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Home My WebLink About1511 W 6th St - Building RECEIV rya;. CITY OF PORT ANGELES P.E][tM7[T APPLICATION �� Building llivision/Eleetrieal Inspections --� 321 East Fifth Street—P.O.Box.1150/Pont Angeles Washington,95362 Ph:(360)417-4735 Fax:(360)417-4711 ELECTRICAL � 1 Cate: 1 roc 21&2 Single Family Dwelling NSPECTIONS Plan Review Ma y Be Required,Pie , appeta �le5 Review Information Sheet Pl ,tob Address:,,•,,,,__ ,/-�—// _ Building Square Pootage: bescdplilon of above - "1 4-- n a Owner Information r ' Contractor Information Name: F L [5 r _--- Nome:_6W-k-4 OA I I glt4 '� 'MgLi "0:� Mallirg Address: Wailing Address: 4 it City, '?,- State. Zip: 3 --Z�Z k� ,fx3__state: wok- Zlp:.3.t3...4�� Phone:_ 0-4;,/7 Pax: g Phan ax: Llcense 4 l 6xp. License#1 Exp., xtxl+ MM— Unit Charge -CU 10141(QYV Multiatled by Limit CharaslCharasl Service/Fasder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 � $ Service Feader401.600 Amp $205,00 ServicelFeeder 601-1000 Amp. $262,00 $� SarvlceiFeeder over 1000 Amp. $37100 $� Branch Circuit Wl Service Feeder $ 5.00 $_ Branch Circuit W/O Service Feeder $ 63.00 B $ Each Additional Branch Circuit $ 5.00 �_ $o;¢¢' Branch Circuits 1.4 $ 75.00 $ Temp.Service/Feeder 200 Amp. $ 83.00 $ Temp.SeivicelFeeder 201400 Amp. $110,00 $ Temp.ServicelFeeder401.600Amp. $149.00 Temp.Serlicelf seder 601-1000 Amp. $168.04 Portal to Portal Hourly $ 06.00 $_ _ Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 $ Manutaclured Home Connection $120.00 $ Renewable Electrcal Energy-SKVA System or Less $102.00 Thermostat $ 68.00 $ biota:$5.00 for each additional T•Stat NEW NNSTRUCT12N ONLY: First 1300 Square.Ft. T $120.00 $� Each Additional 500 Square Ft,or Portion of $ 44.00 $ T Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hat Tub $110.00 $ S.��Tcatal Owner as defined by RCVti.1 t3.2ff.261:(1)Owner will accupy 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 cif the above named property or a licensed eleotdcat contractor.I am matting the otectrital Installation or alteration In compliance with the electrical laws,KEEC.,RCW.Chapter 19,28,WAC.Chapter 296468,The City of Part Angeles Municipal Code,and Utility Specifications and PANIC 14.06.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: 0 cash 0 cheek JAI-0-4-r-10 Cl Credit Card# 01rQ1r�ti12 a-- ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 ,4, Application Number 14-00000457 pate 4/16/14 (J Application pin number 923211 F Property Address . . . 1511 W 6TH ST ASSESSOR PARCEL NUMBER; REPORT SALES TAX 06-30-00-0-1-2765-0000- Application type description ELECTRICAL ONLY On your excise tax form Subdivision Name , . . . . . to the City of Port Angeles Property Use Property Zoning . . . , . . . R97 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . 0 Application desc Ductless heat pump Owner Contractor ------------------------ ------------------------ BROWN, JACK E EXTRA MILE TECH & ELECT. , LLC PO BOX 3074 A18 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360} 457-5222 _ .-------------------- ------- -- Permit , , . , . , ELECTRICAL, ALTER RESIDENTIAL Additional desc , , Permit Foe 68,00 Plan Check Fee 00 Issue Date 4/15/14 Valuation , . . , 0 Expiration Date 10/13/14 Qty Unit Charge Per Extension 1.90 5,0000 ECH EL-ECH ADDUT BRANCH CIRCUIT 5,00 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63,00 ---uJFeefsummaryu`y-j_--Charged-vu ---paid------- fCreditedu __J Due„` _ _ -J Permit Fee Total 68.00 68.00 00 .00 Plan Check Total ,00 00 .00 ,00 Grand Total 68.00 68.00 00 00 dV INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN AD FINAL .4 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date. GAEXCIIANGEIBUILDING PREPARED 1/04/10 9 52 49 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/04/10 ADDRESS 1511 W 6TH ST SUBDIV TENANT NBR JACK E BROWN CONTRACTOR LARIAT CONSTRUCTION INC PHONE (360) 460 2088 OWNER JACK E BROWN PHONE (360) 808 0304 PARCEL 06 30 00 0 1 2765 0000 APPL NUMBER 09 00001369 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 1/04/10 J L BLDG FINAL December 31 2009 9 25 24 AM 1pangrle 7 LARRY 460 2088 BLDG FINAL RE ROOFED THE HOUSE COMMENTS AND NOTES rirgi CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00001369 Date 12/30/09 Application pin number 784326 Property Address 1511 W 6TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2765 0000 Tenant nbr name JACK E BROWN Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 4690 Application desc TEAR OFF RE ROOF THE HOUSE Owner Contractor JACK E BROWN LARIAT CONSTRUCTION INC PO BOX 3074 P 0 BOX 280 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 808 0304 (360) 460 2088 Structure Information 000 000 TEAR OFF RE ROOF THE HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF THE HOUSE Permit pin number 158964 Permit Fee 137 75 Plan Check Fee 00 Issue Date 12/30/09 Valuation 4690 Expiration Date 6/28/10 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL 2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 142 25 142 25 00 00 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 provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. P /,q/ J< bnJ °n 4 1 61 L-N Date Print Name Signatur ContractorAuthorized Agent Signature of Owner (if owner is builder) T:FormsBuilding 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 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 Bidgs.) 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 SHORELINE. T:Forms /Building Division /Building Permit 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 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 CI Q1.4 0 -3-L-L_ CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant .L 4 Yra`r A 0,din, u Property Owner j r grr)wn Property Owner's Address W 6 Contractor A r ln, etn.A Contractor's Address p 6 Z,f U License A- i, 4 R r^ ct 1 y PM PROJECT ADDRESS Parcel Number Project Type Brief.Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink If Tear- at✓ Existing' (sq. ft.) i Residential P PS �h7 �P �P1 .Expires k y /an X House garage other ❑`Heat pump wood- burning stove Proposed (sq. ft.) I have read and completed this application and know it to be true and correct. tha it is my responsibility to determine what permits are required, and to obtain Date PAo /5 Print Name LA /1-1„ din deli-. T Forms /Building Division /Bu iding per Ppplication a Multi- family Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be inst ed? •ccupant load Will a fire sprinkler system be in lied? Co ction type Phone Total footprint of structures sq ft. Lot size sq Site Coverage the amount of impervious s ac: •n a parcel including structures paved and other impervious surfaces (see PAMC .94 135 for exemptions) Signature For City Use Only Date Received IZ -30 Dq Permit 1369 Date Approved gC ;')A r3' Phone ,pO e- 03 5` Phone 3 ,60- 1 1‘4_ 2 cPf E -mail Lot Zoning Commercial Industrial �d .par Coif. f ,✓tear off re -roof lay over one layer gas fireplace pellet stove other per sq ft. h 7'QTAL VALUATION 4f IO Loi cov- ayu /0 veway sidewalks patios coverage of b drooms of full ,ths of half ba I am authorized to apply for this permit an understand permits prior to working on proje PROPOSAL PROPOSAL SUBMITTED TO l ot-Lk R.. A-0,0/1 ;AD PHONE NO. .wE herebypropose:to #tarnish. the materials and'_ perform:the.labor.necessarylor ..:the bornpletion'of Date DE 18 adorns with:payments.to beftiade as =follows caviar L c Pri4yekf, tV ?96 d ±w A Any, alteration or ooviatior from above specifications; involving extra, dots will'tie ezecuted,only.upon written order and will become. an extra charge over and above the estimate. All agreements contingent upon strikes, ac cidents, or delays beyond our control, WORK TO BE PERFORMED AT ADDRESS DATE OF PLANS ARCHITECT Respectfully. submitted :Signature Sig ature Per PROPOSAL Ain v /e. J... ,'r. i! T PROPOSAL NO. SHEET NO. DATE /2 /2 cf) All,material;:is guaranteed to be specified, andthe above work to be performed. in accordance with:the drawings and specifications submitted,for above work, and. completed in a substantial.workmanliike manlier for the sum of :Dollars Note This proposal may be withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted You are authorized to do the work as specified Payments will be made as outlined above. Clallam County Assessor Treasurer Property Details 56851 JACK E BROWN for Y Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 56851 JACK E BROWN for Year 2009 2010 Property Account Property ID: 56851 Legal Description. LOT 18 &W25 LOT 19 BL 127 Geographic ID' 0630000127650000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space •N DFL N Historic Property' N Remodel Property N Multi Family Redevelopment: N Location Address. 1511 W SIXTH ST PORT ANGELES Neighborhood Cycle 5 Res Neighborhood CD: 10955130 Owner Name JACK E BROWN Mailing Address. PO BOX 3074 PORT ANGELES WA 98362 Taxes and Assessments Due Property Tax Information as of 12/30/2009 Amount Due if Paid on. E. Mapsco Map ID: Owner ID: Ownership Exemptions 9- 15711 100 0000000000% First Second Half Half' Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 568512008 ST SCH STATE SCHOOL $217 36 $217 36 $0 00 $0 00 $434 72 $0 00 2009 568512008 CC -GEN COUNTY $110 00 $110 01 $0 00 $0 00 $220 01 $0 00 2009 568512008 PORT PORT $15 58 $15 58 $0 00 $0 00 $31 16 $0 00 2009 568512008 PORT ANG PORT ANGELES $241.29 $241.28 $0 00 $0 00 $482.57 $0 00 2009 568512008 SD #121 SCHOOL DISTRICT #121 $268 81 $268 79 $0 00 $0 00 $537 60 $0.00 2009 568512008 NTH OLY LIB NORTH OLYMPIC LIBRARY $31 96 $31 97 $0 00 $0 00' $63 93 $0 00 2009 568512008 HOSP #2 HOSPITAL #2 $45 11 $45 12 $0 00 $0 00 $90.23 $0 00 2009 568512008 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0 00, 2009 568512008 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 '$0 00 2009 568512008 TOTAL. $966.93 $966.92 $0.00 $0.00 $1933.85 $0.00 2008 568512007 ST SCH STATE SCHOOL $230 82 $230 82 $0 00 $0 00 $461 64 $0 00 2008 568512007 CC -GEN COUNTY $111 70 $111 67 $0 00 $0 00 $223 37 $0 00 2008 568512007 PORT PORT $16 32 $16 31 $0 00 $0 00 $32.63 $0 00 2008 568512007 PORT ANG PORT ANGELES $240 52 $240 52 $0 00 $0 00 $481 04 $0 00 2008 568512007 SD #121 SCHOOL DISTRICT #121 $269.23 $269.22 $0 00 $0 00 $53845 $0 00 2008 568512007 NTH OLY LIB NORTH OLYMPIC LIBRARY $32 45 $32 45 $0 00 $0 00 $64 90 $0 00 2008 568512007 HOSP #2 HOSPITAL #2 $11 09 $11 09 $0 00 $0 00 $22 18 $0 00 2008 568512007 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0 00 2008 568512007 WEED CONTROL WEED CON ROL $0 82 $0 81 $0 00 $0 00 $1 63 $0 00 http. /vpn clallarr net 8084 /propertyacce.ssi f per aspx"cid =0 &year= 2009&p _id =5 12/30/2009 CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17862 ELECTRICAL PERMIT ~ Port Angeles, washlngton______L__=_____~__(.___.._.._.______________________, 19___:( :5 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 _.._6c_~_~((___..t.~_~______c;.__z;,/-----------------ooo--ooo----------- Occupancy_..__,.":l_~::.~_~__._.._.__.._____._______. ~:~:~di:::~~~:::::~~0:!J:~:;';2~~:::-..-~~:~~~;::::::::::::::~.---.~~:::::::::=::::::::::::::::::=::::::::::::::::::: Light Outlets.........n...................._........, Service, volts ...!=..~/..f!..Y..~..... Type of Wiring: 3' No. wires .....n..n.....n..............!'...... ArIIlored Cable ..00....0000..00.............. L/ / " r./ ('" (')2 Non-Metallic ..............________n__n...n ::~n :~::s~:~~~~i?~::7t~~:::~.~:~ Knob & Tube__________........................ S Enclosure n...............nn........n......n Receptacle Outlets.......___n___nnn.n.___... Dryer, KW u..uunnnn....Un..n.......n..... Range, KW.....n..n..............__..a._ Rigid Conduit .________.._................... Water Heater: Metallic Tubing ........................... KW.............................................. <75' !j'B Heat: Kw.......LL.............-:::.............n...mn Type of wiring: Entrance Cable .___________m______ Motors: size, volts and phase: Rigid Conduit. Metallic Tubing ..moo Current transformers: No. & Size....................................... Raceway .................................._..._ Circuits, Llght....___..____....______......___....... Utlllty......_________.....___......___............. Ser. NO.__..........................._nnn.nn____ I-Ieat ............................................... Range ..................................._...._.... Water Heater ............................... Motor ............_................................ Ser. NO..nn_...__n..........nn.__.........__..... Dryer ....................._........................._ Furnace ....0000.___.............'___......__..__..00. Ser. NO.....n__...nn.._..._...n__................. Total Load......n..n_..nn.._....... Ser. NO.................._............nnn........ Total....................................... , ,,/" - I - Remarks: ,~l~__~~_ooo_0.__~:::_~_...____L____?_,:.(:_~_:.~..__.__":.-;?:!.?~!::~_~~::;_~~_______________m_.._____.___.___.._____ /;://' / By .,,~_1fL__~~___Z~_.I-::_CL--:!:::~;.C:2L(,<.__ ... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be COD- cealed due notice must be given the Inspector so that work may be inspected before concealment. Permit Fee I=,~ $________I..'-2____moooooo__m__m. Treas. Receipt NO._m_________.....__________ NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 17862 ELECTRICAL PERMIT Address................................................___00...................................................................................Date..._.......__._.._.._.........._......_......_......... Owner.................__................_.........__......_......_.._...................._....._................................Tenant.............................................................._..... Wiring Contractor .....n.........__...............___....__................_............................._..........................._... By.................................................._.'._0'._... NOTICE-Current must n()t 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 betore concealment. 1M Olympic Printers, Inc. Application Number . . . . . 23-00000361 Date 4/13/23 Application pin number . . . 490603 Property Address . . . . . . 1511 W 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2765-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Panel Change ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JAMES AND DEBORAH HAMPTON JOHNSON ELECTRIC COMPANY PO BOX 413 3129 S REGENT PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 461-0876 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee . . .00 Issue Date . . . . 4/13/23 Valuation . . . . 0 Expiration Date . . 10/10/23 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 120.00 120.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ 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 alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 4/12/23,14:03:46 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000361 1511 W 6TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 120.00 TOTAL DUE 120.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 4/25/2023 23-361 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 1511 W 6th St