HomeMy WebLinkAbout%(Street Number) %(Direction TRIM) %(Street Name) %(Placement Token) - Building k a-. ar
LLE�`�+CAL PERMIT jr
CI'T"Y OF FORT ANGELES
36O=417-4735
Application Number . . . . . 19-00001532 Date 10/04/19
Application pin number 53078e REPORT STATE 5
Property Address . . . . . . 1206 W 10TH ST on our excise tax fon'n
ASSESSOR PARCEL NUMBER: 06-30-00-0-3--1600-0000 y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . .
Property Use . (Location Code 0502)
Property Zoning .
Application valuation . . . 0
Application desc
DHP T-stat
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Owner Contractor
AMY J GREENLiEF DAVE'S HTG & COOLING SRVC INC
710 GMHRIM RD, PO BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-09,39
Permit . . . -: ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 56.00 Plan Check Fee 00
Issue Date . . 10/04/19 Valuation 0
Expiration Date 4/01/20
Oty Unit Charge Per Extension
i.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
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Fee summary Charged Paid Credited Due
Permit Fee,Total 56:00 56.00 .00 .00.
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DrfCH
SERVICE
ROUGR IAt
FINAL=,
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LASTINSFECTION
Signature of owner or Electric Contractor X Date: