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Home My WebLink About2140 W 7th St - Building 0511012013 09; 14 13504525277 ALL WEATHER HEATING PAGE 04105 RECEIVED , CITY Op PORT ANCRUES PERMIT APPLICATION � B"I'ldtrrg Division/Electrical trrsplections MAY 10 2013 32R fast A�ifth StrrQex, p.®, BOX 1150/ Fort Angeles Wgshington, '983Cr2 ��iCRL � Ph.- (366)417-4735 +'a�[; (300)4417-471� ��5�'�C'f�ONS O D8te: 5110113 x 1 &2 Single Family owellin W Plan Review May Be Required, Please Cnrnplete Siectrical Plan Review Information Sheet Job Address! 4 Building Square Footage, 17117�� Description of above ~� lnstull2 Inn heat um system �� Owner Information Contractor lnfomnation Name: cr1 t3ctir &_11'nncv Baird Name: All WcatIlLp?lvuiin MaAn Address; 21 40 We _— --- g st.7lh 5trccl hlailin Atldreag;3U2 ktin P ane'20 4 4�i 69�State;��Zlp:auj 6-1- City i err nrtealcy pgj�B y n~— ~v � Fax:___� Phone;452-9N 1;1 Zip; 9�]G2 License�1 Exp. — Fax: 452=517? License;;I Sxp,nlrl �"—@C i KU -w, Item llnit�CharS� ServicelFeader 200 Amp, $120.00 Total Multiplied b Onit Charge Selvica/Feeder 201.400 Amp, $ Sen 126.00 iicelFeeder 401-600 Amp $ 146.00 Service/Feeder 6011000 Amp, $262.00 — $ Service/Feederover 1000 Amp, $373,00 $�-�- Branch Circuit WI Servico Feeder $ 5,00 $- Branch Circuit 000 Service Fender S 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. $110100 $ Temp.ServicelFeeder 401.600 Amp, $149,00 $ Temp.Service/Feeder 601-1000 Amp, $168,00 $� --- Portal 11)Portal Hourly $ 96.00 $ Signet Clrcuil]limited Energy-I&2 Family Dwelling $ 64,00 $- Manufactured Home Connection $120.00 $ -� Renewable Electrical Energy-5KVA System or less $102.00 $ Thermostat $ 5000 I $ Note:$5,00 for each additional T-51at 11fV.CONSTRUCtlOAI gNt-Y' 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 Not Tub $110.00 _ $~---- ---- $_ TotaR Owner as defined by RCb11.19.7.8,261;(1)Owner vrill occupy the structure for two years after this elecMcal permit is finalized.(2)Owner is required to hire an eiectrcal 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 rlklmed property or a iicerlsed electrical contr8ctor, I am making the electrical installation or alteration in compliance with the electrical laws. N,E:.C., RC01.Chapter 19,28,WAC.Chapter296.46S, The City of Part Angeles Municipal Code,and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or eJeOrical administrator; 0 cash ❑ ch5ck 05110/2013 09: 14 13504525177 ALL WEATHER HEATING PAGE 05/05 �v�er• h� m Electrical Information Fir PuW'c 1Marks 8 Utllltias Dgpartma0lt(360)4174700 'roryAS,n t City ElgetrlcPLI Irtsspactorr(360)4117-41735 Please comp late and return to.Public Works& Utilities Depagment :,Parmanent f • d service. Dame, Robert 13alyd& Naticy 13vwn e and address of party Street; 2140 West 7111 Street onsible For 1perrnanenk Cit 1 State i Z Pr fort Angelex,WA 98363 ca billing? Da time Phone;Y Home Phone; • . (if other than a49be) Site Contact; Name;1111 WCILOIL'r HVLL[1111 .,c C'U01ing Title: Da time Phone: 452-98%1 Contr2ctor: Name: All Weauier l,laatinµ Cuolirtg Company; !?aytime Phone: 452-�k I Electrician: Nsrrle' company-L. Da rime Phone Excavator, Name: Company: Daytime Prone; 7Overmhead OX y IExist+ng ❑N �i-famil residence; #of__.—_.__.. ....__._._.__..._.mll residence r'M y units ial ❑Subdivision; #of lots service ❑General service ❑Underground service ❑other: M • 11111-TI' - Descri tion of work: losoil 2 wo heal ptilnp Street address J lot number; 2140 Wcsl 70 Slreei Nearest cross street: N Street Desired connention date: si l SI1 Electrical transformer serving property is: ❑on a pole ❑ on the ground Electrical Load Total s luare foota e: 1717 s .fft, Main disconnect size: amps Voltage: 01201240 1ph i❑120/208 3ph 72771480 3ph 0120/240 3ph ❑480 3114!3ph ❑ Other J Standard residential loads (Lighting, refrigerator, dishwasher, ,Masher) Check all that apply: ❑A/C (_ton) 11 lunge/Oven ❑Hot Tub ❑Clothes Dryer ❑Heating C"D bumps (—Hp) No Load Change ❑Water Heater -j Elevator(.Hp) ❑Other e • 4 0 1 ' 9 4 'lease provide a copy of the following: 1Detailed plot plan (,d�Mg or.dxf Format mandatory for subdivisions), 1"Electrica(one-line drawing showing the service entrance panel and location, "Connected load data, "Size and locked rotor am s of all motors over 50h p-. A licsint's Si nakure, fate; 5/10/13 MAIL OR DELIVER COMPLETED FORM T0, 321 E 5TH STREfET; PORT ANGELES, WA 98362 FAX TO: 360-4117-4711 WS information form.xls VVF PL1F}1A71<Slt_I[yl I"r1f NC.r�1 ktJr'igin�JlgSfntChin�rtxm tnup kevl'wo 1 0...p!) -ti ELECTRICAL PERMIT CITE OF PORT ANGELES 360-417-4735 Application Number 13-00000501 Date 5/13/13 Application pin number , . . 244841 Property Address . , , . . 2140 W 7TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-9-8-01J0-0000- on our excise tax form Application type description ELECTRICAL ONLY y Subdivision Name . . . , to the City of Port Angeles Property Use (Location Code ®5U2} Property Zoning , . . . , RS7 RESDNTL SINGLE FAMILY Application valuation . . . , 0 Application desc T-atat, Heat pump ---------..___ --------------------------------------------------------------- Owner Contractor ROBERT B AND NANCY BAIRD BROWN ALL WEATHER HTG & COOLING INC 2140 W 7TH ST 302 KEMP ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 er wds (360)-4s2-9$13 Permit ELECTRICAL ALTER RESIDENTIAL /°"r} Additional desc . , `/ Permit Fee 56.00 Plan Check .Fee .00 Issue Date 3/13/13 Valuation . . , . 0 Expiration Date 11/09/13 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Special Notes and Comments May 10, 2013 1:59:27 PM handers. OK Fee summary Charged Paid Credited Due Permit Fee Total 55.00 56,00 00 DO Plan Check Total .00 .00 .00 00 Grand Total 56,00 56,00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN :FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCIIANGCIBUILDING c! ,ORT ""'- l~~~ r~ "-~ ---- 'lii:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Laserea CED App11cation Number Applicat10n pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Applicat10n type description Subdiv1sion Name Property Use Property Zon1ng . . . Applicat10n valuation 06-00000950 Date 805100 2140 W 7TH ST 06-30-00-9-8-0110-0000- TURNER RES. 8/29/06 SIDING f]YJkCl:O IO/Q/06 ~ ~ \) RS7 RESDNTL SINGLE FAMILY 4000 Owner Contractor TURNER JAE L/VIRGINIA 3400 25TH AVE W APT 103 SEATTLE WA 981992220 FROG CREEK CONSTRUCTION, 4874 DEER PARK ROAD PORT ANGELES, WA 98362 PORT ANGELES WA (360) 457-0409 INC 98362 Perm1t . . . . . Addit10nal desc . Permit p1n number Perm1t Fee Issue Date Expirat10n Date . BUILDING PERMIT - NO PR FEE 85746 123.75 8/29/06 2/25/07 Plan Check Fee Valuation .00 4000 Qty Un1t Charge Per ExtenS10n 95.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Cred1ted Due ----------------- ---------- ---------- ---------- ---------- Perm1t Fee Total 123.75 123.75 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 128.25 128.25 .00 .00 ~ ~~ t2~ ~~ "'~ ~ ~ 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 as commenced, or if required inspections have not been requested within 180 days from the last - inspection. I hereby-certify that ~ 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. -) " 7 ;:h~- #-;Z?-tJ6 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policles\1102_15 bUlldmg penml mspectlon record05 wpd [1/4/2005] ". -L BUILDING PERMIT INSPECTION RECORD 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 .' I YES I NO I!'OUNDATION: \ - '\ "',..,'.. ' . .. FOOTINGS ., , , ~, = . . SHEAR WALLS 1 WALLS } . FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS . GAS LINE , ~OOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY' CbMMERCIAL HOOD 1 DUCTS , MArru.~ACTURED HOMES FOOlING 1 SLAB BLOCKING & HOLD DOWNS , SKIRTING - PLANNING DEPT SEPARATE PERMIT #'s SEPA: P ARKlNG/LlGHTlNG ESA LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W 1 PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT, PLANNING DEPT 417-4750 '/1!- 1-." I .L PLANNING DEPT BUILDING 417-4815 t V/'1/U17 VlA/ BUILDING T \Pollcles\] ]02 ]5 bUlldmg permIt inspectIOn record05 wpd [174/2005] ~ . ~ ~ " " ~ ~~ ~ ~ \) ~ ...J ~ ~ 1: .' " PREPARED 10/09/06, 11-08,53 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 11 10/09/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 2140 W 7TH ST TURNER RES FROG CREEK CONSTRUCTION, INC TURNER JAE L/VIRGINIA 06-30-00-9-8-0110-0000- 06-00000950 SIDING SUBDIV PHONE PHONE (360) 457-0409 PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 ~ BUILDING FINAL JOHN 460-5356 10/06/2006 11 33 AM DYASUMUR --------------------------- ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- 10/09/06 TIME 13 _ 00 r- C')Ql mC/) tJctl ~ Q. 0\ \ ~._~ )'1'\,...- ,0' <'$,1(;lt111l"'~. ""/..." ~ r "oi4f 'OJr'4-U'J" " ~~\ ~-- ~-"~V ~~ BUILDING PERMIT - APPLICATION Lasered CED Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. Ifyoll have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent (/On ~./i//J Owner: Tt.-I r /J/JR/ Phone: 4)1---- 55l/J '-1/7 --5'-16l.f ZIp. 9$363 Phone' Address' ? I LI 0 vv 7 -t h City: /:J a ArchItectlEngmeer /11 0 Phone Contractor Fro {J (' ;:er- i<. State LIcense #: Fro(r (' C (' f40JrrExp' ./ Address' q R"74 Dr~ r- ~/j. It'd CIty: P C( PROJECT ADDRESS !AI L/ 0 lA/ 7 -r J, Phone. 4S7-0ljOj ZIp: 9E?::> 62 ZONING: LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER: Block- SubdIVISIOn. TYPE OF WORK: "Z ReSIdentIal 0 New Constr. 0 Re-roof 0 Stove o MultI-family 0 AdditIOn 0 Move 0 Garage o CommerCIal ~ 0 DemolitIOn 0 De9f o RepaIr ~ ~Other /(P-S','de BRIEF DESCRIPTION OF THE PROJECT !<p- r/ofp lMfA hOtr-~/ q a-F-f,PfJ ' COMMERCIALIRESIDENTIAL: Occupancy Group' No of Stories: Lot Size. EXIstmg Sq Ft Total lot coverage % SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ , /SF = $ SF. @ $ /SF. = $ TOTAL VALUATIOl'f . $ 4000-- L7/O'rJi. t7 i- : ~,,, k..t/ eF1I~-' //./5-f? Occupant Load. & Proposed Sq Pt ConstructIOn Type' = TOTAL Sq. Pt PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes 0 No SEPA CheckhstrequIred? 0 Yes 0 No Other: 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 Buildmg DIVISIOn to comply WIth current fee schedules Contact the Perrmt Coordmator at 417-4815 for aSSIstance. PLAN CHECK FEE: IF a plan check fee IS due it must be subDlltted at the tIme the building permit apphcatIon and constructIOn plans are subrrutted. All other permit fees are due at the tIme of penmt Issuance. EXPIRATION OF PLAN REVIEW: If no penmi IS Issued wIthm180 days ofthe date of apphcatIOn, the application will expire. The Buildmg OffiCIal can extend the time for actIOn by the applIcant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/ResidentIal Code, 2003). No apphcatlOn can be extended more than once I hereby certify that I have read and examined this application and know the same to be true and correct. / am authorized to apply for this permit and understand that it-is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work T:\FORMS\BldgPenmtform wpd Applicant' ~ ~/?/(~ Date: <if - Z 9- 06 v . I . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. ~~7.? ~/::5{#S DATE ELECTRICAL PERMIT Installed By: ~/'i{) / au Iu ~. , o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: ;e 'ctC Phone: IS~ Owner/Business Address: Sq. Ft. ~SIDENTIAL o COMMERCIAL o BASEBOARD KW _ ~ FURNACE KW ~ o FAN/WALL KW ~ HEAT PUMP KW ~ o SIGN o TEMPORARY SERVICE ;8 PERMANENT SERVICE ~ NEW CONSTRUCTION tJ REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE ~. UNDERGROUr~ICE VOLTAGE: 120, Z ~ SINGLE PHAS o THREE PHASE SERVICE SIZE ,~.) AMPS Details/Description: IVicu ,,*<<.5: E- . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. ~JfARough-in/cover O.K. Atlttj'9l O.K. to connect service II 0 Final O.K. /10 permitfR':,cyie; ~ 0 K"ss tex /'0 Site Address: ;2-1'10 Installer: /0 [. fue.. aJ. ?14 (;/ ede-t. New Meters I J . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. Lr ~1\1.. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ # $D Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC ❑ Credlt Card # X Dated: y "� 0110112012 CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections v�] 321 East Fifth Street -- P.O. Box 11501 Port Angeles Washington, 98362 � l Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 1-- Z 3 -13 & 2 Single Family Dwelling * Plan Review, k4ay Be Required, Please Complete Electrical Plan Review Information Sheet 1 Job Address; p W 7 "V4 Building Square Footage: Description of above Owner Information Contractor Information Name: -a Name, aOC- Mailing,Address; i7 Ie- 7U Mailing Address: o i_ &A-r— - e--e .-. O City: State: Zip: City: State: Zip, Phone: ' Z 52 Fax: Phone: Fax: License # I Exp, License I Exp. G 't P L.. Item Unit Charge Total (Qty Multiplied by Unit Char gel Service/Feeder 200 Amp, $120.00 -- Service/Feeder 209 -400 Amp, $ 946,00 $ Service/Feeder 401 -600 Amp $ 205,00 $ ServicQlFeeder,601 -1000 Amp, $ 262.00 $ ServicelFeeder over 1000 Amp, $ 373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1 -4 $ 75,00 $ Temp, Service/ Feeder 200 Amp. $ 93.00 $ Temp. ServicelFeeder 2C1 -400 Amp. $ 110.00 $ Temp, Service/Feeder 401 -6C0 Amp. $ 149.00 $ Temp, ServicelFeeder 601 -9000 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: $5,00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 50C Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ 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 -466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications. Signature of ow er, el ctrical contractor or electrical administrator: ❑ Cash X Check ❑ Credlt Card # X Dated: y "� 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES ` 360 -417 -4735 �J Application Number . . , . . 13- 00000554 Date 5/23/13 Application pin number , . . 424376 Property Address , . . . , , 2140 W 7TH ST y� T" ASSESSOR PARCEL NUMBER! 06- 30- 00- 9- 8-0110- -0000- REPORT SALES Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name , . . . , . to the City of Port Angeles Property Jse Property Zoning , . . . , , , RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application 'valuation . . . , 0 Application desc 60a feeder Owner Contractor ROBERT B AND NANCY BAIRD BROWN BLACK DIAMOND ELECTRICAL CONTR 2140 W 7TH ST 5Q2 BLACK DIAMOND RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 1360) 565 -1035 Permit . . , . , , ELECTRICAL ALTER RESIDENTIAL Additional desc 60 A FEEDER Permit Pee 120.00 Plan Check Fee 00� Issue Date , . . , 5/23/13 Valuation , , , , 0 Expiration Date , , 11/19/13 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -Q -200 SRV FEEDER 120,00 P� - - - Fee - summary 4 yW - -- Charged' if - - - -- Paid -- - Credited -- - -- Due - -^ - Permit Fee Total 120.00 120,00 .00 .00 Plan Check Total 00 .00 .00 00 Grand Total 120,00 120.00 .00 OQ q INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING