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Home My WebLink About1313 Forest Tr - Building12/2912012 16:55 3602779474 PHILLIPS SQN ELECTR CITY OF PORT ANGELES PERMIT APPLICATION Building Nvisiott/iEiectnicall Inspections 321 East fifth Street Boa 1150 / Port Angeles Waahington, 98362 Ph. (360) 4174735 Fax: (360) 417- 47t.1 Date: J `°I 11 X 1 & 2 Single Family Dwelling PAGE 01 00 pa��r^1� . t` 4 ;. litill (if ' * plan Review Maly 6 Required, Please Complete Electrical Plan Review frlfiormation Sheet Bulldlog Square Footage; description of above -Lit Owner PNChaityom; n ee; : � k.i 5 a ti 2 tl clyo_n ; cont c_ �to► r �r s teI,� 3' mQ� oS n Mailin AddreE, Malin Add —slam; SaL ZIp; Cf a Phole S late � k'�i ZI � 75.5 Dl Fex: License #I Ill . License #lExp.� 4 i.L�� ARM Unit Char-go Servlce/Feedc( 200 Amp. $120.00 Service /Feeder 201 -400 Amp. $146.00 ServicefFeeder 401.600 Amp $ 205.00 Service / Feeder 601 -1000 Amp, $ 262,00 ServicelFcedar over 1000 Amp, $ 373.00 Branch ClrcultW) Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 63,00 Each Additional Branch Circuit $ 5,00 Branch Circuits 14 $ 75,00 Temp, Service[ Feeder 200 Amp, $ 9100 Temp, ServlcefFeeder 201400 Amp, $110.00 Temp, Ser AcaTeeder 401 -600 Amp, $149.00 Temp, ServiCalFeeder 601 -1000 Amp . ,$168.00 Portal to Portal Hourly $ 96.00 Signal Circuit/ l.irnited Energy -1 & 2 Family Dwelling $ 64.00 Monufaclured Home Connection $120.00 Renewable Electrical Energy -SKVA System or less $102,00 Thermostat $ 50.00 Note: $5,00 for each addlllonal T -Scat NEW 0N9TA1JAT 9N pN„i.Y: First 1300 Square Ft, $120.00 Each Additional 500 Squaw Ft, or Portion of $ 40.00 Each Will Dr Detached Garage $ 74.00 Each 5wlmming Pool or Hot Tub $110,00 9]E Totali t]►10.01til led by Uhlt Ill $ Tetal 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 it above said property is for sale, rent or tease. Permit expires after six months of last Ins>}eCtton, 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.I;.C., Ill Chapter 19.28, WAC, Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Qytayt pA $'� t j_t.?S SIgn rl of owner, electrical contractor or electrical administrator: 0 cash 0 Cho& ,c, Cd1 cmdll cnN � r C. 3bU 3 Ltal. X01`1 for creca;� c 10 ►� "A % X77- C�'AI1A N 1z -_D 0 F?oRrqH r" ELECTRICAL INSPECTION "OIL 417-4735 WIRING REPORT DATE. I PERMIT It R W�l � !7�-- I (. 01WER CONTRACTOR T-H I LL_ — ADDRESS APPROVED NOT APPROVED ........ ........... DITCH ...... ........ –0 F ............... ROUGH IN/COVER.. . ............ 11 0 ... ..... — ........ SERVICE, . ................. 0 0 ..................... FINAL .......... ........ . 0 CORRECTIONS NEEDED: -ran 0-1 Ir-1 Kz- 17 2% NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS I ! I Kox MIA ff. F*Lrl 5714 0 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , , , 12- 00001649 Date 12/21/12 Application pin number , , , 765256 Property Address , , . . , . 1313 FOREST TR ASSESSOR PARCEL NUMBER, 06-30-14-6-7- 0130- -c000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . - - - -- {360? ----- 337`__- - - -___ Property Use - - -- (360)- 27$_570 Property Zoning , . . . . . , R89 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Additional desc , . New home 2098 sgft Owner Contractor SMITH, SHELLY PHILLIP & SON ELECTRIC 112 W 9TH ST INSPECTOR: PO SOX 2049 PORT ANGELES WA 98362 SELFAIR WA 96528 - - - -- {360? ----- 337`__- - - -___ - - -- (360)- 27$_570 1 -__- __9 7 q Permit , . , , , , ELECTRICAL NEW RESIDENTIAL Additional desc , . FINAL Permit Fee 200,00 Plan Check Fee ,00 Issue Date 12/21/12 valuation 0 Expiration Date 6119113 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -R -SQFT FIRST 1300 120,00 2.00 40.0000 ECH EL -R -SQFT ADDITIONAL 500 8o, 00 Fee summary Charged Paid Credited Due Permit Fee Total 200100 200,00 ,00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 200,00 200.00 .00 .00 CAt-L _T> 8 l es bi REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN a FINAL COMMENTS: t� m -� lt'4 NAP PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEWILDING Electrical Permit 1313 Forest Trail 13 -057 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN Ji5 (I '3 4Q ,ton FINAL Li 1,3 11'7 COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc T -stat new home Owner SMITH, SHELLY 112 W 9TH ST PORT ANGELES (360) 797 -1337 Permit Additional desc Permit Fee Issue Date Expiration Date WA 98362 Qty Unit Charge Per 1.00 56.0000 ECH EL- LVT- THERMOSTAT Fee summary Charged Permit Fee Total Plan Check Total Grand Total Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING ELECTRICAL NEW RESIDENTIAL 56.00 1/15/13 7/14/13 56.00 .00 56.00 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 13- 00000057 895738 1313 FOREST TR 06-30-14-6-7- 0130 -0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Paid Contractor CHEHALIS SHEET MTL RFG CO. I 350 SW RIVERSIDE DR CHEHALIS WA 98532 (360) 748 -9221 36O 7 56.00 .00 56.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee Valuation Credited Due .00 .00 .00 Date 1/15/13 .00 .00 .00 .00 0 Extension 56.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: JAN /11 /2013 /FP,I 03:41 AM CHEHALIS SHEET METAL FAX No, 3607484950 P. 001/001 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections ELECTRICAL 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTIONS Ph: (360) 417-4735 F _xj (3 4X7 4711 Date: I 1 l 1 3 1 2 Single Family Dwelling Plan Review Ma Be Required, Please Compute Electrical Plan Review Information Sheet Job Address: a• t#. r^ Ord. pi (PS GU A Building Square Footage: 1 LO 1 Description of above Owner Information Name: S -Tvt i k Mall' Address: t= e _g_ T Q City: State: i.,.24 Zip: q F Phone: Fax: License Exp Signature of owner, electrical contractor or electrical administrator: 7A.v ac t -1 l -(3 Contractor Information Name: t h 9- Mailin. Address: 4? City: State: rw A- Zip: q S9 Phone: I ax: j!* d 7rf �S`4'Sb License Exp. G SM ghc F PORT Item Unit Charge Service /Feeder 200 Amp. 120.00 Service /Feeder 201 -400 Amp. 146.00 Service/Feeder 401-600 Amp 205.00 Service /Feeder 601 -1000 Amp. 262.00 Service/Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5,00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 75,00 Temp. Service/ Feeder 200 Amp. 93,00 Temp. Service/Feeder 201 -400 Amp. 110.00 Temp. Service/Feeder401 -600 Amp. 149.00 Temp. Service/Feeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 k t'fv -e Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 5 Co 6 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.C., RCW. Chapter 19,28, WAC. Chapter 296 The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. Total (Qtv Multiplied by Unit Charnel cash check CreditCaro# Electical Permit 1313 Forest Trail 13 -004 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH i 1313 a SERVICE 31 tgl D ROUGH -IN FINAL .5115113 COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc remote meter Owner SMITH, SHELLY 112 W 9TH ST PORT ANGELES (360) 797 -1337 Permit Additional desc Permit Fee Issue Date Expiration Date WA 98362 Qty Unit Charge Per 1.00 120.0000 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total 120.00 .00 120.00 Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 13- 00000004 337232 1313 FOREST TR 06-30-14-6-7- 0130 -0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 -9270 ELECTRICAL ALTER RESIDENTIAL SIMPSON/ 200 A REMOTE MTR 120.00 Plan Check Fee 1/04/13 Valuation 7/03/13 EL -0 -200 SRV FEEDER 120.00 .00 120.00 PERMIT WILL EXPIRE SLX (6) MONTHS FROM LAST INSPECTION Paid Credited Due .00 .00 .00 Date 1/04/13 WA 98363 .00 0 Extension 120.00 .00 .00 .00 :t REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: DATE 315 1 l� OWNER/CONTRACTOR 3 -000 INSPECTOR 56-1 1 1-1,1 'P 3- sow e S ADDRESS 13 L Fo n.�s'� T-r-Pt APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE 7- CORRECTIONS NEEDED: 2: 1 2 tT rf"1to -4- 87E_ SfC_LIYt-gA7 2., 30 2 364� 4 coa.Gzg..cti- �a ELECTRICAL INSPECTION WIRING REPORT 417 -4735 FINAL NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 CITY OF PORT ANGELES PERMrr APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417-4711 D ate /3 X. 1 2 Single Family Dwelling Plan Review May Qe R lease Complete E( I Plan Review Information Sheet Job Address: uire fj ire Tr a Building Squaro Footage: Description of above Owner Info Lion Name: Mailing Adds: iflil�? v Cit HF State: Zip: �1: one: Fax: License Exp. 06 7 9 7- X337 gem_ Unit Charge Service/Feeder 200 Amp. 120.00 Service/Feeder 201 -400 Amp. $146.00 Service/Feeder 401.600 Amp 205.00 Service/Feeder 601 -1000 Amp. 262.00 Service/Feeder over 1000 Amp. 373.00 Branch Circuits 1-4 75.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5.00 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Servtce&Feeder201 -400 Amp. 110.00 Temp. ServicelFeeder401 -600 Amp. 149.00 Temp. ServiceJFeeder601 1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 Contra t. r nformg Name: 417 Ma11Mg City. State: I 4 Phone: _7 License in 1 t xp._,, j/t J Total (Qty Multlpli !I d by Unit Charge.) $12 D -.ph i "otal Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) l owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of fast inspection. Atter reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical cantr, I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., 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. Sign. o' owner, electrical co f r or electrical administrator. 0 Cash Check RP credit Card g 0110112012 ELECTRICAL PERMIT 1313 FOREST TRAIL 12 -1129 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE iN 7 �I NW ROUGH -IN V FINAL /1 11- 'NF7 1 `I COMMENTS: Application Number 12- 00001129 Application pin number 321987 Property Address 1313 FOREST TR ASSESSOR PARCEL NUMBER: 06-30-14-6-7- 0130 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Temp service new home Owner SMITH, SHELLY 112 W 9TH ST PORT ANGELES (360) 797 -1337 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 93.0000 ECH EL -TEMP SRV 0 -200 SRV FDR Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 98362 ELECTRICAL TEMPORARY SERVICE 93.00 9/04/12 3/03/13 93.00 .00 93.00 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Paid Signature of owner or Electrical Contractor X G:AEXCHANGE \BUILDING Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 -9270 93.00 .00 93.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee Valuation Credited .00 .00 .00 Date 9/04/12 WA 98363 Due .00 .00 .00 .00 0 Extension 93.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electlriicai Inspections 321. East Filth Street P.O. Box 1150 /.Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 8 3 0 1 X_ 1 2 Single Family Dwelling Plan Review May De ReQuireddlease Complete Electrical Plan Review Information Sheet Job Address: 3 1 5 raf'a 1' Ti- eLi...p Building Square Footage: Description of above Inform Name: atltn 1 dil 3 Meiling Address: City: State: Zip: Phone: Fax: License 0/ Exp. Ile -t f. F 66- /bI,k Unit Charge Service/Feeder 200 Amp. 120.00 Service /Feeder 201 -400 Amp. 146.00 Service/Feeder401 -600 Amp 205.00 Service/Feeder 601 -1000 Amp, 262.00 Service/Feeder over 1000 Amp. 373.00 Branch Circuit WI Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5.00 Branch Circuits 1.4 75.00 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Service/Feeder 201-400 Amp. 110.00 Temp. Servlce/Feeder 401.600 Amp. 149.00 Temp. Service/Feeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or less 102.00 Thermostat 56.00 Note: 55.00 for each additional T Scat NEW CONSTRUCTIO ONLY: First 1300 Square FL 120,00 Each Addlttonel 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 Debit 8/3 O i Contra Information Name: Mailing City: Phone: RECRIE AUG 3 0 K2 ELECTRICAL INSPECTIONS License Exp. �I4 Total (Qty Muhtplod Ey Uniit Charnel cy3 Tota Owner as defined by RCW.19.28.261: (1) Owner vWill occupy the structure for two years after this electrical permit is finalized. (2) Nner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires alter 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 contrructor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG. Chapter 296.46E The City of Port Angeles Municipal Code, and Utility Spec ions and PAMC 14.05.050 regarding Electrical Permit Applications. Signat of caner, electrical contra or electrical administrator: 0 cash Chock CtedNCa an- 01101/2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00001020 Date .7/07/16 Application pin number . , . 138560 Property Address . . . . 1313 FOREST TR ASSESSOR PARCEL NUMBER: 06 -30 -14 -6 -7 -0130 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . , RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ --------------- - -------- SMITH, SHELLY ANGELES ELECTRIC 112 W 9TH ST 524 E. IST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 797-1337 J360) 452-9264 ----------------------------------------------------------------------------- Permit - . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . BATH REC. AND CAN ITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 7/07/16 Valuation . . . . 0 Expiration Date . . 1/03/17 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- -Permit Fee Total 75.D0 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION ME DAM MCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SDC (6) MONTHS FROM LAST INSPECTION RESULTS: It Ift REPORT SALES _' on your excise tax to the City of Port An (Location Code INSPECTOR Signature of owner or Electrical Contractor X CMEXCHANGSBUILDING Date. 07/06/2016 07:29 FAX 360 452 9265 Angeles Electric N Q0001/0001 14F $� `014F ler Unit Chame QAC Total (Qfir t ame) ServioelFeeder=Amp.. $120,00 $ ServiceifeWer 201.400 Amp. $146A0 $ SenioelFeeder 401.600 Amp S 205.00 $ ServWFeeder 601-1000 Arrµs. $262.00 $ Service/Feeder over 1000 Amp. $373.00 S Branch Cim it WI Service Feeder $ 5.00 S Branch 0=4 WIG Service Feeder $ U00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circ ub 14 $ 75.00 Temp. Service/ Feeder 200 Amp. $ 93.00 T_ $ Ternp. Senrica Feeder 201.400 Arra. $110.00 $ Temp. Servs ;0sader 401.600 Amp. $149.00 $ Temp. SwOm Feeder 6014000 Amp . $160.00 $ Portal to Portal Hourly S 96.00. $ Signal Circcuti! Udted Energy -1 S 2 Fm* Dwafg $ 64.00 $ Manufactured Ho= Connection $120.00 $ Renewable Electrical Energy - SKVA Sysiern or Lets $10200 $ Themrostat $ 56.00 $ Note: $5.00 for each allftW T-Stat NEW CONFMUCnON ONLY - First 1300 Sq:iue Ft $120.00 $ Each Additional 500 Square Ft or Portion of $400 S Each Outbuilding or Detached Ganga $ 74,00 $ Each Swimming Pool orHotTub $110.00 $ Total Owner as defined by RCW.19.2a261: (1 ) Owner will occupy the structure for two years WW this WectW pemtit Is fmolkk (2) Omw is required to hire an electtiaat contractor if above said property Is for sate, rent or bass. Pmt exon atter sit mordhs of lad Inspection. After reading the above statenrant, I hereby certify Bret I am the ownerof the above named property or a licensed electrical contractor. I am rr Oft the elecMeal dation or alteration in compliance with the ales leas, N.S.C., RCW. Chapter 19.28, WAC. Chapter 296-M, The City of Pori Angeles Municipal Code, and Utifity Spedbcations and PAMC 14.05 -OW mgardng Sectrical PwffdtApp:cdkm. Signature of owner, electrical contractor or electrical administrator. 0 ,cad+ 0 cheat [ c rad PAI lis i- xMUo'r2 ELECTRICAL PERMIT INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH . SERVICE x ROUGH -IN j FINAL! COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor Date: Cr\E.XCHANGEWU"WG 9E: CITY OF PORT ANGELES 364-417-4735 Application Number 16-00001020 Date 7/07/16 Application pin number . , . 138560 Property Address 1313 FOREST TR REpciRTSAt._-T" ASSESSOR PARCEL NUMBER: 06-30-14-6-7-0130-0000- . Application type description ELECTRICAL ONLY On your excise tai`, Subdivision Name . . . . . . - to the City ofPort A + Property Use Property Zoning , . . . . RS9 RESDNTL SINGLE FAMILY (Locadon Code vJrQ�} Application valuation . . . . 0 l Owner ------------------------ -Contractor SMITH, SHELLY ------------------------ ANGELES ELECTRIC 112 W 9TH ST 524 E. IST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 797-1337 ---------------------------------------------------------------------------- (360) 452-9264 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc BATA REC. AND CAN ITS Permit Fee 75.00 Plan Check Fee .00 Issue Date . . . . 7/07/16 Valuation . . . . 0 Expiration Date 1/03/17 Qty Unit Charge Per Extension SASE -------------------------------------------- FEE 75.00 Fee summary Charged ------------------------------- Paid Cred-ited Due ----------------- ---------- Permit Fee Total 75.00 ---------- ---------- ---------- 75,00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75,00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH . SERVICE x ROUGH -IN j FINAL! COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor Date: Cr\E.XCHANGEWU"WG 9E: