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Home My WebLink About1022 W 4th St - Building -G--- FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 91~ PERMIT NUMBER . TOTAL FEE ()- fr. CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT Site Address /0 Z 2-- /),/ 111, JA ' CORRECT ADDR!:'SS IS RESPONSIBILITY OF APPLICANT Owner /VI i(S, .. t. U 61-1- bZ ... Installation By PERMITS WITH WRONG ADDRESSES ARE CANCELLED ~II) , . -:SAC/( n ," 3/ I,i- IV1 c 7) IlIJ IK.tl Owner's Address' Installers Address' Day Phone . 1::7 - ~ 0 '] 2~'. . Installers Phone Applicat.ion is hereby made for Permit to install Electrical Equipment as follows: C I/JIIJ b [. (!.J T11 lAvJ S u;f fl. fir I M ~vf ~ Sz-'{!AJl c tS P-/rtf s 1l{) ~ /JUl , Wiring Method. . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT 'PEA 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE I MOTOR APPLIANCE . MOTOR, _ DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER . REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G, I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ,19 By CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to ~o the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. . ;J';EC OR 2C\L1GHT ;flf If; " " ", . Date Permit Issued By PLANS WARNING Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not . be cover~d or c,urrent turned on before inspection and O,K. for covering orservice has b,een given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS .. .' - . , ,I . ~..6.Lrl'I'\I'" S/Ifl rJ I!{rjj- O.K. TO CONNECT SERVICE I I , ....,..1 . z CJ II: <l: ~ ~. ::E: I- Z W l- . I- o Z o C . CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17926 ELECTRICAL PERMIT C - r}?' __ F3 Port Angeles, Washlngtonm_.m......._.._...........................::"........._m.. 19..mm In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, On. or about any building or other structure in the City of Port Angeles, per- mission Is hereby granted to dO electrical work as listed below. I (' c.1 .} tv- f-r;( 0 4 F' _c_;_....m_m .___...mm Address ..__'"__uum.mmuum___m...m_...._.._______.m_____.....m.....___m____.. ccupancy______m.____.__ __ ~::~~~~(t~L~:~:~;:;;~;:~~~:::___~:::~~;::::::::::::::._......~::::::::::=::::::::::::::::::::::::::::::::::::::: Light Outlets...._______._______..._........_.._..... Receptacle Outlets___............................ Dryer, KW _u.n....__.__.___.h.__n...n__....n.. Service, volts 00..0000.._............................ No. wIres n__.n.n._nn___nn..n..........._ Size wires..........n...._........_........._.. Range, KW ...d......______n__....__n..n... ..._u Main fuse ___.___....._.on______u..m Water Heater: Enclosure ......................_.......nh...d KW._______uummuummumm. Type of wirIng: Entrance Cable '_._______________00" Heat: KW.n..................................n.__n Motors: size, volts and phase: Rigid Conduit u..n.___.._._.___.. Metalllc Tubing "u___ Current transformers: No. & Size......_..............n..n Ser. NO......n__...n.n..___nn__........n....... Type of WIring: Armored Cable nnn..nn.___..d.......... Non-Metallic ........___00.______________..... Knob & Tube.............___..________........ Rigid Conduit U_.mUU_U................. Metallic TubIng .........___............... Raceway ..............................._......_ Circuits, Light....................................... Utility u..........._.......___......u___________u lIeat ...._..................................n..n._ Range ...................._..........._.....__...._ Water Heater ...nnn___n................. Motor __..............nn.n..........n..h...... Dryer ....nn._nnnnn__n.._.nn__n._...nn._._ Ser. NO..n.....nn_.n..........._.................. / Ser. N~p..m______...........................___ Remark:~tal__~.O~~...~..~.~....-...~:_~_~_:_L__i~:2.;:.:-:~~.:~...~1:::._.::...2c.:.~muZ;.~~::u-.:ii..:;:-.::~?:~i_::+ ...,.:.1L::<'~:2)_::C._,~.~g::::?mummm..._..____m.m.mm.mm.mum.__m_m_.mm.mmum......__....mumm.mmm.___u........__. Furnace .........................,_._................. -;~~;~-;~~m.m..mm.h--..hm.-;~~~~~.~~~~~~~-h..--hm-hmm-m.m..7y~.;:<~.!_:-~-:~.=;~:m~.:.. $....mm...m..m__.__......m... NO..m........................ BY'_mmm..m..m,......mm.m..mum..___...m.mmm.~ NOTICE-Current must not; be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7 9 2 6 Addressn......................................................................................................................................Date..._......_.......::.._..........n......_......_......... Owner...................._......._.....____.......__......n..........___............................___.____..._.................Tenant.............._....._.....__....._._.....h............._...._...._. WIringContractor........................_.___......_...___._......._....__._..................._........._................_._.............By.................................................._........... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be Inspected before concealment. 1M Olympic Printers, Inc. , CITY OF PORT ANGELES UGRT DEPARTMENT ELECTRICAL PERMIT N~ 17894 -. -./ ;;,- - .> Port Angeles, W&shlngton.__.__.__.. r-- ;..- o- f> \- _, 19.______~...J In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to do electrical work as listed below. Address /' () ;;;) ;;;... -._L~__.L~.m_........._.m__...n..m_.._ OccupancYmn~_.~_n__n_.n.___.._.___..__ .L.nnu_..uo_____u _ Owner _____n..________m...._._....m___....______.___m____..._.._.nn pllnant________.____._...________..____.______..___.._.___.. d'..' f:~; - - ;? Wiring Contractor m:-k'''.~.L:..&~...._..m__m.~~ ....~...---.-..n.__.._..._____.m._m______m____..n__._n ",,,,.-,- / /2. ./ /J 0, . LIght OuUeta...___......_..........._.._._ ServIce, volts .L.............:;,c:::..1...x...C- Type of Wiring. '? ? Receptacle Outlets...._/_.._......._... No. wires ...._.~.._.n..._......_._.. Armored Cable .____......__._...__ Dryer, KW _n.......nonun.................__... Range. KW......__.........._____..u..__uu.____.. Wa.ter Hea.ter: SIze wlres__....._.........._............._.. Main tuBe ...._.._......__........__......._.. Enclosure ................._..................__. ~~..;_..._~_....2:-....K.-~u.-D..?. Heal. K\'\ -..~,.-i..'_.h._..:/.w....t.!jc___ Type of wiring: Entrance Cable _.........................._ Motors: sIze. volts and phase: Rigid Conduit ..h___......___ Metallic Tubing .h___...__h___. .-.........-............--.......-.................--...... .-..-......-..-......----......-......-..-.........-.. CUrrent transformers: -.......--......---.-......._.._.......__._h_____.__. No. & Size.....___................_______........ .-....-.-.......---.....--.-.-........-.-.............. Ser. No.._......__......._.__..........._......__ h___.....____.........._.................._........_.._ Ser. No. _.........._.__._......................._ Ser. No. .h__......_....._..........._............... Non-MetaJ.llc _.__"_._.""_.__'_ Knob & Tuhe...__.........__...._._ RIgid Condult ..___...._.h_..._.. Metallic TubIng ._...._._._.._......__. Raceway .____.._._._____ Clrcults. Llght.....__..............._.......__.. Utlllty ..............._h__m..h..h..._.... Heat .....__...._._..._._._..._._.___ Range .--__._..._m_.__.___._.....__m. \\'ater Heater ..._._..................... Motor __.._____._.._..___.......__.... Dryer ....._......_...._.___......_........__ Furnace ..---......----.~_......__._.d.d. Total wad_......__......_............. Ser. No............_..~.___........___........__. Total ........_.._n.__.................. --...,t' ,. Remarks: ---..::'-c--eL-.&h,,r;;?:,_."'..4:.n.A:.~"":'!r.L..__.__m.._..________m_______.__m__m_____..._.____... u-..------...-----.----...-------_n____.nn___..un...___h.....__....nn....nn-..._n___n....h____.._n__..._...h_._..n__~._...__..____.__..__.___..'n__ .n-....----h.nn.....---uu.__n_..nn_nnnnhun__...nuun__u....u.__...---..-n--.n.--...n.n.._n._..nn....____n._n___..__...__.._n._....._._. ::L;:~_~~...___.._____.. :=:._:.~.~~~.~.___ By /l-:...C-:~.__~:(:L_:::..LL:::~_~~~.:.~_ '- NOTICE--Current must not be turned on until CerUflcate ot Inspection has been Issued. It work Is to be eon. cealed due noUce must be given the Inspector so that work may be inspected. before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7894 Add.ress .....-.......-..-.-.....................-..-_..._.._................_......_._.....__......._........__......._......___._........ Date_.._...n.__._..__._.........._._._.._._......._ Owner ..............---..-..--.--........-......_.._......_......_.._.............._.._.............__...........__...._._..... TenanL.._............._...._....................._..........._.._._..... Wiring Con lractor...nn__n......_..................._....._...._........._............................_........n....__..._._..__...._. By..-................_..........................._.......h._.. NOTICE-Current must not be turned on until Certificate ot InspecUon has been Issued. It work Is to be COD- '. ~ealed due noUce must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17894 >. - ,,/ ~. .- .../' C/~ ~ port Angeles, Washlngtonn___.___.___..___.._.....n___.m....m..........h_m., 19.hn___j In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address .L:(::~n2n.~n___?~.z..(j(___mun____nunuu_______u. Occupancy----.!.:~---:::------nu----.---.-h-U.U Owner ___._______n______.n____n_.._____u.______________________,---------- Tenant_____.________..mn_.mnn._u___________.h___._m._____________.n Wiring Contractor ___fJ:::...,'"_!t.c:.r:::~::.<f!'..unt;_f;.~?__<C!<:?:C;:{.By..Uhh.----------.-.m-.___m....________h_._nunnh_____.._.. rP j Light OUtletB_......_..../....2.::.....~.._..... Service, volts ../...r:I...'!..C.2....Y..C.J Type of Wlrtog: Receptacle outlets..d...,?.................. No. wires ..__..._____~~:.................... Armored Cable .........___h__h..dd..n_. Dryer, KW.U..h_____U..._.._u_...._"_h___ SIze wiresh..........h..n.._____nn......_.. Range, KW hn__..______...______.._ Main fuse __n.nn.nnn__.._._..__.....h..... Water Heater: Enclosure __.h_..__......hmn___.m___...... Heat~:~::::I;::~:...dL;2ZB. Type of wiring: Entrance Cable n___mm.mn._.......... Motors: size. volts and phase: Rigid Conduit n_...._.._mm...m....m. MetaIUc Tubing h__m Current transformers: No. & Sizem______n.m.m..........n___..m Ser. NO.__.._......n_.............nn_n.__n...... Ser. NO...................nn__nn................. Ser. NO............._.......nn_nn._.............._ Non.Metalllc _................__.............. Knob & Tube......_......................_.... Rigid Cc>udult ......................_......._ Metallic TUbing ........................... Raceway __................................_..._ Circuits, Light....................._........__....... Utility h___.nnnn..___.nn.....n.._n......_.. Heat ..________.._______...._...._._........_...... Range .___________.............._....._............ Water Heater m.m....._mmnm....... Motor ............h...nn_nnn.__.............. Dryer_._______.________........___..__................. Furnace .........................._._......_.......... Total wad_n_nn................h_.. Ser. No. __...........;.~.__nnn.n____............ Total nnnnnn.._........................ Remarks: ..m6.'?m:.A:.:.~~;Zd~,_.'::u{e:....6~:~.!-::::~;,'::d::;:.hn_._.m.mmmnh__dumnmumun..nunuuumnm .----.--.-..................................~-----...._..........___~_............n.._.h_______........n._..._........_........__................................_.._....... -.d_.nn_nnn.__u....n__.unnnn_____nuu._.h_h_nnu__nn...__H__hn--h---nnn~n_h.n_n____nn~un.un___n.__.un.h_nnnnu..__..hU__.Uun_ Permit Fee . /0 "'0 $___.L..:.______n__..m__________.. Treas_ Receipt NO..m..__..____m____.___.._ I'/' ",' " I J . . -/ ' . , . xl;::' ~., / B "'r/'" F. ..... r. f' ~ "~ .. ,_..., y "......~~.............__..o...n..;._n...........!.;,_o::.......":".':_0"_ .--.. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7 8 9 4 Address._..__.._....................__...................._........._........_.............._____..._....................__..............._._..Date._____....__._.___.______________...._......_....___.. Owner.______.____________..............._...__________.._.__....._.._.......______..____....__..__...____._____---.-....________Tenant....__...........____.___............._..____._.............______._ WiringContractor._...__..._._______......................................._...._......_.._____...._........____...____............_._____.By....._____..._................._.__..................._.._._.. NOTICE--Current must not. be turned on until Cert1flcate of Inspection has been lssued. It work is to be con. t~ ....cealed due notice must be given the Inspector so that work may be inspected betore concealment. \ " \ 1M Olympic Printers, Inc. In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. Address oom.I.~;_;oo.::?...~::_oo/.-J!:.oo_~~i.oooooooo.ooooo__oo___oooo_oooo._... OccupancYoo._~..Le:"".{.,_...mo._._ooo"o.""__ } P ~:::~~'~~~:~~~~~:~~;~~;:~=:~::~:::;;~::::::~:(:~~.;:r~;:::::::::::::::'.:'.~::::::::::=::::::::::::::::::::::::::::::::::::::: Light OutletB....__m_............____....._.._..... Service, volts -/.Jt.9!-;.-~,~.,....... Type of Wiring: .., No. wires ...n___..._~____..h..h.___..........._ &:::ored Cable nnh..........____.._....... Sf f .;'/) A~ ~6--- Non.Metall1c .m.mn.n.n.....m.....m. ze wires_______~...-.7 ...:_;",~_...___.. . .N.;.il /!1 Knob & Tube.............___.................. Main fuse ___..:;e.(.:~_._~1:___n___m Enclosure _______(~...1;~,.:fil.__.____..u CITY OF PORT ANGELES LIGHT DEPARTMENT Receptacle Outlets.___......__.______..___....... d)" D'ye" KW oo.5::.___.___oon_hmmo.nh..oo_m OJ X Range. KW m_h~_n_ooununmnm Water Heater: d2 // --- :r KW__;u._).--nm-.nummnm Heat: KW......?:..:..:~:....l~_:?___::.n__Qm ~:t:~:x:l:it9.sh~.~:__~~~~~:mn___ .. '''l dI ry.-_....~..l.-..~....-............""........__......n. d..(;/k,..~mmnm_nnhnn.nm____n Total Load....................__....... ELECTRICAL PERMIT N? 15774 <;- -;) tL \) / Port Angeles. Washlngton____.__""""______....L.~~,,________,,ooo_.___,,______..... 19_0.:..",--0> Rigid Conduit __n_m__n.mmmn.n___. Metallic Tubing ...d...................... Type of wiring: Entrance Cable ....................... Raceway ......................................._ Circuits, Light....................................... Utility m__mn______m__m________mmh_n__ Rigid Conduit .........m Metallic Tubing ......... Current transformers: No. & Size.....................__................ Heat ............................................... Range ................................_............ Water Heater ..........m.................. Motor ...._........................................ Ser. No.............................................. Set. No. ............................................. Dryer ..................................___.........__ Furnace ........................._~................... Ser. No......................_........................ Ser. No. .............._.._.n....................... Total....................................... Remarks: --oo"o.---;---V-ooof__,~--"-__~-().I?..j?".".--"oo-.oooo-------___.""oooooo---"---ooo-""oo.__,,____________________.____"m___.____. .~~.~~~.~~.~~._._._._.~_~__~.~_...._~.__~_~~_..____.~~~u~..~~~~.~~..__.~~___.___~._h.~.~.~.~.~~.u~~..._.~_..n..ft.__.___._.....~_._..~_...~~~~~___~~_.~~.~_.~~....._...~~~u_ Permit Fee ___UUUUh.n______n.n._____~n______.__.________~u________uuu__n.n.__.h.U__u__nu__n__....__.__n.n__..__.._~~u~uu_______u..__u____________~u..~.....____ $_ooo...._______."_".m."""__.___ By ---~!.f{;L,.!I..~.!:.:-e.:--::.,.ui.:, __-' NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be Jnspected before concealment. Treas, Receipt No..__.........,,_____________. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION I,) 1...---- /j(...v f fir:; ~:JI ELECTRICAL PERMIT N? 15774 Address . -mmf)--__:2__.:J----J:,cJ::__m~.Ji;(m----.--m.m--nnmm.m--mn-nmm- _m__.m__ Date.n___hn____h____.nnm____________mm.nm__. ::::: ~=~:~~.~~:{;~a:=:::~~:~:=:~=:::::=~:.:::::::~::::::::-:-:: :.:.:_:u~en_ant.~~:::::::::::::::::--.:::::::::::::::::::::::::::::::::::::_: NOTICE-Current must not. be turned on until Cert1f1cate of Inspection has been issued. If work is to be con~ cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers. Inc. CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 1 & 2 Single Family Dwelling (4 �JUL'- 5 2093 ELECTRICAL INSPECTIONS c� pORT 4,,�G C * Plan Review May Be Required, Please Qoomplete Electrical Plan Review Information Sheet Job Address: 1 } 7 7 ,2 Building Square Footage: _ Description of above rNao je- trU i r- e i► 5 4 u Vw C @ YrU 1`3 Owner Information Name: Mailing Address: City: State: Zip: Phone: Fax: License # 1 Exr) Item Unit Charge Service/Feeder 200 Amp. $120.00 Service/Feeder 201 -400 Amp. $146.00 ServicelFeeder 401 -600 Amp $ 205.00 Service/Feeder 601 -1000 Amp. $ 262.00 ServicelFeeder over 1000 Amp. $ 373.00 Branch Circuit W1 Service Feeder $ 5,00 Branch Circuit WO Service Feeder $ 63.00 Each Additional Branch Circuit $ 5,00 Branch Circuits 1 -4 $ 75.00 Temp, Servicel Feeder 200 Amp. $ 93,00 Temp. Service/Feeder 201 -400 Amp. $ 110.00 Temp, Service/Feeder 401 -600 Amp. $ 149.00 7omp, ServicelFoedor 601 -1000 Amp , $ 168,00 Portal to Portal Hourly $ 96.00 Signal Circuitl 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 -Scat 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 Contracts Information II Name; 2V-6 M 1 r Mailing Address: City: ( State: Zip: Phone: fax: License # t Exp_ i ) o A- e. ar S e— e- 6 Q, Qty Total (Qty Multiplied by Unit Charge) $ $ —� $ $ $ $ $ $ $ $ $ $ Total 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 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, l 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.B.C., RCW. Chapter 19.28, WAG. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check ] U�` Credit Card # 0.1' 4 i ( C . X� Dated: [ 01101/2012 0. '01 ELECTRICAL INSPECTION WIRING REPORT RKS 417-4735 DATE] 11 3 PERMIT � 13 -al -3 0. INSPECTOR -71-18- OWNER CONTRACTOR ADDRESS NOT APPROVED ............. . DITCH .... ...... ...... .. ROUGH IN /COVER .... I I . I ..... 1.0 .............. SERVICE. . ......... ....... 0 .......... FINAL .... - ........... CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ® DO NOT REMOVE - A M ff I 59r.*ft NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ® DO NOT REMOVE - ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE: /0 PERMIT # INSPECTOR UONth CONTRACTOR o - El ADDRESS APPROVED NOT APPROVED El .............. ......DITCH .............. - I - 11 0- . ............. ROUGH IN/COVER . .............. 0 0 ........ SERVICE ................... 0 0 ..................... FINAL ................ CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 16 DAYS - DO NOT REMOVE - ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 13- 00000730 Date 7/05/13 Application pin number 165044 Property Address 1022 W 4TH ST ASSESSOR PARCEL NUMB FR; 06- 30- 00• -0-1- 0921 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property 'zoning . . . . Application valuation . . . . 0 Application desc 1 -4 circuits two heat pumps move lights - --____ .-----------------°__----------------_°_____-----------------__-__-- Owner Contractor DEVINE DAVID F BOTERO & SON ELECTRICAL 1022 W 4TH ST 940 TAMARACK WAY PQRT ANGELES WA 983632109 PORT ANGELES WA 98362 (360) 452 -4766 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1 -4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date 7/05/13 valuation . . . . 0 Expiration Date 1/01/14 Qty Unit Charge Per Extension BASE FEE 75,00 - - - - - -- _-__----- -- -- -- - - - -__ Fee summary Charged Paid Credited Due Permit 'Fee Total 75.00 75.D0 .00 .00 Plan Check Total 04 -DO .00 .00 Grand Total. 75.00 75.00 .00 .00 REPORT SALES TAX on your excise fax form to.the City of Port Angeles (Location Code 0502) W -I a 1V A Bid INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL Jlq COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTIiS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:ICXCffANGH? BUILDING