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HomeMy WebLinkAbout216 E 4th Street - Building �+ pp�� �v♦#t DD'� EOW T KI rAL PERMIT � z CrT Y OF PORE'ANGEL,ES 360417-47-3 Application Number . . . . . 19-00000839 Date 7j08j19 Application pin number 289965 REPORT STATE SALES TAX Property Address . . . . 216 E 8TH ST ASSESSOR M' C$L NUMBER: 06-30-00.-0-1-6905-0000 on }pur excise tax inn Application .type description $LiRCT1tICAL ONLY to the City of Port Angeles SubdivisionUse Name . . . . (Lowfio 1 Code 0502) Propertty Qse ; Property Zoning . . . Application valuation . p -- ---------•--------------- Application Electrical block permit.July 1 to Dec 31 Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH:'ST PORT ANGELES WA 083623200 Permit ELECTRICAL ALTER COMMERCIAL Additional`desc ELECTRICAL BLOCK;PERMIT JUUY 1 Permit Fee 11+4..50 Plan Check Fee .00 Issue Date 7/4--�19 Valuation 0 Expiration Date 1104/20 Oty Unit Charge Per Extension BASE FEE 1154.50 Fee summary Charged Paid Credited Due' Permit Fee Total 1154:50 1154.50 .00 .00 Plan Cheek Total .00 .00 .00 .00 Grand Total 1154.50 1154.50 .00 00 I INSPf-CnQN TYPE DATE: RESULTS: INSPECTOR DUCK SERVILE ROUGHt-W I? COMMF..WS: *, PERMIT WILL EXPQtB SIX(6)MONTHS FROM LAST wsPECI(}ICI Signature of tit er ar ect Oo»tt 4tor X Date: I I i I I f i i � • • PO, RT NGELES WASH 1 N C T O N, U. S. A. Public Works & Utilities Department June 10, 2019 Nolan Duce School District#121 216 East Fourth Street Port Angeles, Washington 98362 Re: Annual Electrical Block Permits,PAMC 14,05.140.13 Dear Nolan, The School District's annual electrical block permit, issued by the City of Port Angeles, expires June 30, 2018. The Port Angeles Municipal Code(PAMC)addressing electrical block permits states that: A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091,may choose to purchase a$1154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation,or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requested under the block permit until$1154.50 worth of fees is reached,after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18,2011,the City Council adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees,which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. Billing cycles are as follows: I`billing cycle: January 1 through June 30 2°a billing cycle: July I through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard, Electrical Inspector 321 E Fifth St. Port Angeles, WA 98362 Please include a copy of the enclosed payments due receipt with your remittance,along with the fax number where you wish to have a copy of the permit sent. The scheduling of inspections and/or questions may be answered by calling 360-417-4735. 1 look forward to working with you in this matter. Sincerely, Trent Peppard Senior Electrical Inspector cc: Shailesh Shere, Deputy Director of Power Systems Phone:360-417-4800/Fax:360-417-4542 Website:www.cityofpa.us/Entail: publicworks@cityofpa.us 321 East Fifth Street/Port Angeles, WA 98362-0217 ELE�AL PERMTF CITY OF T.AXGELES 360417473 Application Humber . . 19-00000842 Date 7/11/19 Ap 1t� a o pin number 516270 REPORT STATE SALES TAT Property.Add i. , . . 333 ECLIPSE IND PKWSt QXj iii'eX61S@ tax form PARCEL'NUMBER: 06-30-17-2-2-0000-0000- Applicaltion,type description ELECTRICAL ONLY t©Me My of Poet Angeles Subdiyty Va e . . OC On Cale O�t12) Property Ve �.. .. Property Zoning-.. . . INDUSTRIAL HEAVY Application valuation . 0 _ ---------------------------- Application desc Electrical, black permit:July l to Dec 31 Owner Contractor. - --------- PORT - - ANGELES HARDWOOD LLC OWNER 333 ECLIPSE INDUSTR::PKWY PORT ANGELES WA 98363 (360) 452-6041 ---------------------------------------------------------------------------- Permit . . . . • SLBCTRIGAL ALTER COMMERCIAL Additional .desc RLECTRtM+ BLOCK PERMIT JVLV 1 Permit fee 1154.50 Plan Check Fee 00 Issue Date . . /1119 ValuatioA 0 Expiration Date 1/07/20 Qty Unit Charge Per,._ , Rxtension BASE FEE 1154.50. » ------------------------ -------------- Fee summary Charged Paid Credited Due _ ---------- ---------- Permit Fee Total ' 1154.SO 1154.50 00 .00 Flan Check Total .00+ 00 00 .60 Grand Total 1154.50 1154.90 .00 .00 INSPECTION TYPE DATE. RESULTS: INSPECTOR: DITCH SERVICE FINAL CONRY(EN'S: PERMIT WILL EXPIRE SIX(b)MONTHS FROM LAST INSPECTION 3isnature of owner or Electriaat C (ttractoi X Date: _ •._ � � r,. � .. - .. i ;9 ire • I JORT 4— NGELES WASH I N G T O N, U. S. A. Public Works & Utilities Department June 10, 2019 Ruairi Cussen Port Angeles Hardwoods 333 Eclipse Industrial Parkway Port Angeles, Washington 98363 Re: Annual Electrical Block Permits, PANIC 14.05.140.13 Dear Ruairi, Port Angeles Hardwood's annual electrical block permit,issued by the City of Port Angeles,expires June 30, 2018. The Port Angeles Municipal Code(PANIC)addressing electrical block permits states that: A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091, may choose to purchase a$1154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation,or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requested under the block permit until $1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18,2011,the City Council adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees,which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. Billing cycles are as follows: 1" billing cycle: January 1 through June 30 2°d billing cycle: July I through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard,Electrical Inspector 321 E Fifth St. Port Angeles, WA 98362 Please include a copy of the enclosed payments due receipt with your remittance, along with the fax number where you wish to have a copy of the permit sent. The scheduling of inspections and/or questions maybe answered by calling 360-417-4735. I look forward to working with you in this matter. Sincerely, Trent Peppard Senior Electrical Inspector cc: Shailesh Shere,Deputy Director of Power Systems Phone: 360-417-4800/Fax:360-417-4542 Website: www.cityofpa.us/Email: pubiicworks@cityotpa.us 321 East Fifth Street/Port Angeles, WA 98362-0217 a' lix, PE AL RMrr yr' ANG LES 604- 1-7-4I3 Application Number . . . . . 19-00000838 Data 7j08119 Application pin number . . 214530 REPORT STATE SALMTAat' Property Address . . 939 .CAROLINE ST 4n DUI"@XC1S@ tax t ASSESSP PARCELS NUMBER: 06-30-00-1-0-3325-0009- Appli:cat,ign tyke description ELECTRICAL. ONLY to h�i of Port Angeles Subdivision-.Name, . . l.tic 0 0602) Property.Use" Property Zonincj . . .. PUBLIC BUILDINOS & PARKS Application valuation 0 ---------------------------------------------------------------------------- Application desc Electrical<block permit JAily 1 to Dee 31 Owner Contractor PUBLIC~HOSPITAL DISTRICT #2 OWNER 939 CAROLINE ST PORT ANGELES WA 98362 (360) 417-7170 - Permit- . . ELECTRICAL ALTER COMMERCIAL Additional desc ELECTRICAL BLOCK PERMIT JULY 3 Permit Fee . . 1154.50 Plan Check Fee .00 Issue Date 7/08/19 Valuation 0 Expiration Date 1/04/20 I Qty Unit Charge 'Per'.., Extension BASE FEE 1154.50 , - -summary -- - -Charged ----- -----Fee Paid Credited Due ------------ - --- -------- ----- --------- Permit Fee Total 1154.$D 1154.50 .00; .00. Plan Check Total .-00 .00 .00 00 Grand Total" ' 1154150 115A'.50 .00 .00 INSPE nON TYPE DATE RESULTS: INSPECTOR:, DrrCH SERVICE RMO I•Ilv coNNENTS: PM1hff WEIR=UPME SIX(6)MOM MS MOM LAST iNSPBCMN S*atA of 6*fw or.Eleowc w Contractor X. Date: f ' v. � - I �Ij i I i P 0- RT NGELES..+— WASH I N G T 4 N, U. S. A. Public Works & Utilities Department June 10,2019 Attn: Facility Maintenance Olympic Medical Center 939 Caroline Street Port Angeles, Washington 98362 Re: Annual Electrical Block Permits, PANIC 14.05.140.11 Dear Facility Staff, Olympic Medical Center's annual electrical block permit, issued by the City of Port Angeles,expires June 30, 2018. The Port Angeles Municipal Code(PAMC)addressing electrical block permits states that: A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091, may choose to purchase a$1154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation,or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requested under the block permit until $1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18,2011,the City Council adopted the new electrical permit fees with an effective date of January 1,2012. These new fees,which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. Billing cycles are as follows: Is' billing cycle: January 1 through June 30 2°d billing cycle: July I through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard,Electrical Inspector 321 E Fifth St. Port Angeles, WA 98362 Please include a copy of the enclosed payments due receipt with your remittance, along with the fax number where you wish to have a copy of the permit sent. The scheduling of inspections and/or questions may be answered by calling 360-417-4735. I look forward to working with you in this matter. Sincerely, Trent Peppard Senior Electrical Inspector cc: Shailesh Shere, Deputy Director of Power Systems Phone:360-417-4800/Fax: 360-417-4542 Website:www.cityofpa.us/Email: pubiicworks@cityofpa.us 321 East Fifth Street/Port Angeles, WA 98362-0217 ELECTRWa PERMS -Application Number . 19-00000843 Date 8/27/19 App 11 1 ditioh pin number 59170s REPORT STATE SALd Ptwerty, Address 1569 COLUMBIA ST Oul'BXCiSe fax form' PARCEL NUM: 06-30-00-5-7-0100-0000- On Y Application;type description ELS=ICAL ONLY tE�'tfte City°Of Port Angeles. Subdivision'Name {E:18@�l [�e�� � Property Use' _. . Property Zoning". PUBLIC BUILDINGS be PARRS` Application valuation 0 •----- - - - ---------- -----I------------------------- Application desc Electrical block permit 7uly'l to Dec 31 Owner Contractor ---------------= ---- ------- CITY OF POPT'ANGELES OWNER PO BOX 1150 I PORT ANGGELES WA 983620217 ------------.-. ------------ >---- ----------------------- --- Permit SLEOTRI + AL"M C(3M MCIAL Additional 'desc SLBCMICAL`BLOCK PERMIT JULY 1 Permit Fee 1154.50 p1an:Check Fee .00 Issue Date . . . . 8/27/19 Valuation 0 Expiration Date 2/23/20 Qty Unit Charge Per Extension BASE FEE 1154 S0 TFee summary Charged Paid Credited Due` Permit Fee Total 11S4:50 1154.50 00, .00- Plan Check Total ` .00 .00 :00 .00 Grand Total 1154.S0 1154.50 .00 .00 INSPECTION TYPE DATE: 'RESULTS_- INSPECTOR: DITCH SER"VW ROUGH-IN FINAL CO �i : PERMiT M� t M ME SIX(6)MONTHS FROM LAST INSPEMON Signature of owner or Electrical'Contractor Date: �b� - , . 7,g`fug .l ' NGELES P ORT A' WASH l N G T © N, U. S. A. Public Works & Utilities Department June 10,2019 Jeff Young City of Port Angeles, Wastewater Division 1509 Columbia Street Port Angeles, Washington 98362 Re: Annual Electrical Block Permits, PANIC 14.05.140.B Dear Jeff, The City of Port Angeles Wastewater Division's annual electrical block permit, issued by the City of Port Angeles, expires June 30,2018. The Part Angeles Municipal Code(PAMC)addressing electrical block permits states that: A firm,corporation,or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091,may choose to purchase a$1154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation, or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requested under the block permit until $1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18,2011,the City Council adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees,which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. Billing cycles are as follows: I"billing cycle: January I through June 30 2°d billing cycle: July 1 through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard, Electrical Inspector 321 E Fifth St. Port Angeles, WA 98362 Please include a copy of the enclosed payments due receipt with your remittance, along with the fax number where you wish to have a copy of the permit sent. The scheduling of inspections and/or questions may be answered by calling 360-417-4735. I look forward to working with you in this matter. Sincerely, Trent Peppard Senior Electrical Inspector cc: Shailesh Shere,Deputy Director of Power Systems Phone: 360-417-4800/Fax: 360-417-4542 Website:www.cityofpa.us/Email: publicworks@cityofpa.us 321 East Fifth Street/Port Angeles, WA 98362-0217 CPC'Y QF"�} i'Al`�ELES 3604174735, . _111I1 Applioatian Number 19-00000840 state 8/06/19 I Application s-pin, der 365400 R 31ORrSTATE SALES TAX PQ A�dreOs,., 637 MARINE DR tn-ywr excise aX form AS E§SCR PARCEL DER: 06-30-99-0-0'-3720-0000- - - Application type description ELECTRICAL ONLY bft CRY ofPW Angeles. Subdivision Name . . . . . L:OC8Net1 Cod-05021 1 Property Use . . . . . . . . f , { Propetty Zoning . . . . . . , INDUSTRIAL HEAVY Application valuation . . . . 0 - - - ------------------------------------ Application desc Electrical Block: rml*%'4Aay 1 to Dec 31 Owner Contractor WESTPORT LLC OWNER 16201 B MAIN ST Corr OFF. LA 70345 (360)" 452--5095 . 4 .. - - Permit ELECTRICAL ALTER COMKMRCIAL: Additional desc .,y" EXX=, ,XCAL BLOCX PMMST'3tX 1 Permit Fee . . . i S4.SO Plan deck Fee . .00 Issue Date 8/06/19 valuation 0 Expiration Date 2/02/20 Oty Unit Charge Per Extension BASE FEE 1154.50 Fee summary Charged maid Credited Due ------ Permit Fee Total 1154:50 1154.50 .00, -.00 Plan Check Total 00 00 OQ 00 Grand Total 11S4.50 11.54.50 .00 :OA I CN TYPE DATE. RESULTS. INSPECTOR: DITCH ROUGH-IN FINAL, ,•. COMArIEN`: PERMrr WILL'EXPME StX{6)MONTHS FROM LAST:tNSt'Ei MN Signature c►fis trt"IeOtricsct G€mtractvr X Date: �. � r..h.x. �.X of � s �. ,, v - .. y. �. .. f � _ .. .y t ._ .y PORTAINGELES WASH I N G T O N, U. S. A. Public Works & Utilities Department June 10,2019 Chad Gallauher Westport LLC 637 Marine Drive Port Angeles, Washington 98362 Re: Annual Electrical