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HomeMy WebLinkAbout1628 Milwaukee Dr - Building ELECTRICAL PERMIT I- 0 CITY OF PORT ANGELES 360 417 -4735 Application Number 10- 00000738 Date 7/16/10 Application pin number 200884 Property Address 1628 MILWAUKEE DR REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -9 -9 -0130 -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 RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Hot tub Owner Contractor DOUGLAS W JANA HELFER ANGELES ELECTRIC 1628 MILWAUKEE DR 524 E. 1ST ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 'ms (360) 452 -9264 V Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 169540 1 v Permit Fee 110.30 Plan Check Fee .00 Issue Date 7/15/10 Valuation 0 Expiration Date 1 /11 /11 Qty Unit Charge Per Extension 1.00 110.3000 ECH EL- SWIMMING POOL /HOT TUB 110.30 Fee summary Charged Paid Credited Due r Permit Fee Total 110.30 110.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 110.30 110.30 .00 .00 T G A' INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: 4gce p f g I t,. i PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: ELECTMCAL ;'-z,S[P .0 Cerr VARNO ffiErw( c 4, tt Nefer,f ssvakssw' 4174735 DATE PERMIT 4 INSPECTOR OWNER/CONTRACTOR A Al (A-LE-5 S.& ig c:r lz-(C__. 1 Vst. 0 ADDRESS /62e /1-11-WA-t)kf-E. 17 4 APPROVED NOT APPROVED O DITCH 0 O ROUGH IN/COVER O SERVICE 0 O FINAL 0 CORRECTIONS NEEDED: 211&.( 0 ---C- 0 IP i"NIS Kri PI. C-- CA ATM TZW-PA 1 1. 3iZ2TW-,X !NZ- 1 4 (C) i Nig_e_. '6sO z:z 3. nt 1) 1200 1-- t IA t-412 ,..c l ?.)1 V i k- N K-. e_ 6,g0- 2 1100 NOTIFY INSPECTOR WHEN CORRECTIO'.S ARE CO ,‘PLETED WITHIN 15 DAYS DO NOT REMOVE 07/15/2010 07:37 FAX 360 452 9265 Angeles Electric Z 0001/0002 i '1 RECZTE3 c, r I of PORLIA6, C City of Port Angeles Permit Application JUL 1 5 Building DIvIsionlElectdcal Immo:Sons 321.Eastflfthltmet RD. Box 1150 0 Pod Angeles Washington, NM ELECTRICAL Ph: (3110)417 i Fex 1 )4174711 INSPECTIONS g Single Farnity Dwelling Multi-Family or Commercial* Commercial Addition /Alteration Remodel Repair* Plan Review May Be Requir9d,' Ilitt Complete lechical Plan Review Intonation Sheet Job Address: iL1.444 Eel' VP e. f 6 4 Bolding Square.Fcote •Descripbo n of above id2eAe,._&,__.__AIEL______________ 0 ,64, •'wturi er n o m err -.-1. o_ _,,rmehon Name i .4- s ..f.—..A........._ Name: i 4S. 16f.L.EA6 ‘6(AerACen Mailing iditrgor irry iffrZepr_... i I-, Mailing Address. Cl A ly: State: ...r Zip: 2 My: State: Zip: Phone: Fax: Phone: Fax License* Exp. License Elm. Unit Charlie Qtt Total (ON Multiplied by Unit Cheroe) 8119.90 SentalFeeder 200 Amp. 145.50 Service/Feeder 201-400 Amp. 1 20410 Service/Feeder 401-600 Amp. 1262.20 Sante/Feeder 601-1000 Arm). 372.50 Service/Feeder ow 1000 Amp. 5 210 Brawl) CIFCUltiN/ Servke Feeder 73.50 Branch Circuit W10 Service Feeder LSO 8 Each AddRonal Branch Circuit 1 92.70 Temp. Service/ Feeder 200 Arm. 8 110.30 Temp. Service/Feeder 201-400 M. 148.70 Temp. Senrke/Feeder 401-600 Arrd. 3 167.90 Temp. Sante/Feeder 601-1C00 Amp. 95.90 Portal to Postai Hourly 88.20 SigntOutine Lighting 95.90 Signal Circa Linked Energy Commercial. Additional 1500 $5.00 63.90 Signal Chuff limited Energy- 1 8 2 Far* Dwelling 1 63.90 Signal Ora/ Unified Energy Mullifamly Dweller° 119.90 Manufacbired Mane C.Ofirled011 1 r-, 1102.30 Renewable Beckical Energy WA System or Less :8110.30 Feet 1300 Square FL 8 35.20 1 Each AddMonal 500 Sewn* Ft. or Portion of 8 _Each Otribidlna or Detached Gerage ,,,,A119,30,.. 9 //A -w SwirrenirgroMartiorrub Thermostat Total ii(5 Owner as defined by RCW.19.21.2.1: (1) Owner will occupy the structure lot Iwo years after tale sharks, porn* la finalized. pj &merle requked to alto an electrical connector lf above sal d properly k break rent or lease. Pane akolres after :Sr months of last Inspection. After reading the above statement, I hereby certify that I am the owner of the above named property era licensed electrical contractor. I am making the electrical Installation or alteration in =motion:a with the electrical laws, N.E.C., RCW. Chapter 1928, WAC. Chapter 298-4813, The City of Port Angeles Municipal Code, and Utility Specifications. Signature dimmer, electrical contactor or electrical administrator CI Cash r Check Ai. d_...c.... It& d, nate: di‹ Card 11 F 1 W Crl'e s k ii 6 tai OR T NGEL CITY 'OF r artaNa'00' W A S .H I N G T O N, .U. S. A. ��a Helfer f Public Works Utilities D.epartment :J ,:,r. sixteenth I was requested to inspect a hot tub installation at your residence. During the inspection I noted four �h corrections that needed attention by your electrical contractor and the hot tub manufacturer. Of most concern to me is that the hot tub did not have listing certifications. All items need to be listed to be deemed safe per WAC 296 -46B -999 a and NEC 110.3. Without the proper listing I could not approve the installation and told you not to use the hot tub until C the corrections were made and all the required inspections are completed. Q k t,� At that time, we looked at the manufacturers instructions for information on their listing requirements and did not find a anything. You called the manufacturers technical support and I discussed my concerns with them. The manufacturer 4* claimed that it was listed and offered to mail out a sticker. I told you that I would riot accept them mailing a sticker, that A 1 ifi a field evaluation would be required. The other electrical corrections shall be made prior to the next inspection'and before use of the hot tub. The electrical ,,t contractor understands the corrections that he is responsible for. He understands that once the issue with the hot tub is ti 1, �MN 0 4i resolved and the electrical violations are corrected he will be requesting another electrical inspection. 1„ 01 o 4' ;For, Trent Peppard F X. Senior Electrical Inspector I tn.:, ?e r .L ce* 1 i. 43 5 i Phone: 360- 417 -4800 Fax: 360- 417 -4542 1 Website: www.cityofpa.us Email publicworks @cityofpa.us 321 East Fifth Street P.O. Box 1150 Port Angeles, WA 98362 -0217 0 4 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Furnace and HP no load change reduction of 2 5kw Owner Helfer Doug 1628 Milwaukee Dr PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98363 ELECTRICAL ALTER RESIDENTIAL 146332 61 50 5/19/09 11/15/09 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000460 925500 1628 MILWAUKEE DR 06 30 00 9 9 0130 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor Charged Paid Credited DATE Date 5/19/09 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES WA 98363 (360) 457 5303 Yss 3"1918_ Plan Check Fee Valuation Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 2 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Special Notes and Comments May 18 2009 2 40 47 PM GANDERS Brian 417 4708 OK 61 50 61 50 00 00 00 00 61 50 61 50 00 RESULTS 51 246 slio/09_ -/g? Due 00 00 00 00 0 Extension 57 50 4 00 Signature of owner or Electrical Contractor X Date INSPECTOR. —fer7 05/18/2009 10 54 FAX 360 452 3498 City of Pod Angeles Pennit Application Bulldbrg Division,Ebstrical Inspections 321 Ent FIRh Sheet- P.O. Boa 1150 Pert Angeles Washington, 0S$S Ph: tam 4174738 Fa:: (380)41?-4711 Data: S /ir /o 2 Single Family Dwelling Multi- Family or Commercial" Commercial Addition Alteration Remodel Repair= Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Jab Addr+asa: /l r 4 Qi Description of above Owner Infamtatian Name: Mai Address: h 7t, /<r_. City State: /447 ?p: 9xM T Phone: 7W T Fax: License Unit Charge ce. 3113.75 3160.00 3205.00 $291.25 2.00 3 57.50 2.00 $72.50 6625 3116.25 3131.25 75.00 69,00 75.00 50,00 50.00 $93.75 80.00 86.25 27.50 5t.50 atr.LD 43.75 Q4t Ol Electric Co PA CITY INSPECT 12001/002 MAY 1 8 2009 UGH? DEPT //7 /44/ T Qontraatar Infarmakan L r 174 G i ri Mailing Addfess ?ice L,. 2, 7I City A. t4, -4 State: z.67 Zip: SAP' S Phone:7- 4 rJF Fax: er,z -J License Exp. /7 /�/Y# ..21R i74' Tgj (Q4t Multiplied by Unit Charnel A r *RiCao i r 2nn An n SemIcelFeeder 201400 Amp. ServicelFeeder 401.600 Amp. San/Ice/Feeder 601 -1000 Amp. ServlcelFeeder over 1000 Amp. Branch Circuit W/ Service Feeder 3 s7 5 Branch Circuit W/0 Service Feeder 3 W. °o Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401.600 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/Outllne Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi -Family Dwelling Manufactured Nome Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft Each Additional 500 Square Fl or Portion of Each Outbulldhlg or Detached Garage reach swimming htol or Mot 1 uo Thermostat 6'/. F To1M J' QM11(IIf 4W00211 ROC RAMP a' Orel( RV ma (eft Mary far (tIQon 4l rthis eencratatftal (1/ Nrcr h! f al* Aim in electrical commaa* OgieNt said property Is for sale. rent or base. Altar rustling the strove statement. I hereby ter* that 1 em the owner or the show named property Of Ikenasd aleotrbul oontraotor. I am making the elnfrloal Inclination or slteratlen in cotnpllnnea with the electrical laws, N.E.C., RCW. Chapter 19.20. WAC. Chapter 206488, The City of Port Angeles Municipal Code, and Udllty °pacificatione. Signature or owner. Noabbel eentracter e1 eleotrloel administrator lei nate: 5 /f /o Soh Cheek LA' Credit Card 8 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000397 Date 5/04/09 Application pin number 621513 Property Address 1628 MILWAUKEE DR ASSESSOR PARCEL NUMBER 06 30 00 9 9 0130 0000 Tenant nbr name DOUGLAS W /JANA HELFER Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 10125 Application desc HEAT PUMP INSTALLATION Owner Contractor DOUGLAS W JANA HELFER PENINSULA HEAT INC 1628 MILWAUKEE DR 782 KITCHEN DICK RD PORT ANGELES WA 98363 SEQUIM WA 98382 (360) 452 7433 (360) 681 3333 Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP Permit pin number 145292 Permit Fee 64 80 Plan Check Fee 00 Issue Date 5/04/09 Valuation 0 Expiration Date 10/31/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 EA ME FURN /HP /FAU c OR 5 TON 14 80 Fee summary Charged Paid Credited Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 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 fora 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 presumes eve authority to violate or cancel the provisions of any state or loca law regulati construction or the per rmance of co c 'on. 5 9 a74/k--4 ,iV 1 Signature of`Contractor or Authorized Agent Signature of Owner (if owner is builder) Date Print Name 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 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. T:Forms /Building Division /Building Permit Inspection Type FINAL Date Accepted by 00 FINAL Date 5—Z6-0 /Accepted by jCL FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 1 Building 417 -4815 1 3 PREPARED 5/26/09 8 51 03 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/26/09 ADDRESS 1628 MILWAUKEE DR TENANT NBR DOUGLAS W /JANA HELFER CONTRACTOR PENINSULA HEAT INC OWNER DOUGLAS W JANA HELFER PARCEL 06 30 00 9 9 0130 0000 APPL NUMBER 09 00000397 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 5/26/09 LL, Nk SUBDIV MECHANICAL FINAL TIME 02 00 May 22 2009 2 42 35 PM 1pangrle DOUGLAS 452 7433 MECHANICAL FINAL HEAT PUMP PLEASE INSPECT BETWEEN 2 00 5 00 PM COMMENTS AND NOTES PHONE (360) 681 3333 PHONE (360) 452 7433 05/04/09 07 17 FAX 3606812086 Peninsula Heat BUILDING PERMIT APPLICATION CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98382 (360) 417 -4815 fax (360) 417 -4711 Na-dolie Applicant or Agent 4 er-so,i Owner Ao q V/P..# Owner's Addre3e?" Hi /k/7uke 40-1-7',Thej Contractor /Engin er eel inskact Pc/7 Contractor /Engin er's Address 7 License Re////A//-/7 Parcel Number PROJECT ADDRES Project Type Brief Description. Check all that apply o New Construction o Addition o Remodel o Repair o Re -roof o Demolition o Sign Heat System o Other o Residential Commercial Phone 611" 3 Phone V5 Phone .4:5/ 333 3 c�E��L! /iz7 %/f 9,F38" EEcpires Lot Zoning o wall- mounted a projecting o freestanding o awning a other Total sign area sq. ft. Maximum allowed sign area sq. ft. —feat pump o wood buming stove gas fireplace o pellet stove o other Floor Areas Existinn (sa. ft) Proposed (sa. ft) Basement 1 Floor 2 Floor 3' Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft Lot size Max. height of proposed structures ft Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have reed 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 o ain p rmits p or o yv orking on projects Date. �f,z// 11 �1 Print Name�6lGsI'�O�s4°_r -rte Signature ,e 7 :Forms/Building Division/61dg Permit Appt. --2006 Code.doc G$ TOTAL VALUATION /Q, sq. ft Lot coverage per sq ft. of bedrooms of full baths of half baths Print in ink For City Use Only Date Received LI4) Permit* 0°1 Date Approved a Multi family o Industrial e102 r Site Address: ,A'.:.. , -, CITY OF PORT ANGELES LIGHT DEPARTMENT 1.- ELECTRICAL PERMIT PERMIT NO. .;2 7;:' DATE J'U 0 /fp o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Psrz -/~ Phone: Installed By: Owner/Business: Owner/Business Address: Sq. FL fiX Residential Heat KW o Baseboard D Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor ioad (attach breakdown) D New Construction o Remodel o Service update/alter/repair o Overhead o undergrounfi t/<O Voltage I?.J!) 2- ~10 030 Service size r6JO Amps o Temporary o Add/alter circuits o Auxiliary power (list below) qCSpecial equipment (list below) DetailslDescription: M--4i-- . '-, ,e(~9 / c;2 Au; . (;~ , \/ W.S. No. Service ;0...'( Capacity: D OK D Not O.K. 'J 0 Ditch inspection O.K. o Rough-in/cover O.K. .J( O.K. to connect service if r Final O.K. Size Comments Date Hold for: D Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: New Meters - .;2 Site Address: . Notify the Department City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-04WEXT. 15~EXT. 224. I~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT IT 2[) _ I nspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom; City Hall OLVMPIC P~INTEFlS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N'? 17203 port Angeles, washlngton___3_::-:___~j__..__...____________________________, 19.2.-0 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 .j./tL.?::,__:(_______~-----iS)!!---L------ Occupancy____________LL&:<t...J..:_______________ ~~ ~::;~.~:~~~t~~-:_::i8:~::_:~_:::~nn~~::~~;::::::::::::::~.._-_~~~~:::::::=::::::::::::::::::::::::::::::::::::::: .-- Light outlets____uu_;;l___~__u__7,____u_____. Service, volts I_:;__Qu~u'!::_~I..Q_u___u Receptacle Outlets_____b.u_J!!..______uuu. No_ wires _12M____'l/.Lu(C,u,) D,ye,_ KW __n__nu________~u-------------- Size wlres--.:74:u~-~i"4f Range. KW ___._.-.....I........._.n..___........ Main fuse .n1n.'L.~n_m ....~....... Water Heater: KWnnn____n!I.n~ Heat' KW___n___a.:.___Q._____f.__~._.!____ Enclosure m..mm........nn................ Type of wiring: Entrance Cable .......unm............... Motors: size, volts and phase: Rigid Conduit ..u............m Metallic TUbing .m........m.. Current transformers: No. & Size.............................. Ser. No....................___......._................ Ser. No.............................................. Ser. No. ...........n..................._............ Type of Wiring: Armored Cable ...._............._.._....__ Non-Metallic ................................. Knoh & Tuheuuun____________u_________._ Rigid Conduit u____________u_____________. Metallic TUbing ..m...........m........ Raceway .....__................._.._.____._ o Circuits. LlghL_u.______________________________ Utility .____u__~u_____u_n_____nuu_______ Heat ._..~!::::......_.................._.._ Range uuAun_______________n___uu___n_ Water Heater ........~............. Motor .............__.............................. ~~,:~~~u::_~~::.~::::::::~:::_-:-_:::::::~~ Total Load____________uuu___uu Se'_ No__uuuu____u__uuuuu___________u Total ____iL.:._~------u---uuu-u- Remarks: n__~N________n~nJ.n_n__________________________________________________________________________.____...___ .._..u___.______.____._________u___..._______________._____..__________..__.._____________________.______...___________.____.___._______________._______________u_._......... Treas. Receipt U.U_nn__.._nuununudn__u__n_unuUUnn_n.___nu.h.ndnnn_n_u_Un_n.uU_UnUn._.n_nun_uuuUU_._n_n_nn.u_u_h..n_u_uu_u_u__ Permit F~ $:.2___~===_____________ No..______________...._..._____ By -f.!.J~____~"_"'~__~~..___ 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 Address ..................._._..._.............__u..__.._nn...........d.._.............__...........__.................................... Owner............___...............__..._.....__..___...._....._____...__.........._n..................._.....................Tenant...............__........................_...._..................... Date...___...._.._......_.........._......_.._._.__........ ------ I / N? 17203 Wiring Contractor ................................__.___................._..............................._................................. By................................_.............__.............. NOTIC~urrent must not be turned on until Certificate of 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.