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Home My WebLink About915 W 6th St - Building RECEIVED c?� 0 4* CITY OF PORT.A,N�GELES PERMIT APPLIO.A nON UN 201 or Building Division/Electrical IBspectivas fp 321 East Fifth Street—P.O.Boar 1150/Fort Angeles Washington,983 ELECTRICAL 62 �IUNS �"°,,•• Ph:(360)417-4735 Fax: (360)417-4711 Date: 1 &2 Single Family Dwelling *Plan Review May Be Required, Please Complete Electricai Plan Review Information Sheet Job Address: i Building Square Footage: Dascdption of above Fg teal C-- 48-0 co 4 r +-0 (YL&Aer-G a.S.R Owner Information Contractor fnformatf on Name: ✓7 Name l�f�srtt iLGti'r'c. Mailing Address: 2- Mailing Address: P c3, 00 K -3 In City: 4 l 1 Nr1 tats: (&Lr ,,.Zip-, C?X��ss"72- City: 3-4 Lt i acv State:, W gn dip: 9 9,5k Phona: -+�5 ax., _ Phone�_G,, sx3-A2 tVax-. Ucense 9I Exp Lioense 1#1 Exp.., _. _........ Item Unit Clfarge 9k Total flay MulfigQed by Unit Charge) Service/Feeder 200 Amp, $120,00 —j— $--L2=0 ServicelFeeder 201400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-4000 Amp. $262.00 Sorviw,f eeder over 1000 Amp. $373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W!0 Service Feeder $ 6100 $ T Each Additional Branch Circuit $ 5.00 $,_.,_, _ 400 d-ln4 Branch CiriuUTA $ 75.00 $ �qL�) W)'XL�- Temp,Servical Feeder 200 Amp, $ 83,00 $_- _ - r~(n£C (Gy Temp.Servin/Feeder 201-400 Amp, $110.00 Temp.ServiciJ-Feeder401-600 Amp, $149.00 $ Temp.ServloelFeeder601-1000 Amp. $168.00 +A i 5 Portal to Portal Hourly $ 86.00 Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 ManufaOurad Home Connection $120.00 $ fcnUL0 Renewable Electrical Energy-5KVA System or Less $102.00 $ Y`Y r Thermostat $ 56,00 $ a�a+�� Note:$5.00 for each additional T-Scat rye►z'� NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additionat 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Wmming Pool or Not Tub $110.00 $ $Total Owner as defined by RCW.19.28,261,(1)Owner will occupy the structure for two years after this electrical peimit 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 th at I am the owner of the above named property or a Ilcensed electrical contractor.I am making the electrical installation or alteration in compliance with the electrical laws,RE.C.,RCW.Chapter 19.28,WAG.Chapter 296.466,The City of Fort Angeles Municipal Code,and Utility Specifications and PAMC 94.05.050 regarding I`lectAml Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ caah ❑ Chock t Credit card dt dated: f4� 7° �� 1311DU2012 ELECTRICAL PERMIT l CITY OF PORT ANGELES 360-417-4735 Application Number , , . . . 13-00000610 Date 5/06/13 Application pin number , . , 513660 Property Address , , . . . , 915 W 6TH ST B RCP�n��+n�� TAX ASSESSOR PARCEL NUMBER; 06-30 00 0-1-.p 780 OOOp- REPORT A 1 Application type description ELECTRICAL ONLY on your excise tax form Property Name to the City of Port Angeles Pra ert use Property Zoning . . , , . , . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . , . 0 Application desc 200 amp service Owner Contractor RAWLINS TTE, ROBERT J KIRSCH ELECTRIC INC. 726 W ANDERSON RD P. O, BOX 3396 SEQUIM WA 98382 SEQUIM WA 98382 (360) 651-2584 (360) 683-6819 -=------------------------------- ----------------- -_---------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee 120,00 Plan Check Fee Issue Date . . . . 6/06/13 Valuation 0 Expiration Date . . 12/03/13 Qty Unit Charge Per Extension 1.00 120,0000 ECH EL-0-200 SRV FEEDER 120.00 --- ---___- -_ -------------------- ------------------ .._-.-- ----- Fee summary Charged Paid Credited Due Permit Fee Total 120,00 120.00 .00 00 Plan Check Total .00 .00 .00 00 Grand Total 120.00 720,00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL �z COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\BUILDING PREPARED 12/22/09 8 04 18 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/22/09 ADDRESS 915 W 6TH ST SUBDIV TENANT NBR R HOLDING CO CONTRACTOR LARRY S ROOFING PHONE (360) 452 2215 OWNER R HOLDING CO PHONE (360) 681 2584 PARCEL 06 30 00 0 1 0780 0000 APPL NUMBER 09 00001314 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 12/22/09 BLDG FINAL December 21 2009 3 37 06 PM 1pangrle TOM 452 2215 BLDG FINAL RE ROOFED THE HOUSE COMMENTS AND NOTES Date Print Name T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF RE ROOF THE HOUSE 09 00001314 182428 915 W 6TH ST 06 30 00 0 1 0780 0000 R HOLDING CO RE ROOF RS7 RESDNTL SINGLE FAMILY 8560 Owner Contractor R HOLDING CO LARRY S ROOFING ROBERT RAWLINS 352 AVIS ST 726 W ANDERSON RD PORT ANGELES SEQUIM WA 98382 (360) 452 2215 (360) 681 2584 Structure Information 000 000 TEAR OFF RE ROOF HOUSE Fee summary Charged Paid Credited Due Date 12/14/09 WA 98362 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF HOUSE Permit pin number 158246 Permit Fee 193 75 Plan Check Fee 00 Issue Date 12/14/09 Valuation 8560 Expiration Date 6/12/10 Qty Unit Charge Per Extension BASE FEE 95 75 7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00 Other Fees STATE SURCHARGE 4 50 Permit Fee Total 193 75 193 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 198 25 198 25 00 00 N 2 2 0 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 application and know the same to be true and correct. All ovisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a pNnit d of pre ime to give authority to violate or cancel the provisions of any state or loc tI law regulating con, tructiory the performance of const Signature of Contractor or Autho zed 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 Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. 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 Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 1 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 I2- Z2. -01 I a Li_ uT, c s PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition 1] Re -roof Heat System Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be insta ied? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 1 Applicant tom Property Owner J am W tb I i r, Property 9 O per's dr s Contractor 0 i n1 Contractor's Address iS St 't foOlcs License opt C0$$LY1 Expires j 11 Residential ,ki Multi family 3A House garage other tear.off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1st Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION OJ p0 Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage Occupancy group Occupant load Construction type I have read and completed this application a, d know it to be true and correct. I air a 'Ihorize that it is my responsrbrid} to determine what permi are required and to obtain permits prior to Date I —0 q t Print Name (,Gm Signature T Form 'Building Division /Building permit applica is Phone Phone Phone E -mail Lot to appl ork, '3g For City Use Only Date Received I I4 Permit# Chi 1314 Date Approved Zoning Commercial of bedrooms of full baths of half baths this permit and ,inderstand o ejects Industrial Clallam County Assessor Treasurer Property Details 56562 R HOLDING CO for Y Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 56562 R HOLDING CO for Year 2009 2010 Property Account Property ID Geographic ID Type Tax Area: Open Space: Historic Property Multi Family Redevelopment: Location Address. Neighborhood: Neighborhood CD Owner Name Mailing Address' Taxes and Assessments Due Amount Due if Paid on. Statement Year ID 2009 565622008 2009 565622008 2009 565622008 2009 565622008 2009 565622008 56562 0630000107800000 Real 0010 N N N 915 W SIXTH ST PORT ANGELES Cycle 5 Res 10955130 R HOLDING CO ROBERT.RAWLINS 726 W ANDERSON RD SEQUIM WA 98382 Property Tax Information as of 12/14/2009 Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD• #121 SCHOOL DISTRICT #121 Legal Description Agent Code PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property Mapsco Map ID Owner ID Ownership Exemptions: First Half Base Due Second Half Base Due $219 67 $219 67 $111 17 $111 18 $15 75 $15 75 $243 85 $243 84 $271 67 $271 65 2009 565622008 NTH OLY LIB NORTH OLYMPIC LIBRARY $32.30 $32.31 2009 565622008 HOSP #2 HOSPITAL #2 $45 59 $45 60 2009 565622008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 2009 565622008 WEED_CONTROL WEED CONTROL $0 82 $0 81 2009 565622008 TOTAL. $976.82 $976.81 2008 565622007 ST'SCH STATE SCHOOL $233.28 $233.27 2008 565622007 CC -GEN 'COUNTY $112.89 $112 86 2008 565622007 PORT PORT $16 49 $16 49 2008 565622007 PORT ANG PORT ANGELES $243 08 $243 07 2008 565622007 SD #121 SCHOOL DISTRICT #121 $272 10 $272 08 2008 565622007 NTH OLY LIB NORTH OLYMPIC LIBRARY $32 80 $32.79 2008 565622007 HOSP #2 HOSPITAL #2 $11 21 $11.21 2008 565622007 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 2008 565622007 WEED CONTROL WEED CONTROL $0 82 $0 81 LOT 17 BL 107 12 N N Penalty $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 47493 100 0000000000% Interest $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 Base Amount Paid Due $439 34 $0 $222.35 $0 00 $31 50 $0 00 $487 69 $0 00 $543 32 $0 00 $64 61 $0 00 $91 19 $0 00 $72 00 $0 00 $1 63 $0 00 $1953.63 $0.00 $466.55 $0 00 $225 75 $0 00 $32.98 $0 00 $486 15 $0 00 $544 18 $0 00 $65 59 $0 00 $22 42 $0 00 $72.00 $0 00 $1 63 $0 00 ke/ cc\\' http /vnn clallam net 8084 /nrooertvaccess /Property asnx?k d= 0 &vear== 2009 &aron id =5 12/14/2009 v I. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. Z 77 & DATE B-/4-"")D Site Address: ~/? W, Con+ ~. Installed By: ELL. KosBAr8> Owner/Business: S","/JIe Owner/Business Address: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: 4 7- Phone: Sq. Ft. 'li-Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel ~Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage /Ze>/"Z-AO ~10 03.0 Service size ,'2$ o Temporary Amps DetailslDescription: C-1+.A1J6ItJl::1 EILI?TluG 'Z.. M.E.Te..~ OUpLeX. Tb "5llJbLE. MBTElZ SIN.C:7Le r,a...MI~ l2E~lD8Ma: r.tH!\-r-lC:lE 2.- Z.oOA M.eTEll-S 10 1- 3z6A MeTelC.. . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. ~if?l O.K. to connect service tf'''P Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for Installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Permit/Receipt No. ~ 1'7 vJ. l..r:m+ ?t; 7.. 77~ Installer: New Meters Date: o-:,P.>AP.> a-C4--"'Jo . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ~-Z-,?qg E'>~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. ~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15914 ;7 ,-reI )> port Angeles, Washington______m__m__m__...______m_m__m__m__m______m_. 19_m_~- In aCilordance 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 ajCal work as listed below. , Address ...__.'l(~:.?!::!___0__:g:.mY_-.tl.;[-!iJ~:!.--fi~upancy---.------......-----....---__.__._mm.____.. ~:;::~.~~~::~~~-:?~~-=~:::~::__._~~:~~~;:::::::::::::-..:.....~~:::::::::=::::::::::::::::::::::::::::::::::::::: Light Outl.ts..____.__._........._....._........__.... S.rvlc., volts ...I...?c:/...?.-?:f..--__ Typ. of Wlrtog: Receptacle Outlets___......__________........_... No. wires ..__..-:;!..............______.__..... Armored Cable .............---............- Dryer, KW m_____mm_____.____________._________ Slz. wir.s__~:;......-----...----- Non.M.talllc -.-----------...------..--------. ,. ,.~" A Knob & Tube____............................._ Range, KW h......h.................._......._ Main fuse ......~:..:-----... -- ------....... Enclosure __.....2..__..______...____......... Rigid Conduit .______..._____________..._____ Water Heater: ~;X Kw______7.______?I.y.__i!P Metallic TUbing .___n_._........__........ Heat: KW.............__...............____n__n__... Type of wiring: Entrance Cable _______.__.. Motors: size. volts and phase: Rigid ConduIt m____.h...... Metalltc Tubing ...'.... Current transfonners: No. & Size.______________.....___.....____....... Raceway ..............................._......_ Circuits. Light................________............... Utlllty ____.._____.__..._____________........._____. Ser. No.__.....__..............................____.. Heat ...................................._.._...... Range ...................__........._._......._.... Water Heater ...........____................ Motor ...n...................________........__... Ser. No. ____....................____..._............. Dryer ....______.................__...............__.._ Furnace . .........................~......_........... Ser. No.._________.................................__. Total Load__...____....____............ S"-lc No.____________________________...________.__.__ Total ................._..................___ Remarks: _______________________m_/L#....~~~",!iL_________m......_.___________m_mm_......__________.______m__m......____m_mm__ ;~_=.~~__~::_.._____.__.____m. ::~_~_~:__~~_~.~~.~.~........ By ;ttf!..la~lLL~:.~------.--- 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 inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15914 Address Date..._......_.._.._.._.........._......_......_......... "... Owner ................_......_.~......._......_.._......_......_.._.................__.................._..................... Tenant........................nn..........u............................ \ Wiring Contractor..........................................................._..............................._......._......,........._.... By......_..................._..........._....................... NOTICE-Current must not be turned on until Cert1tJcate of Inspection has been issued. I.f work is to be con. _._cealed due notice must be given the Inspector so that work may be inspected before concealment. '" ----- n1..~~.~ D~,~......t:: f__ -- -- CITY OF FORT ANGELES PEMT APPLICATION Building Divisioru/Electrical Inspections 321 East Fifth Street — P.G. Bax x.11.90 / Port Angeles Was6iragton, 95362 Ph: (360) 417 -4735 Fax.: (360) 074711 Date: 1.3 _ 1 & 2 Single Family Dwelling * Plan Review May Be Reguired, Please Complete Electrit;al Plan Review Information Sheet Job Address: Building Square Footage: Description of above Owner Intonation Name: e W) i n Mailing Addressi 7 is iii . Qity:A. ►_� ►. _ __ _ State: _ Zip: A i� � �m- Phone-" ax: Licanse l Exp. Item SorviceiFeeder 200 Amp. SeNice/Feeder 201 -400 Amp. Servlce/Feader401.600 Amp ServlcelFeeder 601 -1000 Amp. ServiCelFeadar over 1000 Amp, Branch Clrcult W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service! Feeder 200 Amp. Temp, Servlce/Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service/Feeder 601 -1000 Amp . Portal to Portal Hourly Signal Circuit! Limited Energy -1 & 2 Family Dwelling ivlanuiactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5,00 for each additional T -Star NEKQQNSTRUCTION ONLY: First 1300 Square Ft, Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hat Tub Unit Charge $ 120.00 $146.00 $ 205.00 $ 262.00 $ 373.00 $ 5.00 $ 63.00 $ 5.00 $ 75.00 $ 93,00 $ 110.00 $149,00 $ ies.00 $ 96.00 $ 64,00 $120,00 $ 102.00 $ 56.00 $120.00 $ 40.00 $ 74,00 $110.00 Contractor tnformaUon �� r n �� 10 Noma, c, Mailing Address: _e &X City. ,a. State: !g -Zip: - Phone: -(a Fax:.3 Ucenso # 1 Exp. Total (Qtv Muitielle Sr nit.Charoe) $ $ $ �1 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, 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 afteration in compliance with the ebctrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 29646f3, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC'14.05.050 regarding � cbical Permit Applications. Signature of owner, elactrtcal contractor or electrical administrator: O cash ❑ Check 'c ditCard* dn'�Q X Wed_ _ �� i f� 01J0112012 V~ lit ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13- 00000429 Date 6/06/13 Application pin number . . . 286111 RESULT'S: Property Address . . . . . . 915 W 6TH ST A DITCH ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 0780 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . RS7 RESDNTL SINGLE FAMILY ROUGH -IN Application valuation . . . . 0 h z7 Application desc 1--4 circuits outlets ----------_--__--------------------------__----------------------__°__-_------- Owner Contractor RAWLINS TTE, ROBERT J KIRSCH ELECTRIC INC. COMMENTS: 726 W ANDERSON RD P. 0. BOX 3396 SEQUIM WA 98382 SEQUTM WA 98382 (360) 681 -2584 (360) 663 -6819 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional de8c 1 -4 CIRCUITS Permit Fee 195.00 Plan Check Fee .00 Issue Dade 4/25/13 Valuation 0 Expiration Date 10/22/13 Qty Unit Charge Per Extension BASE .FEE 75,00 1.00 120,0000 ECH EL -0 -200 SRV FEEDER - 120`00 Fee summary - Charged Paid Credited Due Permit Fee Total 195.00 195.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 195.00 195.00 .00 .00 ? I 1 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULT'S: INSPECTOR: DITCH SERVICE ROUGH -IN h z7 FINAL COMMENTS: PERMIT WILL EXPIRE SIX {6} MONTHS FROM LAST INSPEC'T'ION Signature of owner or Electrical Contractor X Date: G:; EXCHANGEII3UILDING ` '� IV