Block Permits,PAMC 14.05.140.13 Dear Mr.Gallauher: Westport's annual electrical block permit, issued by the City of Port Angeles,expires June 30, 2018. The Port Angeles Municipal Code(PANIC)addressing electrical block permits states that: A firm, corporation, or other entity which has a regularly employed electrical maintenance staff, which is exempted from the requirement to have an electrician certificate of competency by RCW.19.28.091,may choose to purchase a$1154.50 bi-annual electrical work permit for work done by in-house electrical personnel rather than a work permit for each installation,or alteration in accordance with the section. Work done by contractors shall not be included in this block permit. The inspector will track work requested under the block permit until$1154.50 worth of fees is reached, after which additional fees will be charged. Additional fees will be based on the published fee schedule in Port Angeles Municipal Code 13.12.100. On October 18,2011,the City Council adopted the new electrical permit fees with an effective date of January 1, 2012. These new fees,which are less than those of the Department of Labor and Industries, provide for full cost recovery of service. Billing cycles are as follows: I` billing cycle: January I through June 30 2°d billing cycle: July 1 through December 31 Please send remittance to: City of Port Angeles Attn: Trent Peppard, Electrical Inspector 321 E Fifth St. Port Angeles, WA 98362 Please include a copy of the enclosed payments due receipt with your remittance, along with the fax number where you wish to have a copy of the permit sent. The scheduling of inspections and/or questions may be answered by calling 360-417-4735. 1 look forward to working with you in this matter. Sincerely, Trent Peppard Senior Electrical Inspector cc: Shailesh Shere, Deputy Director of Power Systems Phone:360-417-4800/Fax:360-417-4542 Website:www.cityofpa.us/Email: publicworks@cityofpa.us 321 East Fifth Street/Port Angeles, WA 98362-0217 ELECTRICAL PERMIT CITY OF PORT ANGELES _ 17-4735 Alirip_ion plumber 19-00001471 Date 9/24/19 Apgl ,c fon pin number 982675 EP �TE Address . . . 829 E 8TH ST _ _ Ol1 } 'se ta�c A383 PAS ��_' 0¢-30-00-0-2-2495 0000 A S►licat im �_ eription ELBCTRICAL ONLY t0 the F'Port Ang k P�p�r y U (Loc _=Code 0502) ` Property Zoning COMMERCIAL, IGHBORHOOD k Application valuation 0 4--- -- -- ----- ----- --- --------- -- - Application deac -- 4 Storage-building ---- ------------ OA 3 Contractor ------------------- -' Hb5 168 CLnt t m Comm . KIRSCH ELECTRIC INC.' 5401E $'4JI -ST P. 0. Bt?X.3396 PORT AN6kL89 WA 98362 SEQUIM WA 98382 (360) 683-6819 ; - -------------- ------ '.y,T. ELECTRICAL NEW COMMERICAL Aril rdesc Pe"iC"Fero 172.00 Plan Check Fee .00 issue I bate' 9/14/19 Valuation 0 $xpirnai Date 3/22/20 f3 QCy Unit Charge Per . Extension ;. ' 8.60 5.0000 ECH kL-ERA#-H CIRCU W/r=SR 40.00 -> 00 132,0000 8CH EL-GO�4 0=200 SRV FEEDBR 132.00 -------------- ---- - - - ------- -- -- ------------ - Fee.,eUmmary Charged Paid Credited Due - . - -------- -- -- --- ----- -=-------- --------- Permit Fee Total 172.00 172.00 .00 .00 Plan Check Total. .00 00 .00 .00 dkai4..Total 172.00 112.00 .00 .00 4 r INSP DATE: 'RESULTS: HF'ECTf1R: SERYI 3 t• ROUGH-IN AL. szz _ :QT Vick - • AIR 6 e i MOM �c�r r'w��creax L Signature of owner or actor X „ �= Date: �:� '-L�f �n -� ..� .- ° �*d .':. :... -.,. v���- 4 .