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Home My WebLink About309 Viewcrest Ave - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000174 Date 2/17/12 Application pin number 073096 Property Address 309 VIEWCREST AVE ASSESSOR PARCEL NUMBER: 06- 30- 15 -5 -0- 9030 -0000- REPORT SALES TAX Application type description SIDING on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY. �f Application valuation 21842 (Local /on Code 0502) Application desc REMOVE AND REPLACE VINYL SIDING Owner Contractor o THOMAS SHARON SMIRCICH HOME DEPOT AT -HOME SRVCS, THE PO BOX 1744 2690 CUMBERLAND PKWY, STE 300 PORT ANGELES WA 983620090 ATLANTA GA 30339 (360) 457 -4214 (770) 779 -1300 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF /INSTALL VINYL SIDING Permit Fee 375.75 Plan Check Fee .00 Issue Date 2/17/12 Valuation 21842 Expiration Date 8/15/12 Qty Unit Charge Per Extension BASE FEE 95.75 20.00 14.0000 THOU BL- 2001 -25K (14 PER K) 280.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 375.75 375.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 380.25 380.25 .00. .00 �1LVv` )y?\• \l 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 viol or cancel the provisions of any state or local law regulating construction or the performance of construction. c9 17 d -f°7"a" X /4/ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 V 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 FINAL Date Accepted by 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 FINAL Date Accepted by 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 Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417-4750 Building 417 -4815 S' 21 12 �LV T:Forms /Building Division /Building Permit N H W U E 0 rr a 10 rt N rt o H u M N m r vl 1.1 r a b O U O O N r O r M O U rx u H H HWW F Q z O x m W 41 0 o o c W W x x N E H v a H H a Na Z Fh H Q Z lf ,H �a H O 0 m u E F 0 U U 2 N E W W W H z a s E o ff W H H 5 w H U Q N o E F\ Z 0 r- 04(f) H00) H E W C V]x rxa 0 0 il U) q N E a Uo WW aro0 V] a O (a X W X E H O W C7 E 7OV1MH H rn x omj a s NQ Q O U] a z 40 V w x I H W a o a u) r Z rx h U O H H O a V1 O q H V] W W H o 17 a Q 0 0 „7 W W W N H 10 0 0) O M O X1 V) 000)0101 0 0 1 H H p 010)0001 00)0) N N 0 X F a W 0 M M rk rx Ox 0 •a •w z a 0 w 01 Q F S W W u) U 5 H 0 o u 04 a z E a o a U 400 a 4 0) F al pUh1- <r BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received a 7-1) 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Permit Date Approved 7 Applicant The Home Depot At Home Services Phone 360- 945 -2787 Property Owner TOM SMIRCICH Phone 360- 457 -4214 Property Owner's Address 309 VIEWCREST AVE Contractor The Home Depot At Home Services Phone 360- 945 -2787 Contractor's Address 140 County Line Rd #101, Pacific WA 98047 License HOMED *972RQ Expires 2/1/2013 E -mail naida @nwpermit.com PROJECT ADDRESS 309 VIEWCREST AVE Parcel Number 0630155090300000 Lot Zoning Project Type Brief Description: 6 Residential Multi- family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition Re roof House garage other tear off re roof lay over one layer Heat System Heat pump wood burning stove qas fireplace pellet stove other n Other remove and replace 21 sq. vinyl siding; no plywood replacement; no structural changes._____ Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 121842.00 Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site 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 obtain permits prior to working on projects. Date Print Name Signature Naida Digitally signed by Naida Khan DN. �-NaiJd I(Ia, T.Forms /Building Division /Bldg Permit.doc o= Northwest Permit Inc., ou, email =naida nwpermit.com, Khan c=US Date: 2012.02.16 13:26:58 08'00' Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc HEAT PUMP INSTALLATION Owner THOMAS SHARON SMIRCICH PO BOX 1744 PORT ANGELES (360) 457 4214 Permit MECHANICAL PERMIT Additional desc HEAT PUMP INSTALLATION Permit pin number 176362 Permit Fee 64 80 Issue Date 10/28/10 Expiration Date 4/26/11 Qty Unit Charge 1 00 Fee summary 14 8000 EA 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 983620090 Per Charged Permit Fee Total 64 80 Plan Check Total 00 Grand Total 64 80 10 00001258 056804 309 VIEWCREST AVE 06 30 15 5 0 9030 0000 THOMAS /SHARON SMIRCICH MECHANICAL APPL PERMIT PUBLIC BUILDINGS PARKS 8254 Contractor ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee Valuation BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited Due 64 80 00 64 80 Ic /2ah s r. in l _4(1r/L— 00 00 00 Date 10/28/10 00 00 00 00 0 Extension 50 00 14 80 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 I 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 FINAL Date 1 k PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T /Building Division /Building Permit FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 ,lo Accepted by Date Accepted By PREPARED 11/19/10 8 01 40 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/19/10 ADDRESS 309 VIEWCREST AVE SUBDIV TENANT NBR THOMAS /SHARON SMIRCICH CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813 OWNER THOMAS SHARON SMIRCICH PHONE (360) 457 4214 PARCEL 06 30 15 5 0 9030 0000 APPL NUMBER 10 00001258 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 11/19/10 JLL MECHANICAL FINAL TIME 01 00 November 9 2010 3 55 43 PM 1pangrle JENNY (ALL WEATHER HTG 452 9813) MECHANICAL FINAL HEAT PUMP AFTERNOON fr'J'31i COMMENTS AND NOTES PROJECT ADDRESS Parcel Number 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 Applicant Ertl 02124 t 030100 Property Owner (UDC) 'T keY1 f thtirrign Property Owner's Address PCCt i inUtZsll Pie Contractor gALAZQ(13.4eJ Contractor's Address _aA "(NO License W)L2k C C-'t1 Expiresc ll I 1 I Phone '`iQ0 Phone6WO 1 Phone 2 -ci&S E -mail (Atit1GCC owt ert -Corn\ \t hc C)cf Phie Lot Prolect rvne Brief Descrlotion. ,if?esidentlal o Multi- family o Commercial o Industrial Check an that apply c New Construction 'Y nstal h c c o Addition ,Remodel o Repair o Demolition Re -roof o House rJ garage o other o tear off re -roof o Iaypver one layer Heat System $-feat pump o wood burning stove o gas fireplace o pellet stove *other cuke n Other Floor Areas Exlstina (sq. fL) dosed (sq. fL) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATIONS 8 (SU Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be Installed? Occupant Toad Will afire sprinkler system be installed? Construction type 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 prior to1*o on projects. Date \a 2 -113 Print Name `f SARt1 ti-- Signaturq li \Lx 'r:Forma/Bullaing Oivialon/Bldg Permlt.doc -7n i -n 7ni C1AIT I i-J7U ]l7LJ I �-+7M 11�"I For City Use Only* Date Received I0 -III Permit #_I.(l -125 Date Approved of bedrooms of full baths of half baths Zoning PV-,R J TC7Chr]OCT 7C CT r Tr)7 JO7 Jr]T Clallam County Assessor Treasurer Property Details 67895 THOMAS /SHARON S Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 67895 THOMAS /SHARON SMIRCICH for Year 2010 2011 T Property Account Property ID Neighborhood: Neighborhood CD Owner Name. Mailing Address: Amount Due if Paid on. R. 2009 678952008 2009 678952008 {2009 678952008 2009 678952008 67895 Geographic ID 0630155090300000 Type. Real Tax Area: 0010 Open Space: N Historic Property' N Multi Family Redevelopment: N Township Range. Location Address: 309 VIEWCREST AVE PORT ANGELES WA I Taxes and Assessment Details Cycle 5 Res 10955130 Property Tax Information as of 10/28/2010 Legal Description. Agent Code PA 121 PORT ST CNTY H2 L Land Use Code 11 DFL N Remodel Property N Section. Mapsco Map ID THOMAS /SHARON SMIRCICH Owner ID PO BOX 1744 Ownership: PORT ANGELES WA 98362 -0090 Exemptions. Year Statement ID Taxing Jurisdiction 2010 49651 ST SCH STATE SCHOOL 20_10 49651 C_C -GEN COUNTY 2010 49651_ PORT PORT 2010 49651 PORT ANG PORT ANGELES 2010 49651 SD #121 SCHOOL DISTRICT #121 2010 49651 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 49651 HOSP #2 HOSPITAL #2 2010 49651 WSMET PK DIST __WILLIAM SHORE MET PARK DIST 2010 49651 CITY STORMWATER CITY STORMWATER 2010 49651 WEED CONTROL WEED CONTROL 2010 49651 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES MAGUIRES H ADDITION SP #80 -9 -10 V9 P56 LT 3- .21 A 2 52772 100 0000000000% 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 Amt. Amt. Penalty $209 00 $209 00 $0 00 $111.22 $111.22 $0 00 $15 63 $15 63 $0 00 $257 52 $257 51 $0 00 $270 71 $270 71 $0 00 $32.32 $32.32 $0 00 $45.62 $45 63 $0 00 $14 52 $14 52 $0 00 $36 00 $36 00 $0 00 $0 82 $0 81 $0 00 $993.36 $993.35 $0.00 $238 61 $238 60 $0 00 $120 76 $120 76 $0 00 $0 00 $241 52 $17 11 $17 10 $0 00 $0 00 $34.21 $264 87 $264 86 $0 00 $0 00 $529 73 Interest Base Paid $0 00 $209 00 $0 00 $111.22 $0 00 $15 63 $0 00 $257 52 $0 00 $270 71 $0 00 $32.32 $0 00 $45 62 $0 00 y $14 52 $0 00 $36 00 $0 00 $0 82 $0.00 $993.36 $0 00 $477.21 http. /vpn. clallam. net. 8084 /propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =6 10/28/2010 Application Number 10 00001253 Application pin number 999125 Property Address 309 VIEWCREST AVE ASSESSOR PARCEL NUMBER 06 30 15 5 0 9030 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Ductless heat pump Owner Contractor SMIRCICH THOMAS /SHARON PO BOX 1744 PORT ANGELES WA 983620090 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Date 10/28/10 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 176297 Permit Fee 78 70 Plan Check Fee 00 Issue Date 10/28/10 Valuation 0 Expiration Date 4/26/11 Qty Unit Charge Per Extension 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 Signature of owner or Electrical Contractor X Date. INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 11Z /la 40Y FINAL 1/2/p5 JI COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, Ph (360) 417 -4735 Fax: (360) 417-4711 Date. /0 /D 1 2 Single Family Dwelling Plan Review May Be Requred, Please Complete Electrical Plan Review Information Sheet Job Address; Kf5y 11 A..Jex..5'4- /?i, J Building Square vetage; Description of above ,2 T cam' Owner Intimation Name: J ii Mailing Addre e City' Phone: g" License Exp �Ch State: R Ip: Fax: Item ServIce/Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service/Feeder 401.600 Amp Service/Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder 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 /Outline Lighting Signal Circuit Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 148.70 $167.90 95.90 88.20 95.90 63.90 63.90 119.90 $102.30 56.00 110.30 35.20 73.50 $110.30 gtt S 7B 7 t Total 98362" 2 KCB U ELECTRICAL INSPECTIONS Multi Family or Commercial* Commercial Addition Alteration I Remodel I Repair* Contractol.tttformation Name: 7 cSG7'i �er� t 7C/`C M City: adin A BDY State: f 4 ZJp' b'j_fa1 Phone: License Exp, ��Z22 P SQL, �7 73 9 Total (fir Multi ;filed by Unit Chargel '7,35 SI S Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. 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 I hereby certify that I am the owner of the above named property or a licensed electrical con rector I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC, Chapter 296-410, The City of Port Angeles Municipal Code. and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Sign ure owner, electrical coictor or electrical administrator• 0 comb 0 cnaC, IQ Credit Card tl_ Dated: -a t 01101rl010 CI'i'Y OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17520 port Angeles, washlngtonm!,{:::___3.._.._...m___...___..___._...:..___....., 197:1. In aocordance 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 ..:.3m~~.__i...___..!l.~..'..d.~f.A!6.;t:.._____._m.____m_.__.. Occupancy.nn____./.._~e_~~..n_..____._____. ~:~:~ ~.~~~~~-::t::;:~:::~~~:::&~:.~t~::~~~;::::::::::::::.~~~.~~~::::::::=::::::::::::::::::::::::::::::::::::::: L:ght Outlets............d....9........_.._...._ Service. volts _.I.:?J._~..:_..;?:c_':t..9._....... Type at Wiring: Receptacle Out1ets.../::l____~.....__....... No. wires __/7}(:d......:t..b.:....... Armored Cable .._m___mh................ W r'" Si . Non.Metall1c .0..........................____. Dryer, K .n.n....~..__.__________________ ze wlres___.___...h...h.................._.. R mge, KW h__'''hl'''~_h_ Main fuse __.'*h.(.!..:.'.....h1..'f......... Water Heater: -- KW.......____/L____:L______...._...._..___ Heat' KW../..,J.........I3...B......_. Enclosure h....................___.nn.nn.... Type of wiring: Entrance Cable .mm.__. ~otors: size, volts and phase: Rigid Conduit m__mmm.._ MetalUc Tubing ....0............. Current transformers: No. & Size.............................._......_. Ser. NO.n_h.................._...........____...... Ser. No. n.__._._____h...h__........h....__....._. Ser. NO.........___.______..._._.______..____..__n_.. Total Load___n____..m___.._h__h... Ser. No. ................._........___............... Il.emarks: ._____..::)r.Ud..-1..L..C.:1:-c,dii,:n___..___n.n_..__..____.n____..__............m........n___m.......___.___.........______.....___ Permit Fee $...3.,./..D_________..___.___... Treas. Receipt No............................. By t.j.~.._._.f.0:t.d-.,""'<'!=~............ Knob & Tube......._._...__...._.____......... Rigid Canduit ____m_......................_ Metallic TUbing ...m__.mm............ Raceway .......____.__........................._ CIrcuits. Llght.........(?.m__m__.....__....... r-- UtilitY.__..m__....;)............__m_____..... Heat ..__........__8............................. ." Range ._.._..........~._.________._...._...... ,.., Water Heater _...e:o!".._.m..............n Motor ____.........__..........___.__.._..____...._ Dryer ........n._n______~.................__ Furnace -.------...-.............._n................. Total __....2.mS....._................ NOTICE-Current 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7 5 2 0 A:ldress.__.___________._..__._.____.__......_._....____.....___....__..____.____________.._.___.__......__.._............______.__.________....Date..._......____.._.._.........._......_......_......_.. o wner .________._.___________...__..___.._.....__.._......_......_.._......................._..._................._.....__....._ Tenant.._____._...__.___...____........_........_..........__....._____._. V .iring Contractor._...__...................._........____....._.._.______.__................................__..........___......___._____. By.__........:.................................................. NOTICE--Current must not be turned on until Cert1f1cate of Inspection has been issued. It work is to be con. c 1aled due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc.