HomeMy WebLinkAbout1431 Rook Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RESIDENTIAL MEDIUM DENSTY
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Application Numlcer
Applicatioa pin nunber
Propertsy Address
ASSESSOR PARCEI] NUMBER:
Applicacion El,pe description
subdivision Name
Properly Use
ProperEy Zoning
Application valuation
19-ooo0o135 DaEe l/23 / 19
925955
1431 ROOK DR
05- 30- 14 - 5 -3 - 0655 - 0000 -
EITECTRICAL ONLY
Application desc
Temp service
ContracEor
UPPER LEFT ELECTR]C I,LC
13 06 ROOK DR
PORT ANGELES WA 983 52
1360) 46t-7?20
Permi t.
Addi tsi onal
Issue Date
93 ,00
t/23/t9
7 /22 /19
desc
Plan Check Fee
Valuation
00
0
Expiration Date
Qty Unit Charge Per
1.00 93 . 0000 EcH E!-TEMP SRV O-2OO SRV EDR
ExEension
93 .00
Charged Due
Permit Fee Total
Plan Check Total
Grand Total
93.00
.00
93 .00
93 .00
. o0
93 .00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SER\'ICE tlnln F B8
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FINAI ,)nle *&YF
COMMENTS:a
Signature of owner or Electdcal Contactor X Date
GREEN CROW PROPERTIES INC
PO BOX 243 9
PORT ANGELES WA 943520312
REPORT STATE SALES TAX
on your excise tax form
to the City of Fort Angeles
(Location Code 0502)
ETECTRICAT TEMPORARY SERVICE
Paid Creditsed
.00
.00
.00
INSPECTOR:
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ELECTRICAL INSPECTION
WIRING REPORT
4174735
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NOTIFY INSPECTOR WHEN CORRECNOilS
ARE COMPLETED wlTHIN 15 DAYS
_ OO NOT REMOVE-
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