HomeMy WebLinkAbout120 W 1st St - BuildingElectrical Permit
120 W lstSt
13 -382
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
17/13
FINAL
q/
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 -4 circuits lighting and outlets
Owner
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES
Permit ELECTRICAL ALTER
Additional desc 1 -4 CIRCUITS
Permit Fee 86:00
Issue Date 4/15/13
Expiration Date 10/12/13
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983626710
86.00
.00
86.00
13- 00000382
479628
120 W 1ST ST
06-30-00-0-0- 3210 -0000-
ELECTRICAL ONLY
CENTRAL BUSINESS DISTRICT
0
BASE FEE
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Contractor
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
BOTERO SON ELECTRICAL'
940 TAMARACK WAY
PORT ANGELES
(360) 452 -4766
COMMERCIAL
86.00
.00
86.00
Plan Check Fee
Valuation
Paid Credited Due
.00
.00
.00
Date 4/15/13
WA 98362
.00
.00
.00
.00
0
Extension
86.00
J
Date:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Q
EJ
CITY OF PORT ANGELES PERMIT APPLICATION APR 15 2013
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS
Date: 1 2 Single Family Dwelling fir vk ev--eArc c q
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 7 0 u
Building Square Footage:
Description of above L 1 C t^ 4 r v'1 4 O a 4 e k u v. q t r I t
Owner Information Contrac or Information
Name: HO VSt14 Al2T 1.4 Name: Q o f Scin
Mailing A Jess: 7 (,O3 f2p v4 c 1 ST Mailing Address:
City: Y14-- State: 104 4— Zip: 7639 City: PA- State: LA) 1=1- Zip:
Phone: Fax: Phone:
License Exp. License Exp.
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 /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: $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
Dated:
RECEIVJ
8C, u Total
Credit Card
¥/t 3
Electrical Permit
12OWP
12 -1570
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
12,)
AT
FINAL
)411
r2--
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 circuit lighting
Owner
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
WA 983626710
74.00
12/04/12
6/02/13
Qty Unit Charge Per
1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F
Permit Fee Total 74.00
Plan Check Total .00
Grand Total 74.00
12- 00001570
422950
120 W 1ST ST
06-30-00-0-0- 3210 -0000-
ELECTRICAL ONLY
CENTRAL BUSINESS DISTRICT
0
Contractor
ELECTRICAL ALTER COMMERCIAL
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
BOTERO SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES
(360) 452 -4766
Paid Credited Due
74.00
.00
74.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
.00
.00
.00
Date 12/04/12
WA 98362
.00
.00
.00
.0 0
0
Extension
74.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
z
CITY OF PORT ANGELES PERMIT 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
Owner Information
Name: V O(� e,I4
Mailing Address:
City: State: Zip:
Phone: Fax:
License Exp.
Item Unit Charge
Service /Feeder 200 Amp. $132.00
Service /Feeder 201 -400 Amp. 160.00
Service /Feeder 401 -600 Amp 225.00
Service /Feeder 601 -1000 Amp. 288.00
Service /Feeder over 1000 Amp. 410.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 74.00
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 86.00
Temp. Service/ Feeder 200 Amp. 102.00
Temp. Service /Feeder 201 -400 Amp. 121.00
Multi- Family o Cominerc a
Plan Review Ma Be Re,quir d, Please Complete Electrical Plan Review Information Sheet
Job Address: c W 'r 13 k 5--
Building Square Foo ge:
Description of above to
Contractor Information
Name: A e,ro t Sr°,t f.le_. C-Ck.
Mailing 'ddress: I CA net Cci l cti
City: 1 A 'k'• State: [Ai Zip: 4 A t-/i
Phone:! ax:
License Exp. (p j (S
Signature of owner, electrical contractor or electrical administrator: Cash Check
cV
l r
f h4L JS PECTIONS
Total (Qty Multiplied by Unit Charge]
Temp. Service /Feeder 401 -600 Amp. 164.00
Temp. Service /Feeder 601 -1000 Amp 185.00
Portal to Portal Hourly 96.00
Sign /Outline Lighting 88.00
Signal Circuit/ Limited Energy Multi Family 64.00
Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy 5KVA System or Less 113.00
Thermostat 56.00
Note: $5.00 for each additional T -Stat �y
79'-UG 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.
Credit Card
X Dated: C l.o 1 0110112012
4
CERTI!
Cit o ort Ang
This certificate is issued
Code certifying that a
of the City regulatin
Business name:
Business address
Property owner:
Property owner'
Automatic fire sp n
Use occupancy
Building permit nu
Type of construction
Occupant load:
Waterfront A Gallery 1
�120W 1S St
Housing Autthorit
2603 S. Francis
er ystem: Per
All
ss cation: Mercantll€
09-24
UPANCY
ision
suant to the requiremens of Section 11'Omf "t e H6 International Building
ssuance this structure was in compliance with the various ordinances
se,.. or the follmwang�
'allery Corp)
andfrwick
62 -6710
01/29/09
Date
Post on the premises in a conspicuous place` i ceq tguiisy�wke shall not be removed except by the Building Official.
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WILL THERE BE ANY OF THE FOLLOWING?
NO/
YES/
IF YES, CONTACT
Electrical changes
Building
Electrical Dept. at 417 -4735
New or relocated signs
Occupant Load
Building Div. at 417 -4815
Construction changes
Automatic fire sprinkler system required
no
Mechanical changes (ventilation, heating, cooling, etc.)
1/9105
cn 1/16/041
Plumbing changes
Planning
Fire sprinkler system changes
v
II
Fire alarm system changes
v
New or relocated sewer or water service
v
Public Works at 417 -4807
Excavation or filling of lots
v
Work done in the City right -of -way
New driveway openings
Grading site drainage (parking lots, downspouts, etc.)
v
Landscape irrigation system (backflow devices)
Water Dept. at 417 -4886
Is this a home occupation?
Planning Div. at 417 -4750
Is this a second -hand dealer or pawnbroker business?
sC
City Clerk at 417 -4634
Is there off- street parking for this business?
v
How many spaces?
Is the street in front of this business paved?
Is there a sidewalk in front of this business?
y
Is there a curb gutter in front of this business?
Department
Approved
Initials ate
Rejected
Initials date
Comments Conditions
Washington State Tax I.D. If known, list the nme of theRirevious
business at this location kiri VE V it/Ole /a.2
Building
cJuL) z) /UWt
1eF^ 14
Type of construction
Occupant Load
Transfer of business
location from a
non -PBIA location
Fire
KDb 1/2 6f ��7
Automatic fire sprinkler system required
no
yes
PBIA
1/9105
cn 1/16/041
Planning
City Clerk
f j I iq
Public Works
P w 1 12) 09
BUSINESS NAME t-U p r reza /T y,'7— e:a-1 /ve
BUSINESS ADDRESS 4.1_0 Lc..) gf i2S Si Zoning
Business mailing address j Gc) ,/f 1 St Phone 34o V., �l G�
Opening date ..1.,/, AaOr Days hours of operation 1)3 i f Cy p 6 i +I Div, e4/2-,/
Washington State Tax I.D. If known, list the nme of theRirevious
business at this location kiri VE V it/Ole /a.2
Brief description of proposed business F (vt— (4 t s CO -0 6o
ACTION
New business
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non -PBIA location
Change of ownership
Remodel
Temporary business
Change of use
‘P 6\011.40.111111x—
Print in ink
Business owner's name
Business owner's home address
Gy Phone 4 5
'Pr f s `F
/c9--c.)
cc)
PLEASE NOTE:
A Business License is also required for the following businesses: Taxi, Peddlers, Second -hand dealer, Pawnbroker, Dance, Hotel
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417 -4634 for additional information.
Call for Certificate of Occupancy inspections before opening business:
Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653
Please provide a minimum 24 -hour notice for inspections
I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have
supplied is correct to the best of my knowledge.
Date /.2do? Print Name D, WW /r/ Sidlic4f (Jk Signature
For City use only:
:r ormsitiutloing Division /Certificate of Occupancy Application
c
P
i o /so
Vq/oq g€r (3tft phctle c iI,
V'P d 4u Red 1 ro •Aue
CERTIFICATE OF OCCUPANCY APPLICATION Permit
CITY OF PORT ANGELES
Attn: Building Permit Technician x$50.00
321 E. Fifth St., Port Angeles, WA 98362
Q100.00
(360) 417 -4815 fax (360) 417 -4711
FEES
tificate Inspection
king Business Improvement Area (PBIA)
fee charged for downtown locations
Dee tee e 74 vi '14 .ales 3 G- J7 y3,2
Please sign up for utility services
at the cashier counter.
Group
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Cert4flc.4104 4stiettpursugnt to the requirements of Section 109 of the
Uniform Ilyiginglcoe ck time bf ispapica,this structure was
in coniptiSnee*th the various ifiltc:00) regulating Bnilding
construetick et4.4the:;.froi the folk Win
UseClassificawn Retail:Saies
Owner of Business/Residence RnliprtyM. 'amens Address 75-Baker Farm Rd. PA WA 98362
Building Address 120 West,Firmt-Stremtm=m7 les,WA 98362
taltiater 'itirM
g ar. o
,th
Post otte*ternibesThrile4v**tr Date
etgitataWr r -are
thflarilP JOY° us place.
Shall not be reji VirplAgept Building Official.
CBD
ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate /Inspection Fee
r
DATE 1 I 2-1 J 0
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
V
Address of Proposed Business
J
1 .2C 1 t '£t-r e
Applicant �Oheri- IN) 1_uMvleni
C
Address 4
u CC E 6
s1r-
Phone: business 4 67.- 79 4 /9 home I
p
Iv
Brief description of proposed business: h
1"i_ i t
Legal Description: Lot ...5" Block Z. Subdivision 7
Current Use of Property
Zoning Classification of Property coo
WILL THERE BE ANY OF THE FOLLOWING? YES NO
Construction changes V
THE FOLLOWING WILL BE REQUIRED:
PERMITS BUSINESS LICENSE
1) Building 1) Taxi
2) Plumbing 2) Peddlers
3) Electrical 3) 2nd Hand Dealer
4) Mechanical 4) Pawn Broker
5) Sewer 5) Dance
6) Sidewalk installation 6) Hotel Motel
7) Driveway installation 7) Fireworks
8) Curb installation 6) Ambulance
9) Sidewalk obstruction 9) Tattoo shop
10) Water meter installation 10) Other
Electrical changes
Mechanical (heating, cooling, stoves)
V
Plumbing changes V"
L
New or relocated signs w
New septic tanks
New sewer service
Admission charged to patrons I
Is this a home occupation?
Excavation of filling of lots
Work done in City right -of -way —j"
Is there sufficient off street parking?
11) Fire
New driveway openings
12) Occupancy
13) Sign
14) Shoreline
15) Horne occupation
16) Conditional use
17) Other
A grading plan for site drainage
(parking lots, downspouts, etc.)
Are the existing streets paved
Are there existing sidewalks? Y
Is there curb and gutter?
Other
I hereby apply for a Certificate of Occupancy and ackriowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge.
Date `C lC3Z� fs
Signed. I�,G�' a'
PPI; D REJECTED
a s Building Section
Comments Conditions
Public Works Department
Planning Department
r/
D Fire Department
k A City Clerk
P.B.I.A. /v el d Ih1!
re-
V
M
ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate /Inspection Fee
1
cs
DATE /2 211a):)°
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
V
Address of Proposed Business
26 W 1.0 S ee+
Applicant !'�n )e_i M
�_L.UMer'uS
Address 1c K PS. CO CM RA
�n Cr A,1C/ciPI1S IV4 9 5 to
Phone: business to S 7-'19LI9 home tS2 /0362
Brief description of proposed business N(rl,x� 1 1'�t 1 an Sit)-re
Legal Description: Lot A Block rea Subdivision 7PA
Current Use of Property
Zoning Classification of Property C
WILL THERE BE ANY OF THE FOLLOWING? YES NO/
Construction changes
THE FOLLOWING WILL BE REQUIRED:
PERMITS BUSINESS LICENSE
1) Building 1) Taxi
2) Plumbing 2) Peddlers
3) Electrical 3) 2nd Hand Dealer
4) Mechanical 4) Pawn Broker
5) Sewer 5) Dance
6) Sidewalk installation 6) Hotel Motel
7) Driveway installation 7) Fireworks
8) Curb installation 8) Ambulance
9) Sidewalk obstruction 9) Tattoo shop
10) Water meter installation 10) Other
Electrical changes
T
Mechanical (heating, cooling, stoves)
Plumbing changes
A
New or relocated signs 1.6'
New septic tanks
_K_
New sewer service T
Admission charged to patrons If
Is this a home occupation? V
Excavation of filling of lots
Work done in City right -of -way
Is there sufficient off- street parking?
11) Fire
New driveway openings
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
A grading plan for site drainage I.
(parking lots, downspouts, etc.)
Are the existing streets paved?
Are there existing sidewalks? It
Is there curb and gutter?
Other
I hereby apply for a Certificate of Occupancy and acknowl-
the
edge that I have read this application and state that my
information I have supplied is correct to the best of my
knowledge.
Date /2 b-40-en)
Signed LAM✓
ti
APPROVED REJECTED
Building Section
Comments Conditions 2
d .4-)
A .I .o A .or r 1 J�, t i 7 0
Public Works Department
_.`.0 I L I
j Planning Department
'7 fit-1)— P,6/8-
__1
Fire Department
City Clerk
P.B.I.A.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
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 her b granted to do electrical work as listed below.
Address
Owner
Wiring Contractor
Light Outlets
Receptacle Outlets
Dryer, KW
Range, KW
Water Heater:
KW
Heat: KW
Motors; 1 e, vo and phase:
1M Olympic Printers, Inc.
ELECTRICAL PERMIT
Port Angeles, Washington. 19 /3
Tenant
By
Service, volts
No. wires
Size wires GZ- fie'
Main fuse ...ST
Enclosure
Type of wiring:
Entrance Cable
Rigid Conduit
Metallic Tubing
Current transformers:
No. Size
Ser. No
Ser. No
Ser. No
Total Load Ser. No.
Remarks:
Permit Fee Treas. Receipt
No By
ELECTRICAL PERMIT
Occupancy
N° 17914
Type of Wiring:
Armored Cable
Non Metallic
Knob Tube
Rigid Conduit
Metallic Tubing
Raceway
Circuits, Light
Utility
Heat
Range
Water Heater
Motor
Dryer
Furnace
Total
NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
17914
Address Date
Owner
Wiring Contractor B
NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
Tenant
Application Number . . . . . 22-00001350 Date 10/26/22
Application pin number . . . 513850
Property Address . . . . . . 120 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3210-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOUSING AUTHORITY OF CLALLAM OLYMPIC ELECTRIC CO INC
2603 S FRANCIS ST 4230 TUMWATER
PORT ANGELES WA 983626710 PORT ANGELES WA 98363
(360) 457-5303
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 74.00 Plan Check Fee . . .00
Issue Date . . . . 10/26/22 Valuation . . . . 0
Expiration Date . . 4/24/23
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 74.00 74.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 74.00 74.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public 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.$132.00 $
Service/Feeder 201-400 Amp.$160.00 $
Service/Feeder 401-600 Amp.$225.00 $
Service/Feeder 601-1000 Amp.$288.00 $
Service/Feeder over 1000 Amp.$410.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp. Service/Feeder 200 Amp.$102.00 $
Temp. Service/Feeder 201-400 Amp.$121.00 $
Temp. Service/Feeder 401-600 Amp.$164.00 $
Temp. Service/Feeder 601-1000 Amp.$185.00 $
Portal to Portal Hourly $96.00 $
Sign / Outline Lighting $88.00 $
Signal Circuit/Limited Energy - Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
$96.00 $
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat (Note: $5 for each additional)$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 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 #: [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 10/25/22,11:11:21 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001350 120 W 1ST ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 74.00
TOTAL DUE 74.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/9/2022 22-1350
TAP
OWNER
CONTRACTOR
Olympic Electric
PROJECT ADDRESS
120 W 1st St