HomeMy WebLinkAbout1428 E 2nd St - BuildingPREPARED 6/02/11 9 31 06 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/02/11
ADDRESS 1428 E 2ND ST SUBDIV
CONTRACTOR LARRY S ROOFING PHONE (360) 452 2215
OWNER EASTMAN RENE J B PHONE
PARCEL 06 30 00 5 6 0057 0000
APPL NUMBER 11 00000543 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 6/02/11 BLDG 2INAL
l( June 2 2011 8 48 22 AM pbarthol
Tom 460 0517
flat roof
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF /INSTALL TORCH DOWN NORTH SIDE ONLY
Owner
EASTMAN RENE J B
1428 E 2ND ST
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983624612
Permit BUILDING PERMIT
Additional desc TEAR OFF /INSTALL
Permit pin number 186858
Permit Fee 109 75
Issue Date 6/01/11
Expiration Date 11/28/11
Qty Unit Charge Per
1 00 14 0000
Other Fees
Fee summary Charged Paid
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T:Forms /Building Division /Building Permit
BASE FEE
THOU BL -2001 25K
109 75
00
4 50
114 25
11 00000543
987288
1428 E 2ND ST
06 30 00 5 6 0057 0000
RE ROOF
RS7 RESDNTL SINGLE FAMILY
2885
109 75
00
4 50
114 25
Contractor
LARRY S ROOFING
352 AVIS ST
PORT ANGELES
(360) 452 2215
NO PR FEE
TRCH DN N SI
(14 PER K)
STATE SURCHARGE
Plan Check Fee 00
Valuation 2885
Credited
00
00
00
00
Date 6/01/11
WA 98362
Extension
95 75
14 00
4 50
Due
00
00
00
00
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this applic io nd know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be compi d with w et pecified herein or not. The granting of a permit does
not presume to give authorit o vicy(a' or cancel the provisions of ny�e or at law regulating construction or the performance of
construction
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION.
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab I
Rough -In I
Water Line (Meter to Bldg) I
Gas Line I
Back Flow Water I FINAL Date Accepted by
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling I
Drywall (Interior Braced Panel Only) I
T -Bar I
INSULATION:
Slab I
Wall Floor Ceiling I
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES
Footing Slab I
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Date Accepted By
Applicant LO m 1 J0 aM
Property Owner Vme, 151701C
Property O ner's Addresp n
Contractor ql r S
Contractor's Address I
License 0�0{ ('r(lg 3 Lh
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
N Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Date
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
I have read and completed this application and kno
that it is my responsibility to determine wyat'permit;
T Forms /Building Division /Building permit application
1
1S S
_Expires
X Residential Multi- family
ro- exi4inci 60
I
Ixf House garage other
Heat pump wood burning stove gas fireplace pellet stove o other
ExistingJg. ft.) Proposed (g. ft.)
Total footprint of structures sq ft. T Lot size
Site Coverage the amount of impervious surface on a parcel including structures
and other impervious surfaces (see PAMC 17 94 135 for exemptions)
Print Name ,I;0
ft. Occupancy group
Occupant load
Construction type
APPLICATION Print in ink
Phone
Phone
L Phone
_E -mail
Lot
to be true and correct. I am authorized
red, and to obtain permits prior to w
Commercial
Zoning
1 e rte 'r 2V
y
rofs
1
tear off re -roof lay over one layer
1
per sq ft.
TO.T.AL_.VALUATION
Signature
For City Use Only
Date Received_b r
Permit 5:13 p Date Approved 60
460- $61 I
sq ft. Lot coverage
paved driveways sidewalks
Site coverage
of bedrooms
of full baths
baths
appl
i ng o
Industrial
ermit and understand
patios
,4 1
r•
=4:0 oer
f q,
.F-
.z.• i==- .1
•=4'
,==k=
1
r\l" 7-0 61T TO
Lt r r
1
So—
I
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . , , , ,
15- 00001250 Date
10/05/15
Application pin number . , .
815000
DITCH
Property Address . , ,
1428 E 2ND ST
ASSESSOR PARCEL NUMBER:
06-30-00-5-6 -0057 -0000-
Application type description
ELECTRICAL ONLY
9uhd4vision Name , . . , .
Property Use , . . , .
FINAL
Property Zoning , , , , . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation , . . .
0
Application desc
RCPT, Heater and smoke det.
Owner
Contractor
--- ---
- --
----- -- -------- --- - - - - --
DAVID C COWAN, TTE
---------------
LINCOLN WIRING
1421 E 2ND ST
IG19 WEST 7TH STREET
PORT ANGELES WA 98362
PORT ANGELES
WA 98363
(360) 775 -0629
(360) BOB -1757
Permit , . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 85,00
Plan Check Fee
q0
Issue Date , . , , 10/05/15
Valuation
0
Expiration Date . . 4/02/16
Qty Unit Charge Per
Extension
•SAS&
FEE
75.00
2.00 510000 ECH EL-
BRANCH CIRCUIT W./FEEDER
10.00
Fee summary Charged
Paid 'Credited
Due
Permit Fee Total 85.00
85,00 .00
.40
Plan Check Total .00
.00 ,00
.00
Grand Total 85,00
85,09 .00
.00
4
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUIWING
10!04!2015 Sun 19:45 Lincoln Wiring - Lincoln Breithaupt 3604178203
CITY OF PORT ANGELES PERMIT APPLICATION `� "'� `
5" K.M
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Cate- Oct. 5, 2015
x I & 2 Single Family Dwelling
0 (' I 1, 7015
FIR`fMAL
I,11SPEC IONS
" Plan Review e Required, Please Complete Electrical Plan Review Information Sheet
Jab Address 1428 Mn a nd st
Building Square Footage,
Desariplion of above Addition of two receptacles, one heater and eight smoke detectors.
ID: #105 Page 2 of 2
1
Owner Information
Contractor Information
Name: David Cowan
Name: Lincoln Breithaupt
Mailing Address: 142b E Znd s •
Mailing Address: 1619 W. 7th St.
City: Port Angeles State: WA Zip 98632
City Port Angeles State WA Zipp: 98363
Phone: 360-775-0629 Fax:
Phone: (360)808 -1757 Fax: (360)41-7- 82-G'�
License #! Exp
License #1 Exp. LI NCOW °901 D6 - 3126/16
Item
Unit Charge
C yt Total.(Qjy Multiplied by 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 Wi Service Feeder
$ 5.00
Branch Circuit VV/0 Service Feeder
$ 63,00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1.4
$ 75.00
_1 $ 75.00
Temp. Serrlce! Feeder 200 Amp.
$ 93.00
Temp Service /Feeder 201 -400 Amp.
$ 110.00
$______
Temp Service /Feeder 401.600 Amp.
$ 149.00
Temp ServicelFeeder601.1000Amp .
$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 Oulbdldtng or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$ 110 00
$ 85.00 Total
Owner as defined by RCW.1928 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 I RCW. Chapter 19.213, WAC Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PANIC 14.05 050 regarding Eectrical Permit Applications. Name: Charles H. Breithaupt
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
X L1hGoG� ��tt�" "� Dated: 1014115 0116112012
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
ELECTRICAL PERMIT
SERVICE
CITY OF PORT ANGELES
ROUGH -IN
FINAL
360- 417 - 4735,E
I®
Application Number . . . . .
15- 00000650 Date 6/09/15
Application pin number . . .
777800
Property Address
1428 E 2ND ST
. . . . . .
p�EP���•S�L�� r
f`
ASSESSOR PARCEL NUMBER:
06- 30- 00 -5 -6 -0057 -0000-
Application type description
ELECTRICAL ONLY
on your excise tax form
Subdivision Name . . . . . .
to the City Of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
(Location Code 0502)
Application valuation . . . .
0
Application desc
Service and DHP
----------------------------------------------------------------------------
Owner
Contractor
- ----------------- - - - - --
EASTMAN RENE J B
------------------ - - - - --
STMFSON ELECTRIC
1428 E 2ND ST
243036 W HWY 101
PORT ANGELES WA 983624612
PORT ANGELES WA 98363
(360) 457 -9270
----------------------------------------------------------------------------
Permit PLECTRICA:L
ALTER RESIDENTTAL
Additional desc .
Permit Fee 140.00
Plan Check Fee DO
TssL1e Rate . . . . 6/09/15
Valuation 0
Expiration Date 12/06/15
Qty Emit Charge Per
Extension
4.00 5.0000 ECH 'EL-
BRANCH CIRCUIT W /FEEDER 20.00
1100 120.0000 ECM EL -0
-200 SRV FEEDER '12.0.00
Fee summary Charged
Paid Credited Due
Permit Fee Total 140.00
140.00 .00 .00
Plan Check Total .00
00 .00 .00
Grand Total 140 00
140.04 .00 90
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
I®
COMMENTS:
PERMIT WILL.EXPME SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANORBUILDING
CITY OF FORT ANGELES .PERMIT APPLICATION
Ruildiimg Divi<siionlE+ llectricalll InsQectiOus 98362
321. East Fifth Street -- tf' -O. Box 1151 Pout Angeles Washingtola,
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: � -^
K- I & 2 Single family Dwelling
RECEivE , D �h.ranr:�t���
JJUN a 2015
EVCTRICAL
INSPiuCTfONS
* Plan Review May Be Re uired, Please o�mRlete Electrical plan Review information Sheet
Job Address:
- -�
Building Squaro Fooita
Description or above
owner Information Contracto Ion /J
% f1l y, Name: .I '..Z._ "�-
Name: "— Mailigo
Mailing A dress: : �Gf 1g 2ip:
City: 0,, r Statte: r Drl Cit PhonLicense # 1 Up, Fax. Licen
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 on electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspectie n.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical c mtractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C,, RCW. Chapter 19.28, WAG, Chapter 296 - 4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Eleetrtcol Permit Applications_
5ignatare of owner, electrical contractor or electrical administrator. Ci Cash Cl Check
CrPdR Card 9
�/ bated: Otf01012
. V.t-
r
6`
Unit Chortle,
Total Must lied b Unit Cha
Item
ServlcelFeeder 200 Amp.
$
$
ServicelFeeder 201 -400 Amp.
126.00
--
Semrice/Feeder 401.600 Amp
$ 205,00
$�---
Service/Feeder 601 -1000 Amp.
$ 2620
-
ServicalFeeder ov ®r 1000 Amp,
°; 373.00
--°
Branch Circuit W/ Service Feeder
S 5.00
$
Branch Circuit WID Service Feeder
$ 63,00
5.00
-
S-—'
Each Additional Branch Circuit
$
a---
Branch Circuits 14
$ 75,00
-- --- --
$-
Temp. Serviael Feeder 200 Amp,
$ 93.00
---
$---
Temp.ServicelFeeder201- 400Amp.
$110.00
--
Temp. Service/Feeder 401 -500 Amp.
$149.00
�--
Temp. Service/Feeder 601 -1000 Amp .
$16U0
--
a
Portal to Portal Hourly
$ 96.00
—
$
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ K00
-
$—
Manufactured Home Connection
$120.00
--°
$�
Renewable t= lecbical Energy - 5KVA System or Less
$102,00
Thermostat
$ 55.00
—
Note: $5.00 for each additional T -Stet
NEW CONSTRUCTLP+NLY:
S
First 1300 Square Ft.
$120.00
- -
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or detached Garage
Each SWmminq Pool or Hot Tub
$ 74.00
$110.00
_
$
C010EW ToteI
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 on electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspectie n.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical c mtractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C,, RCW. Chapter 19.28, WAG, Chapter 296 - 4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Eleetrtcol Permit Applications_
5ignatare of owner, electrical contractor or electrical administrator. Ci Cash Cl Check
CrPdR Card 9
�/ bated: Otf01012
. V.t-
r
6`
A ELECTRICAL INSPECTION
WIRING REPORT
K5 417-4735
DATE:
PERMIT It
fh s Ec
CWNEF�
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
0 .................... DITCH .................... 0
0 ........ ....... ROUGH IN /COVER ........... 0
fl ................... SERVICE ... . . - - .- i 0
Cl ................... FINAL . ..................
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
gm-misykire],
Application Number , . . ,
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name . . . ,
Property Use
Property zaning .
Application valuation . . , .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
15- 00001472 Date 11/23/15
470016
1428 E 2ND ST
06-30-00-5-6- 00$7 -0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Owner
Contractor
DAVID C COWAN, TTE
-----------------------
LINCOLN WIRING
1421 E 2ND ST
1619 WEST 7TH STREET
PORT ANGELES
WA 98362
PORT ANGELES
WA 98363
(360) 773 -0629
(360) 808 -1757 yr
--------
- -
- -- -- --- - - - - - --
-
Permit . . '. .
ELECTRICAL
ALTER RESIDENTIAL
Additional desc , .
Permit Fee
I55.00
Plan Check Fee
00
Issue Date
11/23/15
Valuation . . . ,
p
Expiration Date
5/21/16
Qty Unit Charge
Per
Extension
7,00 5.0000
ECH EL -ECH
ADDNT BRANCH CIRCUIT
35.00
1100 120,0000
ECH EL -0
-200 SRV FEEDER
120,00
Fee summary Charged
-- -- ---- -- ----------
Paid Credited
--- -- - - - -__
Due
Permit Fee Total
155.00
155,00 .00
.00
P1aD Check Total
.Off
.00 00
00
Grand Total
155.00
155.00 40
,00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -1N
FINAL
COMMENTS:
DATE: I RESULTS:
n 1?Mll!4;-
1/1,-, 1 1
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:TXCHANGETUILDINCr
REPORT SALES TAX
on your excise tax form
fo the City of Pori Angeles
(Location Code 0502)
INSPECTOR:
Date:
11118/2D15 Wed 21:11 Lincoln Wiring -Lincoln Breithaupt 3604178203
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
Date, Nov. 18, 2015
x I & 2 Single Family Dwelling
10: 0106 Page 2 of 2
a.
" Plan Review May Be Required, Please Complete Eieclrical Plan Review Information Sheet
Jab Address: 1428 a 2nd st
Building Square Footage: 60q ft Garage
Description of above Garage wiring with 1OOA sub - panel. IOOA will be brought underground from the existing hod' e pane f o-the garage nearest the
Owner Information
Name: David Cowan
Co W111 a r
N
Mailing Address: n s
aM I ,ng` A7dres19 W 7th 5t.
City: Port Angeles Slate: WA Zip; 98632
Phone: 360-775-0629
City: Port Angeles State: WA Zipp: 98363
Fax:
Phone: (360)808 -1757 Fax: (37 -8203
License #1 Exp.
License #1 Exp. LI NCOW'901 D6 - 3126/16
Item
Unit Charge
(�yt Total Multi lied by Unit Charge)
Service /Feeder 200 Amp.
$120.00
1 _ $ 120.00
ServicelFeeder 201 -400 Amp.
$14600
Service /Feeder 401 -600 Amp
$ 205.00
Service /Feeder 601 -1000 Amp.
$ 262.00
ServicelFeeder over 1000 Amp.
$ 373.00
$
Branch Circuit VVlService Feeder
$ 5.00
6__ $ 500
Branch Circuit W/0 Service Feeder
$ 63.00
_
__ $
Each Additional Branch Circuit
$ 5.00
Branch Circuits Circuits 1 -4
$ 75.00
$m� - - --
Temp. Service/ Feeder 200 Amp.
$ 93,00
Temp, ServicelFeeder 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 8 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$120.00
Renewable Electrical Energy - 5KVA System or Less
$10200
Thermostat
$ 5600
Hole; $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
$ 155.00 Total
Owner as definedby 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 ortease.
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 eieclrical 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 -4613, The City of Port
Angeles Municipal Code, and Utility Specifications and 1 14.05.050 regarding Electrical Permit Applications. Name: Charles H. Breithaupt
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
%�
1-16014 6MICK w Dated: 11/18/15 0110112012