERMIT NO. 7([yy o DATE S�z 7r7 ELECTRICAL PERMIT Site Address: !'' El READY FOR El WILL CALL FOR W INSPECTION INSPECTION Installed By: � License Number: Phone: 41 /2 Owner/Business: r Phone: C l cry C Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ 1 El 3 El SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS Details/Description: ell W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect service 40�Final O.K. Site Address: J Permit/Receipt No. / (Z/, / Wee Installer: / - r— New Meter Dam; Z.T 9 Wit_/ /•L s Notify Port Angeles City Light by Street Address and Pe it Number when ready for inspection.Work must not be covered ® before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 467-0411, EXT. 224. 0-0NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Electrical Inspector Permit Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 05 00000118 Date 3/07/05 Pin number 316200 Property Address 1914 W 18TH ST ASSESSOR PARCEL NUMBER 06 30 00 1 1 1900 1000 Tenant nbr name CL CO JUVENILE & FAMILY S Application description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning INDUSTRIAL LIGHT Application valuation 0 Owner Contractor PORT OF PORT ANGELES OWNER PO BOX 1350 PORT ANGELES WA 983620251 Permit PUBLIC WORKS COMM WATER SERV Additional desc DOWNSIZE 3 TO 11/2 METER Permit Fee 600 00 Plan Check Fee 00 Issue Date 3/07/05 Valuation 0 Expiration Date 9/03/05 Qty Unit Charge Per Extension BASE FEE 600 00 Fee summary Charged Paid Credited Due Permit Fee Total 600 00 600 00 00 00 Plan Check Total 00 00 00 00 Grand Total 600 00 600 00 00 00 -Separate-Perm'tsarerequired#orelectrical 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. o N FL- Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T•\Po1icies\1102.15R[11051 PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE - — RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 4174653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING TAPolicies\1102.l 5R 11705] OF PORT 4NC u� /•��(0 CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 7�S LIG DATE ELECTRICAL PERMIT Site Address: G/i/ I d `� ' ❑ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION Installed By: C License Number: Phone: Owner/Business: pp'l) Phone: I� � � Y tU Owner/Business Address: / Sq. Ft. / ue ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: ❑ FAN/WALL KW ADD/ALTER CIRCUITS 1-1 1 El 3 �j SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS Details/Description: i)rA / UL9 C c' g- D S W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. �] O.K. to connect service Final O.K. Site Address: Permit/Receipt o. /I ILI Installer: New Meters Date: ce'o 1. a Notify Port Angeles City Light by Street Address and Permit Number when readyfor inspection.Work must not be covered ® before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. e NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT �/j� Electrical Inspector I PIG•errmit Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. OF'ORT 4NC �' �• �`mN CITY OF PORT ANGELES LIGHT DEPARTMENT i�r` 321 E. Fifth Street Port Angeles, WA 98362 C"" (206) 457-0411 PERMIT NO.�3 3nz DATE /V/�/J -? ELECTRICAL PERMIT Site Address: y " p El READY FOR El WILL CALL FOR /7 A/- �c7 INSPECTION INSPECTION Installed By: / i, License Number: Phone: Owner/Business: „,” / Phone: C�r /Wm Q. T-1 tlCta//f_ f C tflGt c . Owner/Business Address: Sq. Ft. ❑ RESIDENTIAL ❑ TEMPORARY SERVICE ❑ OVERHEAD SERVICE �K COMMERCIAL K PERMANENT SERVICE )� UNDERGROUND/SERyy��CE ❑ BASEBOARD KW NEW CONSTRUCTION VOLTAGE: aC` 020!. ❑ FURNACE KW REMODEL ❑, SINGLE PHASE ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS THREE PHASE ❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE /626k2 AMPS ❑ SIGN ❑ SPECIAL EQUIPMENT (LIST BELOW) Details/Description: W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect service *Final O.K. Site Address: Permit/Receipt No. /2/y l/ y Z/33 -e-- Installer: InstallerNew Meters Date: If C- Notify Port Xngeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. 3 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT � Electrical Inspector Permit Fee WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. Of pORi 4NC CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 ® o Ts (206)457-0411 PERMIT NO. DATE ELECTRICAL PERMIT Site Address: p ❑ READY FOR ❑ WILL CALL FOR �, (J INSPECTION INSPECTION Installed By: �! License Number: Phone: Owner/Business: 6s / ^ r Phone: Owner/Business Address: l� // / 7�j''' p Sq. Ft. ❑ RESIDENTIALTEMPORARY SERVICEOVERHEAD SERVICE ❑ COMMERCIAL ❑ PERMANENT SERVICE ❑ UNDERGROUND SERVICE ❑ BASEBOARD KW ❑ NEW CONSTRUCTION VOLTAGE: ❑ FURNACE KW ❑ REMODEL X SINGLE PHASE ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ THREE PHASE ❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ SIGN ❑ SPECIAL EQUIPMENT (LIST BELOW) Details/Description: n �T— W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect service ❑ Final O.K. Site Address: /Q Permit/Receipt No. yi w, / Y vl s Z/Z Installer: New Meters Date: 0 1 �� /� 3 Notify Port A gel sCityLightbyStreetAddressandPermitNumberwhenreadyforinspection.Workmustnotbecovered before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buildin Permit. PHONE 457-0411, EXT. 224. 6W NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /O Electrical Inspector 6 Permit Fee WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC.