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HomeMy WebLinkAbout3928 Nygren Pl - Building ELECTRICAL PERMIT i i. d CITY OF PORT ANGELES S 360-417-4735 1* *'4' V" Application Number 10- 00001237 Date 10/25/10 J Application pin number 092176 REPORT STATE SALES TAX Property Address 3928 NYGREN PL ASSESSOR PARCEL NUMBER: 06- 30- 15 -6 -3 -0080 -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 RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 3 circuits heaters and garage Owner Contractor Q ADELIA WALLIS STRAITS ELECTRIC v� PO BOX 2091 PO BOX 2914 PORT ANGELES WA 983620378 PORT ANGELES WA 98362 (360) 457 -4093 (360) 452 -9104 `07.Z _01 i Permit ELECTRICAL ALTER RESIDENTIAL ;g Additional desc Permit pin number 176107 Permit Fee 78.70 Plan Check Fee .00 Issue Date 10/25/10 Valuation 0 Expiration Date 4/23/11 Qty Unit Charge Per Extension 7 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 2.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.20 Fee summary Charged Paid Credited Due Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 78.70 78.70 .00. .00 r i(1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN A v �r FINAL Gj 1 :4 V1 i' COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: *PORT A, ELECTROCAL INSPECTION ‘vVINING RT t d %V OAKS .e" 4174735 DATE PERMIT INSPECTOR 10ii 1411‘) t f2-Y- IJ OWNER/CONTRACTOR AP Lt IA) ALL S LW7 1 .143 ADDRESS 3 Z€5 Ny APPROVED NOT APPROVED O DITCH 0 O ROUGH IN/COVER 0 O SERVICE 0 O FINAL 0 CORRECTIONS NEEDED: 1 t 1 2 P" 71 3E:T Ira:VET( re) 15 PS (-6c it*T fgds/ 1 NOTIFY INSPECTOR WHEN CO" RECTIONS ARE CO 'PLETED WIT 4.4 15 DAYS DO N17 REMOVE Oct 22 10 09:14a Christie Tucker 360 -452 -0741 p.1 City of Port Pngeles trmit Application i_, rte' CO p 1 Building DivlslonlElectrical inspections L i.r. 321 East Filth Street P.O. t3o x1150 WSP Port Angeles Washington, 96362 u ry v D W V (,�1 Ph: (360) 4174735 Fax (360) 417.4711 OCT 2 Date: ID 10 2 2 g� t ELE C TRICA 1_ 1 2 Single Family Dwelling E Multi Family or Commercial' N S L Commercial Addition 1 Alteration Remodel Repair` `Plan Review Ma Be P3 ujred, ?,Ipase Complete El ctrical Plan Review Information Sheet Job Address:. .'5 g Q Lt 74 f�Qtf7:h place Building Square Footage: JJJ �i .1,..3':_ I i c G. i of above Z l� II Owner Information j� i I onl_ractor� Name: H 1 .l t C{ boa l ocf, Name: t a E -eC fh C Mailing Address: Mailing A ress: D -resit elei City: Stale: Zip: City: State: M Zip: r Phone: Fax: Phcne: Fax: License fl Exp. License Exp. ..5- Pr E L `9 r 7R Unit Charge O Total (Oty Multiplied by Unit Charge) 119.90 Service/Feeder 200 Amp. 5 145.50 Service/Feeder 201 -400 Amp. 204.60 Service/Feeder 401 -600 Amp. 262.20 Service/Feeder 601 -1000 Amp. 372.50 Service/Feeder over 1003 Amp. 2.60 S Branch Circuit W/ Service Feeder 73.50 L Branch Crcuit W10 Service Feeder 2.60 S 'S 2- Each Addilionat Branch Circuit 92.70 5 Temp. Service/Feeder 230 Amp. 110.30 5 Temp. Service/Feeder 201.400 Amp. 148.70 5 Temp. Service/Feeder 401-600 Amp. 167.90 Temp. Service/Feeder 601 -1000 Amp. 5 95.90 Portal to Portal Hourly 88.20 Sign/Outline Lighting 5 95.90 Signal Cirarit Umited Energy Commercial. Additional 1500 $5.00 63.90 Signal CircuiV Limited Emily -1 2 Family Dwelling 63.90 Signal Omit/ Limited Energy Mul&Famity Dwelling 119.90 Manufactured Home Connection 5 102.30 5 Renewable Electrical Energy 5KVA System or Less 5110.30 First 1300 Square Ft. 35.20 Each Additional 500 Square FL or Portico of 73.50 Each Outbuilding or Detached Garage 110.30 Each Swimming Pool or Hot Tub 5 56AC Thermostat s A WU Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two year after this electrical permlt is finalized. (2) Owner is required to hire en electrical contractor if above said property is for sate, rent or l ease. Permit expires atter six months of last inspection. Aber rea ng 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 alterati• In c•mpllance with tie electrical laws, N.E.C., RCW. Chapter 19.28, WAG. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. Signet of .ger, electrical contactor or electrical administrator Cash Check X Date: I a- G•D Credit Card ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00000510 Date 5/25/11 Application pin number 569120 REPORT SALES TAX Property Address 3928 NYGREN PL ASSESSOR PARCEL NUMBER: 06- 30- 15 -6 -3 -0080- 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 200 amp service repair Owner Contractor ADELIA WALLIS STRAITS ELECTRIC PO BOX 2091 PO BOX 2914 PORT ANGELES WA 983620378 PORT ANGELES WA 98362 (360) 457 -4093 (360) 452 -9104 612-0-71-1 1 Permit ELECTRICAL ALTER RESIDENTIAL (e Additional desc Permit pin number 186387 Permit Fee 119.90 Plan Check Fee .00 Issue Date 5/25/11 Valuation 0 Expiration Date 11/21/11 Qty Unit Charge Per Extension 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Fee summary Charged Paid Credited Due Permit Fee Total 119.90 119.90 .00 .00 Plan Check Total .00 .00 .00 .00 P Grand Total 119.90 119.90 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE =i�'1,"'l� ROUGH -IN FINAL 51 21 h lC p COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING May .24 11 11:31a Christie Tucker 360- 452 -0741 p.1 iii V l Pilrtf .li. City of Port Angeles Permit Application 'i Bui[dingDivision1Electrical Inspections MAY `J CR East Fifth Street —P -0. Box 1150 Port Angeles Washington, 98362 2011 Ph: (360) 417 -4735 Fax; (360)4174711 ELECTRICAL Date INSPECTIONS x 1 a 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration! Remodel Repair" Plan Review Ma, tred,,Please Com,P {e Electrical Plan Review Information Sheet 1 `r Job Address: y9Y r) Building Square Footage: c J� Description of above ItP 10 NC.• iC,rSt,2C) 1- Owner IoforQ�atioji Name: A 5 C tr for In .rrnation d 1 Q 1 Name: Z ei G Mailing d s: 39 a h /Y Y Yr /1 Mailing ddr 1M City: State: Zip: 9 L City: State: I' Zrp: 2 !'i Phone: Fax: Phone: License Exp. License 11/ Exp. a I.�11�v/I? rn� Unit Change Qt Total (Qty Multiplied by Unit Chargel 119.90 I S 1 f r Service/Feeder 200 Amp. r G l $145.50 5 Service/Feeder 201 -400 Amp. 204.60 S ServicelFeeder 401 -600 Amp. r u 262.20 ServicelFeeder 601 -1000 Amp. 1! 372.60 Bn F Circuit W/ over t Amp. S 2.60 Branch ds Cirwil W! Service Feeder 73.50 Branch Cirwrt W10 Service Feeder 5 2.60 5 Each Additional Branch Circuit 5 92.70 5 Temp. Service) Feeder 200 Amp. S 110.30 5 Temp SeM ejFeeder201-40O Amp. S 148.70 5 Temp. ServiceiFeeder401.600 Amp. S 167 -90 Temp. Service/Feeder 601 -1000 Amp. 0 c 5 95.90 Portal to Portal Hourly 5 88.20 S' Sign/Outline Lighbng 95.90 3 Signal Circuit/ Limded Energy— Commercial. Additional 1500 $5.00 5 63.90 Signal Circuit/ Limited Energy 1 8 t Family DelDwelling \1 v A S 63.90 S SignalCircuiUlirrritedEnergy Multi- FamilyDweUing r�i�� 5119.90 Marufachaed.Home Connection S 102.30 5 Renewable Electrical Energy- 5KVA System or Less 5 110.30 First 1300 Square Ft. 5 35.20 5 Each Additional 50D Square FL or Portion of 5 73.50 Each Outbulding or Detached Garage 5110.30 5 Each Swimming Pool or Hot Tub 5 56.00 S Thermostat ii)\ 5 Total Owner as defined by RCW.19.28.261: (f) Owner will occupy the slracture for two years after this electrkal permit is finalized. (2) Owner is required to hire an electrical contractor if above said property Is forsale, rent or lease. Permit ozpires after six months of last Inspection. After ding 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 al -r lion in pence with the electrical laws, N.EC., RCW" Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specifications, re electrical contractor or electrical administrator Cash Check 1 p at e Credit Card ft Application Number 10 00001171 Application pin number 739997 Property Address 3928 NYGREN PL ASSESSOR PARCEL NUMBER 06 30 15 6 3 0080 0000 Tenant nbr name ADELIA WALLIS Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation Application desc GAS FIREPLACE PIPING TANK SET Owner ADELIA WALLIS PO BOX 2091 PORT ANGELES (360) 457 4093 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 1 00 50 0000 HR ME INSPECTION MIN 1 HR Fee summary T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983620378 RS9 RESDNTL SINGLE FAMILY 4407 Contractor MECHANICAL PERMIT GAS FIREPLACE PIPE TANK SET 175307 121 30 10/18/10 4/16/11 Charged Paid Credited PELLET HEAT CO 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457 4406 Permit Fee Total 121 30 121 30 00 Plan Check Total 00 00 00 Grand Total 121 30 121 30 00 Date 10/18/10 Plan Check Fee 00 Valuation 0 Due Date Print Name Signature of Contractor or Authorized Agent Extension 50 00 10 65 10 65 50 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 1. II -3 -10 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 f� _4/0 Iv /U /�a�h er �r e �efe0 OS1 L f'i Signature of Owner (if owner is builder) 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 1 II —Ih "ILL— Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 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 Inspection Type PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping SHORELINE. FINAL Date Accepted by FINAL Date 1 1-3.---1O Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By PREPARED 11/03/10 8 20 56 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/03/10 ADDRESS 3928 NYGREN PL SUBDIV TENANT NBR ADELIA WALLIS CONTRACTOR PELLET HEAT CO PHONE (360) 457 -4406 OWNER ADELIA WALLIS PHONE (360) 457 4093 PARCEL 06 30 15 6 3 0080 0000 APPL NUMBER 10 00001171 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 11 /01 /10 JLL MECHANICAL GAS LINE TIME 01 00 11/02/10 AP October 19 2010 8 39 37 AM 1pangrle ADELIA WALLIS 457 4093 GAS LINE AFTERNOON November 2 2010 9 33 22 AM jlierly ME99 01 11/03/10 'L MECHANICAL FINAL TIME 01 00 ,,,n November 2 2010 2 14 51 PM 1pangrle V MIKE 457 -4406 MECHANICAL FINAL GAS FIREPLACE PIPING TANK SET AFTERNOON COMMENTS AND NOTES PREPARED 11 /01 /10 8 23 18 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11 /01 /10 ADDRESS 3928 NYGREN PL SUBDIV TENANT NBR ADELIA WALLIS CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER ADELIA WALLIS PHONE (360) 457 4093 PARCEL 06 30 15 6 3 0080 0000 APPL NUMBER 10 00001171 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 11 /01 /10 MECHANICAL GAS LINE TIME 01 00 October 19 2010 8 39 37 AM 1pangrle ADELIA WALLIS 457 4093 GAS LINE AFTERNOON COMMENTS AND NOTES 10 11 2010 15 13 13604520503 SPA SHOP PELLET HEST Applicant or Agent Owner A de, /p 4 Owner's Address Z 9 z. 11/Yap e LR« Contractor /Engineer e-//. ta. Contractor /Engineer's Address 3 4- License PL L co ©M 5 PROJECT ADDRESS 3 9 .erg N yc-, h-,,, Parcel Number Q 4, 3 n S nQ 8 6 0 0 o a Pro /ect TVDe Brief Des Check all that apply o New Construction o Addition a Remodel o Repair o Re -roof o Demolition o Sign o Heat System o Other Floor Areas Basement per sq ft. 1 Floor 2 Floor 3f Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures criotlon. 4 Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? T Forms /eullding Division /Bldg Permit Appl —2008 Code doc BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 4815 fax (360) 417 4711 Residential Commercial ffK At 4y f /t<r Ntr Co N 1 ►e n v a e, .rt_ p 1 P, r, A n AN k_ 4)4_1 raps& e o wall- mounted o projecting o freestanding o awning other Total sign area sq ft. Maximum allowed sign area sq ft. o Heat pump o wood- burning stove *gas fireplace o pellet stove other Exlstinp (sa. ft.) Proposed (sq. ft.) TOTAL VALUATION y %v7. o sq ft. T Lot size sq, ft. Lot coverage ft. Occupancy group Occupant Toad Construction type Phone Phone Phone Sr Expires ,P L C Lot 8 PAGE 01 For City Use Only Date Received_I0^ (1 -10 Permit #JO- tl Date Approved 344o 5/S yee L 31,6 ys'7 -'Yo9? 7,4 G 5- r7 -4 Zoning Multi family Industrial of bedrooms of full baths 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 obtain permits pri working on projects. Signature Date JD &Jo Print Name fyj,`C,�Aie-i Dane- Clallam County Assessor Treasurer Property Details 68234 ADELIA WALLIS for Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 68234 ADELIA WALLIS for Year 2010 2011 Property Account Property ID 68234 Legal Description. LOT 8 ALDERBROOK Geographic ID 0630156300800000 Agent Code. Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Township Section. Range Location Address: 3928 NYGREN PL Mapsco PORT ANGELES WA 98362 Neighborhood: Cycle 4 Res Map ID 2 Neighborhood CD 10952130 Owner Name ADELIA WALLIS Owner ID 58246 Mailing Address. PO BOX 2091 Ownership 100 0000000000% PORT ANGELES WA 98362 -0378 Exemptions. Taxes and Assessment Details Property Tax Information as of 10/11/2010 Amount Due if Paid on. 3 NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due. First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid 2010 49960 ST SCH STATE SCHOOL $215 60 $215 61 $0 00 $0 00 $431.21 2010 49960 CC -GEN COUNTY $114 74 $114 73 $0 00 $0 00 $229 47 2010 49960 PORT PORT $16 12 $16 13 $0 00 $0 00 $32.25 12010 49960 PORT ANG PORT ANGELES $265 66 $265 66 $0 00 $0 00 $531 32 2010 49960 SD #121 SCHOOL DISTRICT #121 $279.27 $279.27 $0 00 $0 00 $558.54 2010 49960 NTH OLY LIB NORTH OLYMPIC LIBRARY $33 34 $33 34 $0 00 $0 00 $66 68 2010 49960 HOSP #2 HOSPITAL #2 $47 07 $47 07 $0 00 $0 00 $94 14 2010 49960 WSMET PK DIST WILLIAM SHORE MET PARK DIST $14 98 $14 97 $0 00 $0 00 $29 95 2010 49960 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 2010 49960 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 2010 49960 TOTAL. $1023.60 $1023.59 $0.00 $0.00 $2047 19 2009 682342008 ST SCH STATE SCHOOL $225 13 $225 13 $0 00 $0 00 $450.26 2009 682342008 CC -GEN COUNTY $113 95 $113 92 $0 00 $0 00 $227 87 2009 682342008 PORT PORT $16 14 $16 14 $0 00 $0 00 $32.28 2009 682342008 PORT ANG PORT ANGELES $249 91 $249 91 $0 00 $0 00 $499 82 2009 682342008 SD #121 SCHOOL DISTRICT #121 $278 43 $278 41 $0 00 $0 00 $556 84 2009 682342008 NTH OLY LIB NORTH OLYMPIC LIBRARY $33 11 $33 10 $0 00 $0 00 $66.21 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =6 10/11/2010 CITY OF PORT ANGELES LIGHT DEPARTMENT ELEGTRICAL PERMIT 16678 Port Angeles, washlngton.____.__.___I.~..::..z=_....__.....m.___....___.___, 19__?...r 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- ;;::iF~~~~~~:_:':::::===~~== Wiring Contractor __~A?!'?~=u_____~m.....n::~._m BY_...n....__m.m.__.mm.mm__m.n...m....__m__...__..__ " \ / .:2-6/ ,;) y.c Ught Outlets......._....m_.._m.................... Service, volts ................;;--................... Type of Wiring: :3 No. wIres .m......,"/Z...;;;;{l... Size wiresnn__%dn___n..:nn___ Main fuse hm~A:...__...n S Enclosure .0000...00......00_00._...._._......... Receptacle Outlets.........n...._..._.._......h Dryer, KW ___.nn._....__............._....h_._n. Runge, KW._n....__n.___h__._________..h......__ Water Heater: (~' . ; .. KW_..Uh_______'_:::___n___________n.n___n Heat: KW.........._......_....::......_...__............... Mot~~J._~::~~::~_:___._... IZ~::::~:::::::::::::::::::::::::: Type of Wiring: Entrance Cable ......._.n___m__... Rigid ConduIt ......00......... Metalllc Tubing .__________000000_____00___ Current transformers: No. & Size_n...._...._nn_n___...n....n...__ Ser. NO.....n........................................ Ser. No. __....n_.._.n_..._........._......n..n... Nt? Armored Cable ............._..00............ Non.Metallic ..........._....__00...__00....._ Knob & Tube._..............._............... Rigid Conduit 00__.00________000000_________ Metallic TubIng 00..............________.. Raceway _........._.__.........._.....____ C Circuits, Llght.........n_..n.h_d............__n Utility ------f---u------.----u----..---. Heat .................___....._._..........._.._ ';2.. ::t:: ~:~~~~..~~~~3~~~~:~~~~~~:::~~~~~ :r:::~_ ._~~~~.~..~~~.~~~~~~~..~~..~::~~:::~:~~:== Furnace .........................._................... ;2r Total Load....h........n__....nh_.. Ser. NO..n._..n___.nn_..n_.nn__.nnnn.... Total ....0000...._00........................ Remarks: ___.m...uu.~..nmn~.~..~...___.._____.______________u.__uL..~.€.~Lm.m.....u....m Ser. No. ...00........................................ m......m..m.m__mm__mmmm.m...u............um.mnmn....Uuuuum.......m...u:.m;;;z:7;J;:' . __n........._.__mm__m...__.......__ Permit Fee - Treas. Receipt c)(t/. 1M L $m...J:t..r.(!.m.m..m.m._ NO..m..m__....m__..__m. By ..~n--:.....:.. .m....mm.m~......C....~ '- NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. ce~led 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? ; / 16678 Address ..n..hn..h_....__...n.nnn................._n...........nu..nnun....__....................................00....._....00.. Date..._......_.._h_.._.........._......_...__......._ Ownor ..........n....___.n_...__.__________._.____..nn........___...........0000..00.00_00...._0000___000000__.00_....00.... Tenant_....___.n.nn__.....__n.................................._..... Wiring Contractor....m_._.m___mnn..hhn.mn__mnmmmmn_mm___m___mnmm___h.mhhnn__n..._.h___L Bymnmmn_m___mm.m...m....m_n.nn.._.h..n / '. JNOTIC~urrent must not. be turned on until CertIficate ot Inspection has'. been issued. If work is to be COD- ce lea due notice must be given the Inspector so that work may be inspected before concealment. . 1M Olympic Printers, Inc.