HomeMy WebLinkAbout907 Georgiana St (6)Applicatioo Nuiber . .
Applicatlo pin flumber
Property Address
ASSESSOR PARCEL NI'}IIBER :
appl j-caEi.on type descripEion
Su.bdivision Name . ..
Property Use
Property zoling
Application valuation -
19- 0000084 6 Date 10/18/19
818 010
907 GEORGIANA ST
05-30- 00-5- 8- 014 5 -0000 -
EIJECTRICAL ONIY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
COMMERCIAL OI'FICE
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
Applicati.on desc
Plan review
Owner Contractor
CI,ALI.AM CO I{OSPITAII DIST *2
93 9 CAROIJINE ST
PORT ANGEITES I4A 983 523 90 9
OWNER
ELECTRICA]. PLAN RSVIEW
BAI.ANCE
361.73 Pfan Check Fee
6/2s/t9 valuarion
00
0
oty Uai! Charge Per
250.00 1.0000 EcH
BASE FEE
EL-PI.AN REVIEW
Extension
111.73
250.00
Fee summary Charged Paid Credit.ed Due
Permi.t Fee Total
PIan Check TotaI
Grand TotaL
361.73
. o0
361.73
351 .73
.00
351.73
.00
.00
.00
.00
.00
, o0
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL p )eln {P -r+P
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTTON
Signature ofowner or Eleckiaal Contractor x Date
Permit
AdditsionaL desc
Permi! Fee
Issue Date
Expj.ratj"on Date
lnvoice No. 19-846
-,rpic Medical Center
.dn: Rockie Lee
939 Caroline Street
Port Angeles WA 98362
Electrical plan review final fee
MOB X-ray
City of Port Angeles
Due upon receipt
Thank you for your business!
Quantity Description Unit Price Total
1.5 BHC consultant fee 90.00 135.00
1 BHC Postage 35.03 35.03
1 City shipping FedEx ground 12.63
1 Labor City of Port Angles 97.65 97.65
1 Penprint copies 34.24 34.24
47.18
Sub Total 361.73
Cost estimate deposit 250.00
Balance Total 111 .73
tpeppard@cityofpa.us
P()Rr
Tel 360 41 7 4735
Fax 360 417 4711
t-
12.63
15% Administrative fee