� � - ... _ �fi ' ��e ��: � 1, "fir{ --...,.....-w«= ,. ._... i '� ,� .a �. '� ,. 1� ti :��7?a`:I�t C?.E _.. r 4 tT`51 'i'.C.A-Jii'U;ua.:iE- i c�)�L': :�`� � 'it�.•'t_ '�-•, PrrJ!Ecf,;dcare$S B -- - �- G_. ` S .r 'ro;e:t.Descrip"Ilior. - i Wilti-i=arniiy Residential -1 Commercial!ind:is:rial 1 Public Building Square footage: 'T+2yy� ,,". F -,� ... y, •r:,zi 7Ty.. ... .v '..—T— .t.e. F t. W �,� .;.,' n• - k .� .c, ,�.,.. +•A�%Nar.c��K•=—; �iiLr,a+..::Giwc.rc•::m�.w.����' ����,. •"Jarna.. Q _ Email: _ VOiling Address: Phanra���� x i x.. .t•��.;F 3�- -�' k� �X3 . -. R --.n ._ >k�'�:vt7r �:<. sue^'�"s�.,.�Ifre;•+`" 4 K„-s a r T.yF ' ,Y#"'cK�e�,-3iLk 1"'.+�..ra a' .>Ar r'. r 5 - - x�u< �, 1'3 F , �' '# J.' , .• afia5,wt�'m �`.k.3.�..� s" .nt�,�:Z.i:.?ih.�.'.'4..x¢.�...�..-.r.,�1.',�i'��4 •i�.�...�:�C`�3«:,,.ulerl4iin" %�' .asc'Y� > .'.� a License: Mailing ddressV�V P,-jo- x= �. Expiration Date: _ s k :-o ±•�¢✓ire "•` h.. .k3}i�. :y y'y". .?Cphf. "'3t"L '.ash' M i ;A a .... y '�5xh�f � 'nc+�. s .rii1 ��f���r `sty ~fir it Cha Egg Omnttty Total lQuaatlty xbE)isit Charge) Serrice;Feeder 200 Amp. s 132.00 �_ $ Ser•Fce/Feeder 201-400 Amp. $160.09 $ Service/Feeder 401-600 Aanp. $225.00 $ Sarvice/Feeder 601-1 oG0 Amp $268.00 $ Service/Feeder over 100D Amp. $4,M, 0 $ Branch Circuit VVI Service Feeder $5.00 __. $ Branch Circuit VVIO Service Feeder $74.00 $ filch Additional Branch Circuit S5.00 $ Brunch Circ;!t5 1-4 $86.00 urrp Service-tPeeder 200.Amp. S 102.00 S Temp Service/Feeder 201-400Amp. $121.00 +ernp Se^lice/Feeder401-600Amp. $164.00 $ .emp Serb ice;=p?der 501•-1000 Amp. $185-00 $ Portal to Portal Hourly $96,00 $ Sicnal Cir�wit'Limited Energy-Multi-Family $08.00 $ `!grial OrcuitlLOited EnergyfFirst 1500 sf-Commercial $9&OG $ Note $5.00 for each additional 1500 sf) P inevrable Elec. Energy:5KVA Sysiem or less $113.00 $ 'thermostat iNcte:S5 for each additional} $56.00 � $ $ f 70TAF_ as e in+d by PCW.19.28.261:(1)7vvner will occupy the structure fortwo years after this electrical permit is fiinahmd.(2)Owner i=. .i--quired to girt an electrical contractor it above said property is for sale, rent or lease. Pemr:it expires after six months of I"inspectia-;, ttc:r reading the above statement. l hereby certify that i am tie owner of the above named property or a licensed electrical contractor. air making the eiectricaf installation ur alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 29,-- . 5B. The City of Port Angeles Municipal Code. and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications Uute Print Mamc Signature( Ow er [Q Electrical Contractor iAdirinistrator" ;electrical Permit Applications.may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360-417.471;� �-d 6920-£99-09£ olaloel3 yoSAN dZ 6:60'6 OZ deS yokQOflTy is ELECTRICAL INSPECTION WIRING REPORT $& 417-4735 13;E: PERMIT 4 INSPECTO 10 jq 71 OWNER CONTRACTOR ADDRESS APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 E3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED. 04SThl-L L6Qmw& P14-y- (fk>`h>r::7 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - 00 NOT REMOVE- 1?0" ELECTRICAL INSPECTION WIRING REPORT 417-4735 DPERMIT# INSPECTOR OWNER CONTRACTOR ADDRESS (e 4� APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . .� C3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: 'ilb L4/0b a ptjcr-r- lzvrC-*J� z6D- I-ON NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE-