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HomeMy WebLinkAbout1037 Grant Ave - Building f"ORT~ cY~ O~~~ ~ 1l::c-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000087 Date 1/26/06 961587 1037 GRANT AVE 06-30-14-5-6-0120-0000- ANNE DALTON FIREPLACE/INSERTS/FREESTANDING RS9 RESDNTL SINGLE FAMILY 3600 b: I / I l.~ "7/Z4"Ob Owner Contractor .-- DALTON ANNE G 1037 GRANT ST PORT ANGELES WA 983622726 EVER WARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 ~ ~ Permit MECHANICAL PERMIT Additional desc Permit pin number 70011 Permit Fee 60.65 Plan Check Fee .00 Issue Date 1/26/06 Valuation 0 Expiration Date 7/25/06 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 "3: ~ C\ Th ~~ ~ ~ L. z ~ ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .00 .00 \) ~ ~ < ~ ----------------~----------------------------------------------------------- Separate Permits are required for electrical work, SEP A, 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 orwork 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. (J '. ~ /..2 &/t'~ Date Signature of Owner (if owner is builder) Date T:\Policies\1102 _IS 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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE 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 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH.IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE '1-/1'; 10(.- J vL- WOOD STOVE 1 PELLET 1 CHIMNEY { FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNG/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL. LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 /' , PLANNING DEPT. BUILDING 417-4815 Iz" Z4'/ tit. JLV BUILDING T:\Policies\ II 02_15 building permit inspection record05. wpd r1/4/2005] "<; 4-30-03; 8:1ZAM;CITY PORT ANGELES ;3604174711 U ,.I)j( " 1/ S"" ':' BUILDING PERMIT - APPLICATION - Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, caU (360) 417-4815 .. 1 / FOR OFFI~ USE ONLY Dalt: Rt:c.: I ~ !b~ Pt:miit #: C~ ~ ' PB7 Date Approved: I "2v v~ Dllte Issued: 1 6. - APPlican~ Agent: ~ E~__e W R R Nt, O~er: fi" VI e _ 0. __~h..-.. Address: I 03 7 h V"4 1-'\+ ~-e..... City: :p G.- ArchitectJEngineer: ./ / / Phone: r::::-. ~ // c U lifIl'Z Q I / ~ c""" --=:0...". "- Contractor,,-"1I VI\, WfleA/l State License #/-U;J OR ~ NL Exp: Q I '1 ",(, Phonec / '--' "".,,;"" :56 Address: c2S7JE~-1 9Ju.J y I 01 City: q . Zip: 9.)? 5 ~ ~ PROJECf ADDRESS: / 0 -3 f c:; v-a Y\. -f A-v-e.:.. p GL ZONING: Phone: 15..1-.3 .3 -b b Phone: -J-j E;7 --:-77 g 2- Zip:- g '3 3lo z... LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: () G:. 3 0/4 t::;~ (t.l~6ooCJ CJ Credit Card Holder Name: Billin, Address: Credit CardType VISA TYPE OF WORK: ,A'Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition Cl Move 0 Garage o Commercial 0 Remodel Cl Demolition D Deck o Repair . 0 Sign 0 Other BRIEF DESCRIPTION OF TIIE PROJECT: tr&2s-b.r-dt..... ~ c;Lh~",-,",J, +~ COMMER SIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total Jot coverage MC # City: Exp. Date: SIZEN ALUATION: SF, @ $' /SF. "" $ SF. @ .$ /SF. :z: $ SF. @ .$ /SF. = $ . TOTAL VALUATION $:3 ~ c:>~ t"'Y 'Sa ~ -~ j f"p I"-'j Q .,d Construction Type: = TOTAL Sq.Ft. % PLANNING USE ONLY: APPROVALS:, PLAN: BLDG: DPWU: FIRE: OTHER:_ " ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes D No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with infonnation on the application and plan submittal requirements if you have questions. 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 Pemiit 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 ofpennit i~suance. ....' EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, the application wiJl expire. The . BuildingD.fficiaLcan..eXtcii.d. the.timeJ"ar..a.ction..hy-the.applicant up. to 180-daYf-upen.writte.a'requestby the-applicant (see Secti on .\ 07.4 0 f the Uniform Building Code, current edition). No application can be extended more than once. " I hereby certify that I have read and examined this applfcation and know the same to be true and correct. I am authorizfid to apply for this permit an,j understand that it {s my responsibility to determine what permits are required ,not the CIty's, fJf1d that J must obtain such permits prior to work. 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I t'1 , H 'l'J ';0 't< ,>< , , , , , , , , , , , , , , , N '" '0 o ;ON o-J'- ~~ 00 l'J'" t<- l'J {J)H ... H o zz (J){J) '0'0 l'Jl'J nn o-Jo-J OH ;00 .. Z c.,.., :<>H :;:n l'J~ {J)l'J o-J w '" o ... tJ1 N , W W '" '" tJ'O :<>:<> o-J0 l'Jl'J N '- H W '- o "'H /20~ FEE RE CEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 7'10 PERMIT NUMBER . TOTAL FEE /0 ~ ((c5 CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY Site Address ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 0tAN7 Owner Owner's Address PERMITS WITH WRONG ADD~iG:RE GATt,;' ~ Installation By 0"'.> {' IL Installers Address Day Phone Installers Phone ApplIcation is hereby made for Permit to install Electrical Equipment as follows: pvtJ A- JU h ff1'J -fo G!VLA-j f: IfJ tile .lJ= "f fP I "- L Wiring Method f 11.(. . . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN LIGHT SO VOLTS OR LESS GONVE 'JIENCE MOTOR CONVE 'JIENCE MOTOR APPLlA 'JCE MOTOR DISHW \SHER FIRE ALARMS DISpm AL BUAGLAA ALAAM RANGE MISC. OVEN WATEF HEATER LAUNC '::l:Y - DRYER REINSTALLATION LIGHT FIXTURE # - SUB TOTAL FEE FURNA :E ~'IL ENERGY FEE FURNA :;E ~IIC BASIC FEE ELECT llC HEAT - TOTAL FEE ELECT llC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER - A.C. ur IT AMP PHASE FEEDE 1 SIZE OF SERVICE ENTRANCE CONDUCTORS SERVI( E AW.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH . his permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ,19 By If. b , 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 therel:~SUbfJe:to compliance With the O:ylnances 17J'?~r~ Date Permit issued it' I PLANS ytiffo 7 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 Q,K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WARNING WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Report OLYMPIC PRINTERS, INC. , .'. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . ",T,#lTQ( 'i1f.X \\~...t, \ A. .~ ,.~ "'" -'^ .~..Q \.--) T' ~ -, ~, ... (\ ,LI- .~. "'~ '" . , , :2. S'Q - <J( rc:) .:l6'D.S7 ib) , a 5"0- 2'1 -';~D !p,dAJ/I' /' \ . ol:.."\' ~ ~ ./ , , \ .' . . . . , ., .' .. ., . . . . --c-. . , " " ,. . I . ,., . " 1.') IH VIJI '. O.K. FOR COVERING \ ~"'TqCO~~'I~,!~l ..:>ct'lvII,;;E . \ " t'1Nl'LU.I\. " . , " . . . z Cl a: <t :! !!! J: I- Z w ie l- e z e c . ,"' -' ~6.,€ut2?R CITY OF. PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ----- d7l:Y.s~ PERMIT NUMBER -.' o8:>c.-!7}'/ TOTAL FEE .50 CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address / r7 :; 7 a ~t:7 ~ I .j? / .... _~'C/OR~REtJCT~ADDRESS IS AESPONSIBllITY OF APPLICANT I PERM,'T, 5 ~ITHBWRONG A~R~S~E~ ARE ~/AN.....CEL~D Owner A "" ~, _ nsta atlon y' ~hJb / ~. v'r Owner's Address f'n~; .10')7 ~ ~- InstallerSAddres; J.:>.:tP P<'l'" ~)-J;' Day Phone ~ __ Installers Phone . 7'..1,-> - L, /f'q ') Application is hereby made for Permit to install Electrical Equlp'ment as follows: 7A $ Jr /IJ 'A'~" y.... c:.v L?t5JC) g '~G/H/{J 9- W7'i'7/~;U ik,,{l / l-(~:i )uR" <j- ~-Ia"':y<e.- Wiring Method .i NUMBER AMP 120V 24QV NUMBER AMP 120V 240V USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT ...5 , SIGN LIGHT 50 VOLTS OR LESS - CONVENIENCE MOTOR CONVENIENCE MOTOR , -. .' , '-J ,. ,. - . . ,., APPLIANCE - MOTOR h , .>. ,", FIRE ALARMS , , -:... .....' .' \ DISHWASHER , . .' '. - - - J3U~GLAR ALARM _ DIS~OSAL -. . . .- RANGE / MISC. OVEN , . , \ , 'I" ."..... ~ . . . , WATER HEATER ) . , . .' " . LAUNDRY I , , , DRYER ) REINSTALLATION LIGHT FIXTURE # FURNACE ,. , , SUB TOTAL FEE . GAS-OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT j ~tJ I} V" TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UWT ,CJ ;lJO AMP ) PHASE , FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS . 4//4;> /t/'h //~ SERVICE AW.G. I SUB-TOTAL SlfE OF GAo'UNrf# t/ -, SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done _bY the installer a:~ai,c1J~'/l.ec~nde. Date Application made ~ //t' ) I( f' ,19 'irf' By ~2 -' . - ' . i &'HRACTOR OA OWNER O~~'ZEOAGENl] . Permission is hereb iven to do the above described work accordin to the conditions hereon and accordin to tea roved lans and . - yg - ., g . specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles . DIRECTO F C-I g., pp .~. \._ Date Per~_it Issued \\1 . WARNING \ /'- YMPIC PRINTERS, INC. Notify Department of City Light by Street Address and Permit Number when ady for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or s rvice has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - . , 1..'. '\ WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD -Inspector's Report r .... --, , r.~ ~ REPORT OF INSPECTOR DATEOFYISIT MADE BY REMARKS - , \ , , . .. , ~ , " . - "." - -- , , '. .~'-P ~ :":7";_ - , .. \ ~ '. '. . . .. ,. . , , . , . . ~?-~ ~ .1!tfv.:.#? 0.... .A- .1') .... '_#. - - ~ IC:DJ ~ ./ .~ t. ~,.J... .... A h-7f7/._ "U'. , ~. . :-/ /(,0' Y 'r/ / '( / 1oLL:..A- J ./n hi 7- ;;:, .J, "=1 ~.4~ \ 1/-..;2. 7-1+ /JI/y 5101'/'''''# .JVt1) (JIVe lIoN/~ (- ;LJ- ..~- ?I// 5701',1',,-,.1' 8v No'T' J:'I/'/,J.<..e 0 \v< ..,.. l1U iLL' Give ;v1e 'A c~Lt. 0/.e./'/ lr'eAi> V . "if. If -"I S- PI" .P 10_ tfJ./JNeiJ A' /110 rJ..~-./ .aRe J it/. [' NoR }1/A( l- fJN 71.,5 - - , " " , " '. . . .... .' -'. .... . . . - . \ ...... " '..t ';)-~\'~ _,\ J .... .~ ,....: -~ - > , ~. .,...... ~...,-_. , , , . . 7:'-'r~- .. . O.K. FOR COVERING . '1:. //- Sly . -, O.K. TO CONNECT SERVICE . . . . . , ; FINACO.K. , , - , . I '.. z CJ a:: <( ~ ~ ::t: I- Z W l- .' l- e z e c CITY OF PORT ANGELES LIGHT DEPARTMENT N? 16179 ,.;; ~ /}~ "-, ';'- Port Angeles, washlngton.....___.d______n.:.:.....___________._...n__......m____, l~n/:. ELECTRICAL PERMIT 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. ,., I' -; ""J' I y- /8 ? Address........__./....:.!.~~.~...~.L...~.~:~.:..~.::~.....!.:.:..........:_:.f...S..n.'~.-.r....~~.~.!.:.:)-..-.i.~...,:..:-.:...~.:.~.~...........'.--....?....""'.-.--~.4:~u<___ Occupancy ._~~n;f..:~~::7~:::mu..h..~-~--...--n--- Owner n .~. TenanLm......___...__n_..__h.n.____h..m_____....___.n...___m___n n ;,' Wiring Contractor ......."__,:.!'C'.:::'.hJ.:nm'.__.__m.__.____n......mnn__ Bynn________.nh.....__n___m___.mmnn___.__m_..m.__nnn Light Outletshh....nn.....................n_..... Service, volts .....__.__.____......................__ No. wires .....__.....__...h..................__ Receptacle Outlets..m.....__............___.... Dryer, KW.__...n.........__....__......_.......... Size wires.........______...__...............___ Range, KW....mmmmm.. Main fuse .........m.__..'mm___............ Water Heater: Enclosure ___......__..__..mmm____...__.... KW.....n....mm.hhm Type of wiring: Entrance Cable __m."......__m..__....__ Heat: KW................._________,.................. Motors: size, volts and phase: Rigid Conduit ___m___........_____ MetalUc Tubing ..............._ Current transformers: No. & Size_._mmm__.....___..__.._......__.. Ser. No......_____.............,.._............____.. Ser. No...........__.___..___......................... Ser. No....__......________.______.................... Type of Wiring: Armored Cable ..._.....................___.. Non.Metallic ........______..........._....... Knob & Tube____............__________........ Rigid Conduit nn...........__nn__...n.h Metallic Tubing .___.mm...._.....m... Raceway .........._.._._._............._......_ Circuits, Light..............__..........m_____..... Utility ....._.n___................____h........_._ I-Ieat __.__.........._.___._.............._......._. Range ._..__..__..............____.__........._____ Water Heater ............______............_ Motor .....n._____.......n..____.____...._....... Dryer .......________..........._n_.................... Furnace ............____....._...,___......._.....___. Total Load....____huh_.............. Ser. No. ,.....__..______.___..............~.....n Total _n""""'''''___'..nh''.'''''''''_ ,~ ...1_ /'/ :-1"". -j'., -;,...-::-.. '. Renlarks: mum...n____'!:2.__~~.t:~:~._f..~t~~~:....:'.nn_..n.t~'t-:.:--n...,;o--d.'('>.eJ:.-.:!.1~~~.!..h..~~__mm____.mh.~.mm.m_... Per nit Fee Treas. Receipt 1--1/. -I /. jJ // $--.- ._..~________....__h........___. N O..__._..m.____._m.~__._.. By ._~t~!_.~___..(Z(~_._.wj.n/~~{'-_...!:~!..i~:~.~.~1:':~_:!!~.-:-~n~~"'3~W 'Y . 'J"OTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. ceale;d due notice must be given the Inspector so that work may be inspected before concealmenr:- NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16179 Add~.ess_____.._____._________.............._.._.n_____..._.................__..._.___.........................._..._......._...._..._.........Date..._......__._......_.........._......_......_h..__... Own er .._......___.......................__....__.........._.__..._.._..........._.....__.._.____.._.._.__._.____......_.____... Tenant....._......:........_.__.._..._.__.____..._.....:...............____ WirIng Contractor ....__,._____...___......_._u.......__..._.............._........................._...._.___.........._.................. By.__..........___..__..........................__.............. '- NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic: Printers, Inc. \ \ CITY OF POB.T ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16082 Port Angeles, washlngtoL__Li?____t~(...________m___m_m.__.___m_, 19;;2 In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, OJ;l, 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 m/r..:___3.__flifl,.{~~?~~:_?i!!:~________________ Occupancyf.,_./?_~r_'~_______..__n____.________" - rJ;!, ~,y Owner (.k~f!.d.---"----f1/,-.~(J::1"""--m--m-;;m<---"Sit: TenanL____m____m.___....___._m____m_________m___n____m....___m Wiring Contractor __!!tfq/:.id~mt:"'~~---.---~.---.---m By..__..________..____..mm__mm..__..m_n.____m_m__.__.____ Light Outlets.....______......_........_...._.._._... Service, volts .i--2.o/r1!.-y..t!..... Type of Wiring: Receptacle Outletsmm__..__................... No. wires ..$L;cJ:::.(~~..m Armored Cable ........_...m_.n........... . ,y/c;;J aI/ Size WlreS...._...nhn_......n............_.. :'Q@() A- Maln fuse ....'..._mn___mn.....__n........ S ; Enclosure _.::::-_..00....................._....... Dryer, KW nnnn___uu.....____....___uu____.._ Non-Metallic ................_.._.m.n....._ Knob & Tube......._....nn................_ Range, KW m_nmnmmnm___m. Rigid Conduit .....___......_............._._ Water Heater: .Metallic TubIng ___.m.m_....._....__._. KW.n.m..n..mm..mm..m..n.. Type of wIring: Entrance Cable ..____m___m___.mm__n Motors: size, volts and phase: Rigid Conduit m.m.:mm..._______...... Metallic Tubing ......_..._..... Current transformers: No. & Sizem_mm.mm..mmnm Raceway __......__._h.........................._ CIrcuits, LIght..mm._.mn....n..............___ Utility..n.................n__._..............._.. Heat: KW.....n_.....n......_nnnn....._....n Heat _00.000000.................._......._.......... Ser. NO.............._nn._nnn_n_nn..nnn.._ Range ..........._......_________..._.............. Water Heater ............00................. Motor .........00__...0000__..............00.....:. Ser. No.._..__........................................ Dryer____._____................_____.__.._..._......... Ser. NO.............n...........n...........nn.... Furnace .................__...._.'____.___.__.._..._.. Total lAJadnn_....___nnn_...._..... Ser. NO............_......~n--.........n.--.-. Total ........................00_0000_00..... Relnarks: __.___._.!..__:;~..::?{Z6..n!!:.:g.~......-:..?!f:e,::C~_:?~t.:_::f1'-d:-::~.mm__m__mm..mm___mh_____m............._mn... ..m.m___nmmm~m__mL_:__mm:_m_mmmm.:_mmm.____m_______.______mn.___...n____...._______m__m__._mm_m._____mm_m__mm. _;~~;~-;~~n-.---mm.m--.---mn-;~:~~.n~:~:;~~--mn.-------h-mm--------:;:f(;-7j"~-----;r-m-mm;:;--- f__._________________mm___m_m. NO..__.__'m_................. By :6.'n.-::.0.'_""'__..!..!...__~~''':~(.~:L~_!:_~L.. " \-' c 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? 16082 Address Date...........____.._.._.........._......_................. Owner ............................................._._......__._..._.._.......00.00_....._.........._00__00..__..00_.....00__..... Tenant._..n__nnnnnnnn.....__..._hnnn_u__nn____.__nn.._h Wiring Contractor.........._..._....._._..........__.................n..n__._........................_........................_.._...._. By.............~..........._.......n_..n___..n_.._n_...n_._ NOTICE-Current must n()t 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. 1M nlvmni,... Prin'<>~_"_ Tn,...