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HomeMy WebLinkAbout826 W 8th St - Building,on PO r�,y ft v Application Number 07 00001465 Date 12/10/07 Application pin number 823810 Property Address 826 W 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6022 0000 Tenant nbr name LEO H OPFERKEW Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1292 Owner Contractor LEO H OPFERKEW 826 W 8TH ST PORT ANGELES o7 Date Qty Unit Charge Per 8 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983635720 Charged T.Forms /Building Division/Building Permit (10 /01 /07).wpd OWNER Structure Information 000 000 TEAR OFF AND RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF AND RE ROOF Permit pin number 117390 Permit Fee 74 40 Plan Check Fee 00 Issue Date 12/10/07 Valuation 1292 Expiration Date 6/07/08 BASE FEE 3 0500 HND BL -501 2K (3 05 PER C) STATE SURCHARGE 4 50 Paid Credited Due 74 40 74 40 00 00 00 00 00 00 4 50 4 50 00 00 78 90 78 90 00 00 Extension 50 00 24 40 *,404,/ 2/Tho 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 C./1 04 Print Name 'Sienature of Contractor or Author' gent Signature ner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING I FIRE I PLANNING DEPT I BUILDING T Forms /Building Division /Building Permit (10/0 I/07).wpd BUILDING PERMIT INSPECTION RECORD ACCEPTED YES NO I I 417 -4807 417 -4653 I I I I 417 -4750 I I I I 417 -4815 II Y()1 NA I I FINAL FINAL PLANNING DEPT SEPARATE PERMIT 8 s SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES NO Applicant or Agent Owner Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair -roof Demolition Sign Heat System Other BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Total footprint of structures sq ft. T Lot size 7 esidential ft. Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 1s1 Floor 2' Floor 3 Floor Garage Carport Covered Porch Deck Shed Other r l I%� /5 te__1 Lk1' Owner's Address X57 r,�} °t" Contractor /Engineer Contractor /Engineer's Address License PROJECT ADDRESS �I I _tw of W V (U0 wall- mounted projecting freestanding awning Total sign area sq ft. Maximum allowed sign area sa ft. Heat pump wood burning stove gas fireplace pellet stove other Occupancy group Occupant load Construction type APPLICATION Print in ink Expires TOTAL VALUATION For City Use Only Date Received -10 07 Permit O 7 LLt65 Date Approved s Phone `G1 7 one Pf Phone Lot Zoning Commercial Multi- family Industrial per sq ft. sq. ft. Lot coverage of bedrooms of full baths of half baths other I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand th t i is my responsibili determine wha its are required, and to obtain permits prior t orking on i a -4, r" projects., y, r,7Print 4 Xi l `Signature ``77 v T Forms /Building $ivision /Bldg Permit App -2006 Code.dtic Cast No I Job No Purchase Order' Reference Terms 4 I CASH /CHECK /BANKCARD Sold To CASH LN8 SHIPPED ORDERED UM SRU DESCRIPTION SUGG UNITS PRICE /PER EXTENSION 1 50 EA P625B PAB SG -30 BLACK (3]Y 14 48 50 14 05 /EA 702 50 2 4 RL FELT15 4 SQ 15# FELT 21 99 4 20 89 /RL 83 56 3 5 EA AFSOBK AF50 BLACK LO PLAS ROOF VENT(12) 8 99 5 8 54 /EA 42 70 4 1 EA AF92BK AF92 BLACK ROOF VENT 15 49 1 14 72 /EA 14 72 5 1 EA RVS4BK RVS4 4 BLACK ROOF VENT W /STEM 10 99 1 10 44 /EA 10 44 6 2 EA AT18235 #1823 -5 WET SURFACE ROOF PAT 2 50 99 /EA 101 98 7 '7 1 EA 337722 WD ROOFERS SHOVEL 31 99 1 30 39 /EA 30 39 8 7 EA SGBK STYLE G BLACK DRIP EDGE 1 -1/2 4 29 7 4 08 /EA 28 56 9 5 BX 114HGRFG5 1 1/4 HD GALVANIZED ROOFING 5# 9 9 5 9 02 /BX 45 10 10 6 EA WV24BK W- VALLEY 24 BLACK 31 99 6 30 39 /EA 182 34 11 1, EA RTOP ROOF TOP DELIVERY PER SQ 1 50 00 /EA 50 00 12 VERIFY ROOF PITCH AND ACCESS 13 CUSTOMER MUST PROVIDE TOE ,C4..2_ a� 14 BOARDS FOR ROOF PITCH OF 4/12 15 OR GREATER, OR HOOKS AND 16 BOARDS FOR ROOF PITCH 8/12 17 OR GREATER. OR WE WILL 18 PROVIDE FOR THE COST OF 19 MATERIAL PLUS $40 00 PER 20 HOUR! STEEP PITCH AND UNUSUAL 21 ACCESS CONDITIONS WILL BE 22 BILLED ON AN INDIVIDUAL BASIS 23 REFLECTING OUR INCURRED COST TOT WT 4013 02 HARTNAGEL BUILDING SUPPLY INC. 3111 HIGHWAY 101 EAST PORT ANGELES, WA 98362 TOLL FREE 1- 888 452 -6252 PHONE (360) 452 -8933 Ship To VISIT US ONLINE AT WWW HARTNAGELS COM WE APPRECIATE YOUR BUSINESS ESTIMATE ESTIMATE ESTIMATE ESTIMATE EXP DATE 12/11/07 SLSPR TAX Clerk 56 TERM #556 56 Steve Hoskins H4 HARTNAGELS -CASH RETAI EST 93870 TAXABLE 1292 29 NON TAXABLE 0 00 SUBTOTAL 1292 29 TAX AMOUNT 108 55 TOTAL AMOUNT 1400 84 Received By PAGE NO 1 Date Time 12/ 4/07 3 14 DOC# 93870 ESTIMATE . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 PERMIT NO. DATE *"5~7J 9-9-93 Site Address: ELECTRICAL PERMIT n o READY FOR INSPECTION license Number: WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Sq. Ft. o RESIDENTIAL o COMMERCIAL o BASEBOARD KW .Rf FURNACE KW ~ 'd FAN/WALL KW ~~ )l' HEAT PUMP KW ~ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS Details/Description: . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. J .0 O.K. to connect service /0~~Final O.K. Site Address: Permit/Receipt No. Installer: New Meters Date: '9-9-'%:3 . . City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspecti and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Bl!iJQing er it. PHONE 457-0411, EXT. 224. ~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .....-:z .r"I 0:;::" $ c::x...; . u Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. '. CITY OF PORT ANGELES, DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A /2~O PERMIT NUMBER . TOTAL FEE' '6!3- tJ. CONT. ue. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY Site Address ELECTRICAL PERMIT ONLY W. S-r-7A RESS IS ~SPONS\BILlTY OF APPLICANT ct-l '(' , NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Owner Owner's Address PERMITSWITH WRONG ~ 5 E CAN~~.E( ~ Installation By if. ,J c I( , Installers Address . . D?y Phone Installers Phone Applic?tion is hereby made for Perl!1it to install Elect~ical Equ.ipr:nent as follows: ; WIR.IN6j ~ ~IVt-oJ,,{ So,-,~ H-..1. ,~ ~1Jt (JAtJf. Wiring Metho? . NUMBER AMP 120V 24QV NUMBER AMP 120V 240V USE OF CIRCUIT. CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIR 30 CIR 30 LIGHT SIGN LIGHT .. .. 50 VOL T8 OR lESS CONVENIENCE " MOTOR CONVENIENCE. ", MOTOR APPLIANCE. , MOTOR . . DISfiWASHEfl , , Flf!E ~LARMS .. DISPOSAL BURGLAR ALARM RANGE MISC, , OVEN WATER HEATER LAUNDRY . .. DRYER . ., - "REINSTAllATION LIGHT FIXTURE # FURNACE , " ~ua To.TAl FEE GAS: Oil FURNACE ENERGY FEE ELECTRIC , BASIC FEE ELECTRIC HEAT ,- TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER . ".: . <I A.C. UNIT, " . - ;, " : , ';., . .. AMP PHASE FEEDER " SIZE OF SER~ICE ENTRANCE CONDUCTORS " \' , , " .., , , . . . ' , , SERVICE AW.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 i~ h~re_by given to doJh~ ab.ove..described work, according to the cQnqitions hereon and according to the approved pla~s and specifications pertaining thereto, subject to compliance with the Ordinance~. of t City of Port;Angeles.~. \ '. ~,. ~'m''',,"," 71 i t/ rj 7' . :>...w_"'" ',"<cro., m '"'' . . , L~fY Dep'.rtment of City Light by Street Address and Permit NU~ber when ready for inSpection, W~rk must not be covered or current turned on before Insp'e~tlon and O.K. for covering or service has been given by Inspec~or in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WARNING WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report DATE OF VISIT , / h'1 /n I ' II- ./!kflc- ~ . ~b." m . .. MADE BY REPORT OF INSPECTOR ,. REMARKS ,\ .. . \ \ . z Cl a: <I: :E !!1 . J: I- .. Z .. W I- ~ I- 0 Z 0 0 f~ . I I I / Z '1/17 I i 1"h. . /if.) I If- 'i.. --tD t. A. -. l~ /') ,../ (>Ju. !, rJ. I O.K. FOR COVERING O.K. TO CONNECT SERVICE FINAL O.K. . '. r.:.1ltt.4oIL 1 J(I'-'c,/C. U;...Jv<- -/t,((J 0/,//L-'5 iVdJ -Ie bE- I lftt"'" 10 I fU Cr""'.....{ '.'. ,'. . . 16761 I ~- / ,? Port Angeles, Washlngton.___....___I..___._.._______.___..___._________.._________, 19_n...n In accordance with the City Ordinance to regulate the instaJlation, 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 elect~l work as listed below. Address .-It-T?:.r;,.--~~4:f:...n--7J'.oo-.oo--------n------ Occupancy___.__.!"J:d.'~"".:_____n_.n_._._____. o~~er ..&::i;,f:",r~~~---fJ~t!:i(.~_~anL..---.------n.........----n---..---.--.oo--------.n.--------------.. WIrIng Contractor oooo___.__.___.:r-..'.__.,..___.___~___.n__.___n.n___.___ By..n.________________n__.n____________.______________.__________.... Light Outlets....................____.......____..... Service, volts .L..4::~?!!:.~~_.--. Type of Wiring: R I Ie Oullels No. wires ....::!......................::-...... Armored Cable .................-............ ecep ac _____...___n_....______....... .. Dryer, KW.....__mmmmm__m.____.______... SIze WlreS..~~;':'..---.. Runge, KW ___._..hm________________h______ Main fuse ---d~.-----~.--.-_._.______. .s Enclosure .............._........................ CITY OF PORT ANGELES LIGHT DEPARTMENT l r ELECTRICAL PERMIT Water Heater: ,. KWmn.----~'--:';;'[;r:--- Heat: KW.h_..!.'..........~l)12.....n___ Typ,e of wiring: ,/ Entrance Cable ............................. Motors: sIze, volts and phase: Rigid Conduit .............__......___....... l\Ietal11c Tubing m........................ Current transformers: No. & Size....................................... Ser. No.............................__...._......__... Ser. No............................................__ Ser. No. ..___...._......._...._......_............... Total wad__.....__...........b....... Ser. No. .................__........._n............ --- Remarks: ------------.oo___oo__.________.Ll.~--~C.---'b~_.R.....-----.--.--------------.---....-----oo---------.------------........___.____....__ Nl! Non.Metallic ............................._._. Knob & Tube........................_......._ Rlgld Conduit _________________..___..______. Melallle" TubIng ___....____..____....______ Raceway .._.____....b.................__..._ CIrcuIts, LlghL_____________.._________..________n Utlllly ____.._________________.________..___________ Heat ______.......___........._.........._.._.._ Range ............................................. Water Heater ..._._._._n................... Motor ..._...................._................... Dryer __.__...__..........._.._....................__ Furnace ._..._.______........_...._......_._......... Total .b.h......_.........._h...._........ uu.._...._nunnuu.n..n.hhn...nnn.n.._nn_n.hn___.._n__nn_nnunnn.n_n__._n.U__.n_...._nnnn_n_n_n__..__.....nnn_n___nnn___n_un.. ___n_n_nnunnu..hn__n_nnn......nuu...nnd._nnn.nu__uuuhhUU.__nn_..n....._....U_UU.nh___nnn_n_uuu_..Uh_____nun...u..n__nnn :~.=.~~..~::....--.-.--...;..~. ::~.~.~:..~~.~.~~.~.~__m.__ By ..5l:..t:..__If::It..(i..f..'d~~."_ ~ ) .,- r . I NOTICE-Current must not be turned on until Certificate 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 berore concealment. " NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT ., N? 16761 .>< Address....._......................___.................b__........._....__................_______.__........___...............___.._.___.....Date______...._.._.._..t:..........._......_......_......... Owner .h......._.........h............._.._.._____......_......_.._....................h......................._............. Tenant..........._n_.........n...................__..........___........ Wiring Contractor ......h......__h_...._.........._......................_......................._...._........................._...... By......__......._....................b....h..._......._...... NOTICE--Current must not be turned on until Certltlcate of Inspection has been issued. If work Is to be con- r r-~~~ due notice must be given the Inspector so that work may be inspected before concealment. \-.... 1M Olympic Printers, Inc. Se-=- ,,' "~ J . r:> ';::-'_ 1/1 I I.. "W .J ,,_ hI.' VOL.5,.' 2~7~ \ .(/'"-CCf!tx.D_rv..... v-/-tL{':C<-4.. 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I ; l H ~ ' ~ '; i :, ; \ ! f , , . j I , I ! 2k'~<'-r ~~IM-'f cL~UuI-- 7;; i Ii !: #.0 ~Q-7'-t-(J" M-t;:,ra.-f '?f-"-'L~J !!..bU'; ~ vi '. d.7' /J-?~ II a.../ O-f-.. it ~-~~LLd/' 1ra/~'/ "'" ~ -''''' "..... .~ .~ CL-e.U--r (('v"'-~ J) , , /e,4..g.-O--{' ,{J-<...<.(..n or, /fd &L~ 7f-/lo-r--i- a. u-y '4'" , 11./.-/I-u.."",-y(-,(."'< ;~ tP ~ (2<:<- r-l'(...- i II I' i! 1(~<- d /o-7\U- e u- ~ a,.-I- /U.j'- a-<. ,d- "'f- az..(/;k. tC-e ~')' !'({A.<t~(j /Nv "'f' ./L'E't?;:m, ' ~ d"J. ~'",-7Y 'Y,k '" 0/ I t?AU"';;" !: 1rI{rTJ,-~< ~~ If" ,;' €</,-<h f ,.....:, .' 09/15/2015 8:38AM FAX CITY OF PORT ANGELES PEnfl -f APPLICATION Bmilding Aivision /Eleetl-lCal inspections 321 East Fifth Street —P.O. Box 1150 /Port Angeles Washlikatou, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 f[ Date: - -.,q � 5 5 __ 1 & 2 Single Family Dwelling I�1S >� _(;f10hls * Plan Review May Be Required, Job Address: - ttuilding Square Footage description of above Owner Information Item ServlceJFeeder 200 Amp Serv,ce1Feeder 201 -400 Amp. Se►vicWFeeder 401 -600 Amp SomcclF coder 601 -1000 Amp SorvicolFeeder over 1000 Amp. Branch Circuit W1 Service Feeder fireneh Grn;urt W10 Service Feader Each Additional Branch Circuit Branch Circuils 1.4 feinp. Servlcel Feeder 200 Amp Temp- ServicelFeeder 201.400 Amp. Temp. Service/Feeder 401•600 Amp Temp- Service /Feeder 601 -1000 Amp . Portal to Portal Hourly Signal Circuit/ Limned Enorqy -1 R 2 Family Owoliing Manufactured Horne Connection Renewable Electrical Energy -$KVA System or Less Thermostat Unit Charg $12000 $ 146.00 $ 205.00 S 262;00 $ 373.00 S 5;p0 $ 63.00 $ 5.00 $ 75,00 S 93.00 $110.00 5 140;00 $ 168,00 $ 96.00 S 64.04 S 120.00 $102,00 $ 56 -00 Nola $5,00 for eaoh udddional T,Slat NEW CONSTRUCTION ONLY: First 1300 Square 1 :1 $12000 Each Additional 500 Square Ft. or Portion of $ 4000 Each Outbuilding or Detached Garage $ 74.00 Each Swimming fool or Not Tub S 110 00 0 0091 /0002 Contra�r Information. k r Ara,21_i City 2 ire Phone. ex License At Ekp, 42d yjle_�S' Qty Total (Qty Multiplied by Unit Charge) $ $ S� y Total Owner as defined by PCW.19.28,261, (1) Owner will occupy. the structure for hvo years alter this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said properly is for sale, rent or lease- Permit expires after six months of last inspection. Alter reading the above sl�iErncnt, I hereby certify that I am the owner of (hr above named properly or a licensed eleolrical contractor. f am mliking the electrical in5tallalion or alteration In compliance with the electrical laws, N.E.C„ RCW. Chapter 19.28,1NAC, Chapter 2961.4813, The City of Port Angeles Municipal Code, and Utilily Specifications and PAPv1C 14.05 -050 reydrding Electriral Permit Applicalions Signature of owner, electrical contractor or electrical administrator: ❑ Cash © Check X Cradh Card l- x Dated:...... _.._, 11511 -5 0114112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , . , , 15- 00001156 Date 9/16/15 Application pin number . , . 873252 Property Address . ... . , , 826 W 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 6022 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use . . . . . . . . Property Zoning , , . . , , . RS7 RESDNTL SINGLE FAMILY Application valuation , , , , 0 ------------------------ --- ---------- - - ---- -------------------------------- Application desc Heat pump replace Owner Contractor STEVEN AND NTCT40LE PHILLIPS DAVE'S HTG & COOLING SRVC TNC PO BOX 2932 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -0939 y� - -- -- ------------------------------------ _---- ___-__--- f'�7 6--- - -- - -- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee 56.00 Plan Check Fee 00 Issue Date 9116115 Valuation . , . . 0 Expiration Date 3114116 Qty unit charge Per 1.00 56.0000 BCH E Fee summary Charged ----------- - - -- -- - - - -- --- Permit Fee Total 56,00 Plan Check 'Total .00 Grand Total 56,00 Extension L- LVT- THERMOSTAT 56.90 Paid - Credited Due ----- -- - - -- ---- - - -- -- ---- - -- - -- 56,00 00 .00 .00 0o .00 56,00 pp .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPaE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Da G:IEXCHANGEIBUILDING