HomeMy WebLinkAbout503 Lopez AveELECTzuCALPERMIT
CITY OF PORT ANGELES
360-417-4735
18 - 000 00 979 Date 6/29/LB
053253
503 LOPEZ AVE
06 30-10-5-0-1609-0000
EI]SCTRICAL ONI,Y
RS7 RESDNTL S]NGLE FA]V]ILY
0
REPORT STATE SAI.ES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
il6
\oJ--,
Applicatsio! Num]cer
ApplicaLion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application t)'pe description
Subdivision Nane
Property Use
Property Zoning
Application vafuation
Application de sc
Security sys!em
PROTECT YOUR I]OME
3750 PRIORITY I,IAY SOU?H DRIVE
#200
INDINAPOLIS ]N 45240
(317 ) 810 4720
wA 98352
Permit
Additional desc
Permi I Fee
Issue DaLe
Expiration Date
64-OA
6/29/!8
t2 /26 /!8
ELECTRICAI] ALTER RESIDENTIAL
Plan Check Fee
Valuation
00
0
Qty Unit Charge Per
1 .00 64 . 0000 ECH EL SINGITE CIR I'IMITED RES
Extens ion
54. 00
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
54.00
.00
54_00
64.00
.00
64. 00
.00
.00
.00
00
00
00
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:f'+
PERMIT wlLL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signa ture ofowner or Electrical Contractor X
TRAV]S E WADDELL
503 I]OPEZ AVE
PORT ANGELES, WA,
PORT ANGELES
DATE:
Date:
CMY oF PoRT ANGELES Pf,R\TIT APPLICATIoN
Building DivisiodElectrical lmpecaiorls
321 East Fifth Sheet - P.O. Box 1150 / Port Angeles Wrshington, 98J62
Ph: (360) 417-{735 Fax: (360) 417-4711
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