HomeMy WebLinkAbout200 W 1st StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17 - 000 00 001 Date L/03/17
074334
200 w tsr sr
06 30-00-0-0 3300-0000-
EI,ECTRICAI, ONTY
CENTRAL BUSINESS DISTRICT
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Ntltriber
Applj.caEion pin number
Proper!y Address
ASSESSOR PARCEL NUMBER:
Application t)'pe desclipti.on
Subdivision Name ...
ProperEy Use
Property Zoning
Applica!ion valuation
Application desc
Renove cords, Add outlets
Owner
JOHN J & ROBIN K MII,ETICH
312 RED DEER DR
PORT ANGEIJES WA 98362
/'360J 452-'7t7s
SII4PSON EI,ECTRIC
243036 W HWY 101
PORT ANGEI.ES
1360) 4s'7 9270
wA 98363
Permit
AddiEional desc
Permit Fee
Issue Date
Expir:ation Dale
EITECTRI CAI, AI,TER COMMERCIAI,
].-4 CIRCUITS
86.00 PLan Check Fee
1/ o) / 1'7 valualion
1/02/77
00
0
Qty Uni.E Charge Per
BASE FEE
Exlens ion
85.00
charged Credi ted Due
Permit Fee Total
P1a. check Total
85 .00
.00
86. 00
85 .00
.00
86.00
00
00
00
00
00
o0
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS
PERMIT WILLEXPIRE SD( (6) MONTHS FROM I-AST TNSPECIION
Signature ofowner or Electrical Contractor X Date:
V-x
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.lt_ F -/ 6
%\=76'+.
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
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NOTIFV INSPECTOR WHEI{ CORRECTIONS
ARE COMPLETED WEHlttl 15 DAYS
-DO NOT REMOVE-
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CONTNACTOR
ADDFESS
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