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Home My WebLink About514 G St - BuildingOWNCR ?Vt- S1 PRo_fZ. CONTRACTOR ADDRESS 5 1 4 Ti a MPx..rz_ i sr14u, r ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE' 1 I I 1 I PERMIT INSPECTOR APPROVED NOT APPROVED DITCH ROUGH IN /COVER 1 SERVICE FINAL CORRECTIONS NEEDED: Cs et) tiN 5) awl S 41V t 24E.. A rem Scl6 P,ar.I EL n) ife;c Z-SO 6 3Z. R 6-&0‘,1 rimes: N r rL 3 VI es4 17c✓CT o Ir- r*Ztc.40--a2 -V=fl t4 z i R+��tiese�z L 1T ►.l /Cf.— L e t go �c s CCs (54.0 z4.). 2Po ✓a c_r_NxtreeneW Vol 174°rs 4\1 c 3 I' r Lazo WAR u n 1 P S42 Ca a 3 �a NS O I I ECTOR WHR I S ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Application Number 11 00000048 Application pin number 932256 Property Address 514 G ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2175 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc New panel and 5 circuits Owner Contractor RAYMOND 0 VENESSA PULSIPHER OWNER PO BOX 1572 PORT ANGELES WA 98362 (360) 775 5054 ELECTRICAL PERMIT CIT' OF PORT ANGELES 360- 417 -4735 Date 1/13/11 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 180380 Permit Fee 132 90 Plan Check Fee 00 Issue Date 1/13/11 Valuation 0 Expiration Date 7/12/11 Qty Unit Charge Per Extension 5 00 2 6000 ECH EL BRANCH CIRCUIT W /FEEDER 13 00 1 00 119 9000 ECH EL 0 200 SRV FEEDER 119 90 Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FIN AL COMMENTS Sienature of owner or Electrical Contractor Charged Paid Credited 132 90 132 90 00 00 00 00 132 90 132 90 00 PERMIT WILL EXPIRE SIN (G) MONTHS FROM LAST INSPECTION Due DATE RESULTS 00 00 00 INSPECTOR. 421 /Pi P 1 4 Ai 3 Oh 11 Date REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Signature of owner, electrical contractor or electrical administrator Dated: RECEIVE CITY OF PORT ANGELES PERMIT APPLICATION ►JAN 13 2011 Building Division/Electrical Inspections ELECTRICAL 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 INSPECTIONS Ph (360) 417 -4735 Fax: (360) 417 -4711 r Date. 1 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 Job Address: 5/4/ 5 S fref.4r For+ A. 1/2r S S36 3 Building Square Footage: c3S 0 Description of above +.t ICS TA. r -1 tc. c- s-1 v S c v c urr'S Owner I Contractor Information Name: 1 D,,A Vin k )\.L_r Name: Mailin Address:' S (am. 3 f Mailing Address: City /-'4- nae(g State: Wp Zip: 9f331b3 City State: i /tip: Phone: 31,0 02 4$19 Fax: Phone: Fax: License /Exp. License Exp. Y Item Unit Charge Total (Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. 119.90 1 1/ 9 yU Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 0 3 °(.7-- Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 1000 Amp 167.90 Portal to Portal: Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/.Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 /3T °1 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, 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 alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications. Cash Check Credit Card 01/0112010 sf 11M111 i> moor OWNER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATS PERMIT INSPECTOR 1 c 1 1 I til A hL17 PQL,Si Tsvr rats, CL ILe- ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER 0. SERVICE FINAL CORRECTIONS NEEDED: A I-(J 'Q p &c.C.l 21CL iAzf1 -k F21 012 -It �►t L gv c L Di (c P aPprR'6".r. rs.kl."3' pitic)OV Fol►,f, u./L, rr •n1T NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 5 circuits for outbuilding Owner RAYMOND 0 AND VENESSA PULSIPHE PO BOX 1572 PORT ANGELES WA 98362 Fee summar' Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE 1 DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 11 00000020 500880 514 G ST 06 30 00 0 1 2175 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 179994 Permit Fee 83 90 Plan Check Fee Issue Date 1/05/11 Valuation Expiration Date 7/04/11 Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 4 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited 83 90 83 90 00 00 00 00 83 90 83 90 00 Iv,- 1 b L 1� 1zl Date 1/05/11 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES (360) 457 0198 WA 98362 A5, 566c RESULTS Extension 73 50 10 40 Due 00 00 00 00 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. 4,1> Date: ly s! Port Angeles Permit Application ;I.l,lding !)ivisronkilecuical Inspections 1 L FUIh 0Iroal P.O. (lox 1 ISO >lar qnr 9 Washinrtan 98362 1 rah 1360) 417.4135 Far: 360) 417.4111 5ingle amvy •weihn(; w.),Iy G r■rmlelCIar i1 me nt 1 Arcrabgn Rorirn) lie kequiiet Please (Icm.ricti, f: r- !Rear Plan Review Information Sheet itches --5 3 9. N lIl i1 I iftc.,a �f IRlpr.n,l'u Ir hnr (hir .62_ i ta!e 33/4– )1 7'11 'AIi;P `yP 1 S g l 71 3C X43 16/ ty `!S 9i g!' 20 rq 19;1 92:1 .1, a! III I n 'Li ,el as Miner; by RCVS/ 19.26.201, (11 Owner Niil occupy Ito slructUra for two years after lhle electrical permit 15 flniNrerl. (y) 1,wrwwr Is Iequlred r0 tarn an electrical contra-to/ gab we id properly 15 for sJIC, rent or lease, Permit Aspires eller six months of fast inspection. 1 1 I III I d ��Q III•• yr a licensed etectrIcel conlrac(or. 1 !A1 1111k1110 1110 011[l(IC+II IOSIOIbf100 YI 1 1 i I I I r. r I 'l I I f I I i i1 i l /i I11 d l l A e ailar311on i; ;um?Ilanr;e wilh the electrical. la NS N,( C RCW, Chapter 19i8, W C. Chapter ter296 X69, IS/ o .luatur clevreer elect, C1lcontractor orcie meat Idlnlnlslretut LI ir. fl C9ntractor Inforration Name: EXf/L' M TiQl(r.�'(_ Mailing Address: s G n City: P Slate' W tar Zip `J5 L Phone: Y 7 -S.Ual Fao: .t.(14:jj a Err License 1 Exp, aric$f tt ef C 71011 d I i olal a 3,U I 0 OL IV -nl Iar4 Service/Feeder 200 Amp ServicelFeeder 201 400 Amp. Service/Feeder 401 AMP. ServicelFeeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W! Service Feeder Z3, co Branch Circuit W10 Service Feeder 0 r(a_ Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. ServicelFeeder 201400 Amp. Temp ServicelFeeder 401 600 Amp Temp. See/ice/Feeder 601.1000 Amp Portal to Portal Hourly Siga!Oupine Lighting Signet Circuit/ Limited Energy Commercial Adellinnar /15 10 Signal C'ncwV Limited Energy 1 8 2 Femiy Dwelling Signal Devil/ limited Energy Muld•Femily Owellmg Manulactured Home Connection Renewable Electrical Energy 5KVA System or Lest First 1300 Square Ft w_.._ Each Additional 500 Square Ft, or Portion of t Each Outbuilding or Detached Garage Each Swimming Pool or 1.lot Tub Thennoslal !tO To191 r r. i le RECEIVED JAN 2011 g ELECTRICAL JJ INSPECTIONS 0 Credit Caro tI I C C PREPARED 10/05/06 11 16 37 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/05/06 ADDRESS 514 G ST SUBDIV TENANT NBR RAY PULSIPHER CONTRACTOR ANGELES CONSTRUCTION PHONE (360) 460 6508 OWNER RAY PULSIPHER PHONE (360) 417 6844 PARCEL 06 30 00 0 1 2175 0000 APPL NUMBER 06 00000370 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10 kL0 BUILDING FINAL TIME 13 00 RAY 417 6844 10/04/2006 04 52 PM DYASUMUR COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner RAY PULSIPHER 514 S G ST PORT ANGELES (360) 417 6844 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983620334 T-\Policies \1102 15 building pennitinspection record05.wpd [1/4/20051 06 00000370 359240 514 G ST 06 30 00 0 1 2175 0000 RAY PULSIPHER RE ROOF RS7 RESDNTL SINGLE FAMILY 1624 Contractor ANGELES CONSTRUCTION 2542 JAKES RD PORT ANGELES (360) 460 6508 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR -OFF FELT COMP Permit pin number 75143 Permit Fee 86 60 Plan Check Fee 00 Issue Date Valuation 1624 Expiration Date 10/18/06 Qty Unit Charge Per Extension BASE FEE 50 00 12 00 3 0500 HND BL -501 2K (3 05 PER C) 36 60 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 86 60 86 60 00 00 J Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 91 10 91 10 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 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. 2/ Signature Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date Date 4/21/06 WA 98636 Ri\i MW ials/t0C, 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 1 NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS RESIDENTIAL ELECTRICAL LIGHT DEPT FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 1 1 1 I I I 1 I 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 I 1 I I 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 FINAL FINAL SEPA. ESA. SHORELINE. DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING 1 FIRE DEPT 1 1 PLANNING DEPT 1 1 BUILDING 1 av5 /t(./ fv,/) 14/ -e 00 4 (D l e es et t a- 11-1 p?sl'Jf )v 6 Pe eov r t 2 O cpc c (cl kc, p4_ N eto C14 -t4 go S'o r,c s pct d owAw l 5 14 (b G o u t r- c S' p c€7 r, l;‘15/-c 5 4-~Keel IP err G q,teeze Sbo od 4' 7y /2cj 6 (5 /2 5z) fq 5 6 sire -4 2 v1.- cos If 11-194_ 2( off, CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELF~, WA 98362 BUILDING PERMIT ISSUED: 3/21/2000 PERMIT NO: 11824 OWNER/APPLICANT PROPERTY LOCATION 514 GSTS CYNTHIA WARNE 514 S. G ST Lot: N.50' OF LOTS 19&20 Pod Angeles, WA 98362 Block: 121 [] Long Legal 360/457-1477 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $500.00 SFD Units: 0 Commercial: 0 Project Type: SFR ADD/REMODEL SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES 10'X 12' BATHROOM ADDITION FEES ASSESSMENT Building Permit: $23.50 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $28.00 Plumbing: $0.00 AMOUNT PAID: $28.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or constmc~en autho~zed is not commenced within 180 days, if constru~on or work is suspended or abandoned for a pedod of 180 days after the work es commenced, or if required ir4pec~ons have not been requested within 180 days from the last inspection. I hereby ceCJfy that I have read and e~amined this applca~on and know the same to be ~ue and con'ecL All provisions of ~ and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permi~ does not presume to give authority to vielate or cancel the ~rovisions of any state or local law regulating construction or the pen'ormance~of construction. Signature of Contractor or Authorized A~ent Date §i~lnat~re bf Owner (it owner is builder) DateTM BUILDING PERMIT INSPECTION RECORD CALL 417-A81 $ FOR BUg_DInG I~$P]ECTIOI~/$. PLEASE PI~.OVIDE A IvtlI~/IMUM 2~ HOUP. N'OTICE. I.N$~L,~ T~ 01~ ¢03!¢F~£ ~ ~,?01~ B£1FOI~ IArSP~Cl~D AND A ¢~'E, PTF~. PO~T PgRMII I~ A COI~ISPICIJOU8 LO~T1ON. KF~P PERMi'r CARD ~ APPROVED PLAlq$ AT JOB SITE o~ ~onr ~ FOR OFFICIAL USE ONLY: °~ BUILDING PERMIT - PREAPPLICATION Permit #: The Building Permit - Preapplication must be filled out completely. Date Approved: Please type or print in ink. If you have any questions, please call 417-4815 Applicant and/or Agent: Phone: ~Owner: (~/b~o (/~tg,/LI/x-~ Phone: Address:ff~ '/~{iO ~'~d City: ~3fq ~el~S Zip:~O~ ~cNtect~n~neer: ~U~ Phone: Contractor ~ License ~: Exp: Phone: Address: City:. Zip: PROJECT ADD.SS: ~GAL DESC~ON: ~t: t% ~ ~ Bl~k: { ~ T~Y~eE OF WOR_I~ SIZE/VALUATION: sidential l~xNewCons~r. [] Reroof [] Woodstove I'g.c~ '"'-SF.@$ /SF.=$ ulti-family ~1 Addition [] Move [] Garage SF. ~ $ /SF. = $ rl Commercial ~Remodel [] Demolition 13 Deck SF. ~ $ /SF. = $ [] Repair rn Sign [] TOTAL VALUATION $. BRIEF DESCRIFI'ION OF THE PROJECT: COMMERCIAIJRESIDENTIAL: Occupancy_Group: /~P ~ occupant Load: ! C~ Construction Type: No. of St0ries: / LotSize: ~O~'o 7' % Lot Coverage: -~-'7~<'~ % Existing Lot Coverage: {~5-(,:, /sq. ft. + Proposed Lot Coverage: [TEe /sq. ft. = TOTAL LOT COVERAGE: t~7(t> /sq.R PLANNING USE ONLY: APPROVALS: PLAN ,lqotes: BI3I)G DPW FIRE ESA/Wetland(s): D Yes 13 No SEPA Checklist required? 13 Yes [] No Other: OTHER PREAPPLICATION SI[IBMI'ITAL: Your applica~on and siteplan must befdled out eompl~l), to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMi'ITAL: Your completed application, site plan (for additions) and building construction .plans are to be submitted to the Building Division. 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 Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time o£permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by limitations. The Building Official can extend the lime for action by the applicant up to 180 days, on written request by the applicant (see Section 304(d) of the Uniform Building Code, current edition). No application can be extended more than once I hereby certij~ that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal ~vsponsibi]ity to determine what permits are required; it remains the applicant's what permits are required and to obtain sttch. responsibility to determine ~ ~ ' PW-1102 13[rcv 2/96] CI,TY OF PORT ANGELES :LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17660 Port Angeles, washlngton___IDn__'n.~.~____________________.._________' 19.[:___\ 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 S-:---lf-~-------%-----...~~t---:.n----.--n------.---nn--------- occupancyn.11P:4,_n1-..____~~!:.".r ~::grE:::~~~I(~.=:~:11:-::C~~~r::::::no.~~:~~~;:::::::::::::...~.._._~~:::::::::=::::::::::::::::::=::::::::::::::::::: . . Light Outl.IB............___........................... Receptacle Outlets..............__..n____....... Dryer, KW uuu..n.......__.___________________.__ Rimge, KW._._._..____........_.._....__ Water Heater: KW.........no.........o....o....... "0. Heat: KW...._nn_.nn.......__..n..............n Motors: size, volts and phase: Total Load_mnm.....n____._....... Service, vo1ts~, -.;....:_::;.;.;:.:.;;:.::;._..;......h..... ,'.\iI:I.~t,,~ . No. wire~*"&;d.;;.:.:.~:::............. / /f/tY .4 ...:... Size wires..........:........_..._:..__....___. , Main fu8etl....r/_:1_m_y.m.n~-:;.:: Enclosure ....__..n....____mn___ Type of wiring: Entrance Cable ___00....... Rigid Conduit ___.___._________........___... Metallic Tubing .m_mn..__m.......... Current transformers: No. & Size........nn.........n......._......_. Ser. NO._......_....n_._.._........___.n............ Ser. NO.nn......................__.........._.__... Ser. NO..n_n......_............._._........_........ Ser. NO.._.....n...n_.._...n__n__nn_.......__ Type of Wiring: Armored Cable ............._................ Non-Metallic .......0000.00................._. Knob & Tube.......nn_nn.................. RIgid Conduit ............................... MetalUc Tubing mmn.._......n..._.... Raceway ................_._.._........._......_ Circuits, Light.........._....nnn.................. Utility......______................................. Heat .___________..........._...__........._...._ Range .__._____._...........____._____............. Water Heater ....h..........._....n....... Motor .___....................____..__............. Dryer _.........._.._......_._____............._....__ Furnace ._........................_......_._......_.. Total 00'_0000'."'00__".""""00._'_"00' ~~~~':~?1a1ti~~~;~=~==~~~~-~~~ PCl'Init Fee Treas. Receipt ~, f' $.'..________________________._________. No.._.........____..__________ By __{d-L<:h_______._fZ..A...!.=-~_~~____ , NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. If work is to be con- cenled due noUce must be given the Inspector so that work may be Inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7660 Address....._._.............._.___..__........_..........._........................................._..._......._......_.__....................Date..._......_......_.._.........._._...._......_h___.... Owner n.......n.___nn_nnn__...n.._......_.._...._..._.n___.........n...n_....._.__.....__.............................. Tenant_...n__nnnnnn__._....n___n......................._......... WirIng Contractor ........___.....________n..___.................______...__................._....._...._._._.____........._.._.._......... By...................................................._....___.. NOTICE-Current must not be turned on until Certtflcate of Inspection haa been issued. If work Is to be con. cea.led due notice must be given the Inspector so that work may be inspected before concealment. ., 1M Olympic Printers, Inc.