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Home My WebLink About1107 Georgiana Street - Building 1 ELECTRICAL PERMIT 1 CITY OF PORT ANGELES 360417-4735 Application Number 17-00000989 Date 7/19/17 Application pin number . . 757447 Property Address 1107 GEORGIANA ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0135-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL OFFICE Application valuation . . . 0 Owner Contractor CL CNTY PUBLIC HOSPITAL DIST 2 SIMPSON ELECTRIC DBA OLYMPIC MEDICAL CENTER 243036 W HWY 101 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457-9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . IT OUTLETS, GFCI, MOVE OUTLET Permit Fee . . . 86.00 Plan Check Fee . . .00 Issue Date . . . 7/19/17 Valuation . . . . 0 Expiration Date . 1/15/18 Qty Unit Charge Per Extension . BASE FEE 86.00 Pee summary Charged Paid Credited Due r Permit Fee Total 86.00 86.00 .00 .00 - _ Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 3 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE � ROUGH-IN - ' -1 . �`r j i 7 ` F1 FINAL1 ".'wt COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: Orr 0111POIEF A1110111.SP111111r A191.1CATIM illiCiWrr-7,7- \ lisailegOiefibmilIkdaicalimperrows 321 11460116 Skeet-PAL 111s1199 Part MIAs Wailliftwo,OM ___. . - Mk(3111)40-4,3511=PO)417-4711 ,L, ,:,,,, ,_ ___,/ OP .....0 Mk 1.:: -I-2----12- XLIIII-FrollarOximodir `Plan fledeverile .,. .iw.- PlagseCeseldsBeftinn fariewlifterrom Sod madam /* 'A -....,,i,,..L. ' L.,..._.. -- - -- adOISorawadapc Dorataid • AuilardeMia..:AllatiMik_ ‘:-.- • - - ay.,‘. --- - ----- ------- ,- - - 110100o. • lbw 0 041ANNW ALp cry,. rigE*--/ spvivn , • csix ., NT!!.t.:.- . of ' -• "king" --------- -'-- $ - ---Y-Si Dams' la 2=-C-1"- tbrialtra Ma Maw . 911 Dillgaglielik9A- 14 senkeismorasim . 1 . sings 6.--— srearosess4rofiw stotefois-4001$00 $2110 —_. $ -, aradmoriii410 tap. Wens —__. sordialswiersierinOmp. sirlite ...--. L____- 110•60101111909aRtelst - $ SO --._ $_---- - SaidsOcOVIOSersiotkekr $ NO ---. 1----- EidsOOnd $ SO loodiCissa $ 5 —...—. Inidiamit 14 $ no ---/— t_o_VJe.ti _ valp.swastruhrivem... . Sono ...---- ump.smitairaftramitap. mum ....-- L.__- Temp.SwdearairetiOSErp. S IWO ---- $--------- logLamkeiniirS01401011Op- SOW --. war $ SSO ...---- AR000US010 $ SRO -- Sosiecalitimodibler-ikelallift $ OM ------- $.----- --- % airdOesiOuld Owl riallesf-Curtd $ ISO .--- $--..i. ISIE$$OforeldiiiMod and • agnialikedielilBenw-SONdipiikertiss $1011 ---. 11ammit $ MO --- $..--_ Nite$5.Oibrelik elsonaTrait - $26.11-'Told Oramrs Mod*1011.19.21114%V)Oanurvill ocaspilwx OidwatortmoysisaissOsOoktelpeolitaiRest 0,cum it NOM %Aim dadikolesSwierldmiesdipoimej lam"atm lims.Piii‘avpliesdiffrilt Milo eflidtiostien. NoressegSwilmailiOnoLl ImiagasIVIrOloolleourircHledwinsismellpitipaltar•ammostOdlicalosOwier.tioodIe IhoOdiedina.01110rakolarailicOgloona0edmileiliokilE.C.RCVLONIWISAV0C.01011,001111-Thea061Pall Awn ImidpiColo,ad Ulltrepadiallips amIPPIC ititenngaing Sodded PaipiliWaskes. eiesem4.1401wiesolodorerdiattilaillOOlkOw: 0 clei 0 i , I e Ad, 1-,....-... I Wit ZLZ. L2 swim • .. , . ......