HomeMy WebLinkAbout1402 Rook Dr - BuildingApplication Number . . . . . 23-00000421 Date 5/01/23
Application pin number . . . 370078
Property Address . . . . . . 1402 ROOK DR
ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0100-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . . RESIDENTAL SF 9000
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
T-stat
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GREEN CROW INVESTMENTS CO LLC DAVE'S HTG & COOLING SRVC INC
PO BOX 2439 PO BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-0939
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 5/01/23 Valuation . . . . 0
Expiration Date . . 10/28/23
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
1 - 2 SIN G LE-FAM ILY
ELE_CIR IC_A L PER M IT APP LIC ATI O N .
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, \VA 98362
360.417.4715 ! www.cityofpa.us / electricalpcrm itsra.cityofpa.us
Project Address:---------------------------------------
1402 Rook Drive
, , . Low voltage thermostat wire for thermostat as part of a ductless heat pump installation
Project Description:--------------------------------------
0 Single-Family Residential D Duplex/ ARU Building Square footage: _1_48_9 _
. .. . . . " . . - . . .. .. , ·o"w· .·N· E- R- ·J·N--F~o··-R=MA. -:r10· N·· . . '• ~-- ", ~ - . . . . , -: : ; ,, :.":~?"'.:;~~
1'1 , ., ' ;, .,-.:•, • .:,c ~--·· .. ·_{y_~
Name: North Poine Construction LLC
Mailing Address: PO Box 2439, Port Angeles, WA 98362
Email: _
Phone: 3607755450
.. . , . . . ELECTRICAL CONTRACTOR INFORMATION . ·,
Name: Dave's Heating & Cooling Services, Inc.
Mailing Address: PO Box 413, Port Angeles, WA 98362
Email: davesheatina@wavecable.com
License: DAVESHC9912C
Expiration Date: _0_5/_2_0_2_5 _
Phone: 3604520939
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 WI Service Feeder
Branch Circuit W/0 Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
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
Signal CircuiULimited Energy - 1 &2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1'300 Square Feet
Each Addition al 500 square feef'
Each Outbuilding / Detached Garage
Each Swimming Poof/ Hot Tub
Unit Charge .Ql.!a01illt
$120.00
_$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$~20.00
$4 0.00
$74.00
$110.00
:To1i1 (Quantity x Unit Charge)
$ _
$ _
$ _
$ _
$ _
1
$
$
$
$
$
$
$
$
$
$
$
$
$ 56.00
$
$
$
$
$ 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 o ner of th bove named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance wi t e ele ric I laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Spe ifi atio s an PA 14.05.050 re
04/26/2023 Laci Williams
Date Print Name
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us)
PREPARED 4/26/23,11:26:28 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000421 1402 ROOK DR
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL NEW RESIDENTIAL 56.00
TOTAL DUE 56.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/15/2023 23-421 TAP
OWNER
CONTRACTOR
Dave’s Heating
PROJECT ADDRESS
1402 Rook Rd
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
7/25/2023 23-421 TAP
OWNER
CONTRACTOR
Dave’s Heating
PROJECT ADDRESS
1402 Rook Dr
Application Number . . . . . 23-00000359 Date 4/17/23
Application pin number . . . 967362
Property Address . . . . . . 1402 ROOK DR
ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0100-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . . RESIDENTAL SF 9000
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
New home
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GREEN CROW INVESTMENTS CO LLC UPPER LEFT ELECTRIC LLC
PO BOX 2439 1306 ROOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7720
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL NEW RESIDENTIAL
Additional desc . .
Permit Fee . . . . 160.00 Plan Check Fee . . .00
Issue Date . . . . 4/17/23 Valuation . . . . 0
Expiration Date . . 10/14/23
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00
1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 40.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 160.00 160.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 160.00 160.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity Total (Quantity x 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/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 DU.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet``$40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 4/12/23, 9:24:10 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000359 1402 ROOK DR
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL NEW RESIDENTIAL 160.00
TOTAL DUE 160.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/15/2023 23-359 TAP
OWNER
CONTRACTOR
Upper Left Electric
PROJECT ADDRESS
1402 Rook Rd
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
6/21/2023 23-359 TAP
OWNER
CONTRACTOR
Upper Left Electric
PROJECT ADDRESS
1402 Rook Dr
APPROVED
A
tr.
tr.
tr
CORRECTIONS NEEDED:
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
NOT APPROVED
DITCH
ROUGH IN/COVER . ,.
.... SERVICE
FINAL
tr
tr
tr
tr
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
_ DO NOT REMOVE -
PERMIT
' miker@olympicelectric.net
Subject:
Location:
Start:
End:
Show Time As:
Recurrence:
Meeting Status:
Organizer:
FW: lnspection
1402 Rook Dr
Thu 6/15/202312:00 AM
Fri 6/16/202312:00 AM
Free
(none)
Not yet responded
Trent Peppard
l't /"
tn)/a
flrl
----Original Appointment-----
From: Trent Peppard <Tpeppard@citvofpa.us>
Sent: Wednesday, June 1-4, 2023 12:41. PM
To: Trent Peppard; Ken Haman
Cc: Timothy Amiot
Subject: lnspection
When: Thursday, June L5, 2023I2:OO AM to Friday, June 16, 202312:00 AM (UTC-08:00) Pacific Time (US & Canada)
Where: 1402 Rook Dr
This is a ditch inspection for service.
NOTICE: This email and any attachments may be subject to disclosure as a public record under the Public Records Act,
RCW Chapter 42.56
1
Applicaeion Number
Applicacion pin number
ProperEy Address
ASSESSOR PARCEL NUMBER:
ApplicaEion type description
subdivision Name
Propert.y Use
Property Zoning
Applicacion valuation .
23-00000359 Date
967362
r"402 ROOK DR
06 -3Q -L4-7 -2 - 0r.00 - 0000 -
ELECTRICAI, ONLY
4/L7/23
RESIDENTAL SF 90OO
RS9 RESDNTL SINGLE FAMILY
n
Applicat.ion desc
Nee, home
Owner
GREEN CROW INVESTMENTS CO LLC
PO BOX 2439
PORT ANGELES WA 98352
Contractor
UPPER LEFT ELECTRIC LLC
1306 ROOK DR
PORT ANGELES WA 98352
(360]. 46t-7720
PeTmiE ELECTRICA], NEW RESIDEIiTTIAL
Additsional desc
Permit Fee L60.00 PIan Check Fee
Issue Dat.e 4/L7/23 Val-uation
ExpiraEion Date r0/14/23
Qty Unit Charge Per
r..00 120.0000 EcH EL-R-SoFT FIRST r.300
1. OO 40. OOOO ECH EL.R.SQFT ADDI?IONAI 5OO
00
Extsension
120.00
40.00
Fee summary Charged Paid Credited Due
Permit Fee Total-
PIan check Total-
Grand Total
160.00
.00
160.00
r-60.00
.00
r"60.00
00
00
00
00
00
00
ELI.2 1-2 SING LE.FAMILY
PERMIT APP
I'Ltl-l ie $,itri.:: ltit,-i I, ii I iiies D:olrtritcitt
r'l l l- ,iiit \tt .:r'i. irL.,r'[ \rt,r:i... \\ \ ,)iJ-]ol
-liri) -1 17.+7-lt ,,',\,,.r.e iii,riitl Ll; -'1,:cit'iilli1t,:itnii- riri;r.i,lr,i;i.11 .
-o
o
3
:th
Project Address 1402 rook rd
Project Description 1900 sq ft new home
! Single-Family Residential I Duplex /ARU Building Square footage
OWNER INFORMATION
Name northe ooint construction Email
Mailing Address:Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: upper left electric License:
Mailing Address:Expiration Date
Email Phone
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 40 1 €00 Amp.
Service/Feeder 60 1 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. ServiceiFeeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
EachAdditional500 square bef '
Each Outbuilding / Detached Garage
Eacfi $vimming Pool / HotTub
Unit Charqe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv lgfa! (Quantity x Unit Charge)
$
$
$
$
$
120
40
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1
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.C., RCW Chapter 19.28, WAC. Chapter 296-
46B, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical PermitApplications.
4t12t23 chace botero
Date Print Name Signature (! Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
PR.EPARED 4/L2/23, 9;24:70
CITY OF PORT ANGELES
PAYMENT DUE
PROGRAM BP82OL
APPLICAT]ON NUMBER
FEE DESCRIPTTON
23-0 00003s9 L402
AMOUNT
ROOK DR
DUE
ELECTRICAL NEW RESIDENTIAL
TOTAL DUE
160.00
160.00
Please present reciept to Lhe cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT #INSPECTOR
5t1st2023 23-359 TAP
OWNER
CONTRACTOR
Upper Left Electric
PROJECT ADDRESS
1402 Rook Rd
APPROVED NOT APPROVED
O
t
O
D
DITCH
ROUGH IN/COVER
SERVICE
FINAL
O
O
D
O
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
6/28/2023 23-359 TAP
OWNER
CONTRACTOR
Upper Left Electric
PROJECT ADDRESS
1402 Rook Dr
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
7/25/2023 23-359 TAP
OWNER
CONTRACTOR
Upper Left Electric
PROJECT ADDRESS
1402 Rook Dr
Application Number . . . . . 22-00001569 Date 12/21/22
Application pin number . . . 284866
Property Address . . . . . . 1402 ROOK DR
ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0100-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . . RESIDENTAL SF 9000
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Temp service
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GREEN CROW INVESTMENTS CO LLC UPPER LEFT ELECTRIC LLC
PO BOX 2439 1306 ROOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7720
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc . .
Permit Fee . . . . 93.00 Plan Check Fee . . .00
Issue Date . . . . 12/21/22 Valuation . . . . 0
Expiration Date . . 6/19/23
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity Total (Quantity x 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/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 DU.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet``$40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 12/19/22, 7:45:40 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001569 1402 ROOK DR
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL TEMPORARY SERVICE 93.00
TOTAL DUE 93.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Temp service
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
12/21/2022 22-1569 TAP
OWNER
CONTRACTOR
Upper Left Electric
PROJECT ADDRESS
1402 Rook Dr