HomeMy WebLinkAbout939 Caroline ST - Building (5) I
CITY OF 4"bRT ANGELES
360-427-475
Application Number 23-00000075 - Date 1/25/21 �1
Application pin number 539900
Property Address . . . . 939 CAROLINE ST
ASSESSOR PARCEL NUMBER 06-30-00-1-0-3325-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use .
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation . . . 0
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Application desc
Outlet for AMSCO V-Pro Max2
Owner Contractor
PUBLIC HOSPITAL DISTRICT #2 SIMPSON ELECTRIC
939 CAROLINE ST 243036 W HWY 101
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 417-7170 (360) 457-9270
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Permit . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . 86.00 Plan Check Fee .00
Issue Date . . . 1/25/21 Valuation 0
Expiration Date 7/24/21
Qty Unit Charge Per Extension
BASE FEE 86.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 00 .00
Grand Total 86.00 86.00 .00 .00
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
FINAL
COMMENTS:
PERMIT WILL EXPIRE SDC(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:EXCHANGSBUILDING
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Ir2112021 Andrew P Simpson
oafs Prlstftanne m((:,I owner ctwIA Irakw)
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