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Home My WebLink About427 E 7th St - Building 2014-02-12 08;01 CASCADE ELECTRIC 3603799043» P 1/1 a `y�>•pernl.1% : rs � CITY OF PORT ANGELES PERMIT APPLICATION ii - Building Division/Electrical Inspections mot--' 321 East Fifth Street—P.U. 13ox 1150/Port Angeles Washington,98362 FEB FE 20 Ph:(360)417-47,35 Fax: (360)417-4711 a � ELC`��'ILAL Date' __1$2 Single family Dwelling INSPECTIONS `Plan Review May�e Requi ,Pie se Complete Electrical Plan Review Information Sheet Job Address; 7� 7 '$ - T--- 9uirdiN Square Footage; Description of above � -- — Owner I format on ) Contractor nformati Name:� . d� _ Name. L>r l,�C�'�/G � t/9-•(- Ma;ling Address b Mailing A dres city: zlpl ,, _� Cit)' tale; �71�Zi : ,T Phan,, - Fax; Phone:, Fax' V License#J Exp, Liceree J ExD• +H ftem Unit Chase 9U Total MY MuNpaled bygnitChAmel Servlce/Feeder 200 Amp. $120,00 $ UtvicelFeeder201-400 Amp. $146.00 Service/Feecier 401-600 Amp $205,00 $ Service/Feeder 601.1000 Amp. $262,00 $ ServicelFeeder over 1000 Amp. $373.00 $�.. Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63.00 Each Additional Branch Circuit $ 6,00 $ Branch Circuita 1-4 $ 75.00 $ Tamp.Service)Feeder 200 Amp. $ 93.00 _ $ Temp.Service)Feeder 201-400 Amp. $110,00 $ Temp.Servlce)Feedar 401.600 Amp, $149.00 $ Temp.$ervicelFeeder 601-1000 Amp. $168.00 Porlet to Portal Hourly $ 98.00 $ Signal Circuit)Limited Energy-1&2 Family Dwelling $ 64,00 $ Manufactured Home Connection $120,00 �. ..„ $ Renewable Electrical Energy•5KVA System or Less $102,00 $ Thermoslat $ $6.00 $. Note:$5.00 for each additional T-Stet NEW CONSTRUPTION ONLY: First 1300 Square Ft, $120,00 $ Each Additional 500 Square Ft,or Portion of $ 40,00 $ Each Outbuikding or Oelached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $f 10.04 $. -. � •o' Total owner as defined by RCW,19.28.261;(1)Owner w111 occupy the structure for two years after this electrical permit is finalized,(2)Owner is required to hlre 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 etectrical contractor.I am making the electrical installation or alteratlon in compliance with the electrical laws.N,E,C„RCW,Chapter 19.29,WAC.Chapter 296-466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications, Signat f o 4r,olectrica tractor electrical administrator: 0 c.1h E) ew ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000158 Date 2/12/14 Application pin number , . . 933826 Property Address . . . . , . 427 E 7TH ST ASSESSOR PARCEL NUMBER; 06-30-QO-0=2-p380-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Property Us Name to the City of Port Angeles Property Use Property Zoning . , , , . RESIDENTIAL HIGH DENSITY (Location Code 0502) Application Valuation , , . 0 Application desc Ductless heat pump Owner Contrautar LINDA J BOYD CASCADE ELECTRIC & VAC TNC 427 E 7TH ST PO BOX 369 PORT ANGELES WA 983626212 PORT HADLOCK WA 98339 (360) 379-5347 Permit . , , , , , ELECTRICAL ALTER RESIDENTIAL ,� y Additional desc 1-4 CIRCUITS 'V Permit Fee 75.00 Plan Check Fee 00 Is"e Pate 2/12/14 Valuation . . . . 0 Expiration. Date 8/11/14 - Qty Unit Charge Per Extension BASE FEE 75.00 1114 ` Fee summary Charged Paid Credited Due l Permit Fee Total 75,00 75,00 00 ,00 _�J! Plan Check Total .00 ,00 00 00 ^ Grand Total 75.00 75,00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR; DITCH SERVICE ROUGH-IN ® 1 FINAL `l COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING PREPARED 7/13/10 8 08 46 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/13/10 ADDRESS 427 E 7TH ST SUBDIV TENANT NBA LINDA J BOYD CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683 3901 OWNER LINDA J BOYD PHONE PARCEL 06 30 00 0 2 0380 0000 APPL NUMBER 10 00000725 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 7/13/10 MECHANICAL FINAL TIME 01 00 July 12 2010 3 54 16 PM 1pangrle LINDA 452 9980 MECHANICAL FINAL DUCTLESS HEAT PUMP AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 circuit heat pump Owner BOYD LINDA J 427 E 7TH ST PORT ANGELES Permit Additional desc Permit pin number 169342 Permit Fee 73 50 Issue Date 7/12/10 Expiration Date 1/08/11 Qty Unit Charge Per 1 00 73 5000 ECH Fee summary Charged WA 983626212 Permit Fee Total 73 50 Plan Check Total 00 Grand Total 73 50 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL HEATPUMP Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 10 00000724 133056 427 E 7TH ST 06 30 00 0 2 0380 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor CASCADE ELECTRIC PO BOX369 PORT HADLOCK (360) 531 0385 73 50 00 73 50 Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER Paid Credited Due DATE. RESULTS 71 silt? 7/1/3 /10 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 00 00 00 Date 7/12/10 WA 98339 ovs 45? Extension 73 50 00 00 00 00 0 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date 7 /2 -`a CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 Date. u7 l /L /J K 1 2 Sing((fe Family Dwelling Owner I9formtion Name: I11 &A bog Mailin Addres Lj 7 L. 7 +l, .S City b d- 1es State: by 4 Zip: 11(76 Z- Phone: 1.15 9 Fax: License Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: /4 2 7 7S Building Square Footage: ADOO Description of above 4 c' /V C ti 1 1' Unit Charge 119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 $148.70 167.90 95.90 88.20 95.90 63.90 63.90 $119.90 102.30 56.00 $110.30 35.20 73.50 $110.30 Dated: 7 /JL// Contraor Infor Name: Mailin City Phone: License Exp. 1. Credit Card ation e t_ n9 c- Ra' �L9 C State 1174 Zip:/.n 7 b S3/ 03eS Fax: 2/6 ?79 96 Total (Qty Multiplied by Unit Charael S S S S S $'7 5 Total Owner as defined by ROW 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.0 ROW 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. Signatuje-pf ow r er electrical contr ctor ox electrical administrator Cash Check 01/01/2010 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 INSTALL A DUCTLESS HEAT PUMP Owner LINDA J BOYD 427 E 7TH ST PORT ANGELES Qty Unit Charge Per 1 00 Fee summary Charged Permit Fee Total Plan Check Total Grand Total T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 WA 983626212 Permit MECHANICAL PERMIT Additional desc INSTALL A DUCTLESS HP Permit pin number 169359 Permit Fee 64 80 Issue Date 7/12/10 Expiration Date 1/08/11 BASE FEE 14 8000 EA ME FURN /HP /FAU 64 80 00 64 80 10 00000725 197975 427 E 7TH ST 06 30 00 0 2 0380 0000 LINDA J BOYD MECHANICAL APPL PERMIT RESIDENTIAL HIGH DENSITY 2641 Contractor AIR FLO HEATING CO INC 221 W CEDAR SEQUIM (360) 683 3901 Paid Credited 64 80 00 64 80 Plan Check Fee Valuation OR 5 TON 00 00 00 Date 7/12/10 WA 98382 Due Extension 50 00 14 80 00 00 00 00 0 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) aig l -1 3 -(a 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 fora 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 constructi 7/ 2 1 CK, s f/047tE Date Print Name Sign of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type 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 Furnace 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 Parking Lighting I Landscaping I 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 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 Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by SEPA. ESA. SHORELINE. Comments FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By g 4 79 t�L II N I I FINAL Date Accepted by 07/12/2010 MON 11 39 FAX 360 683 3971 Air Flo Heating Co Applicant or Agent: Owner: Address: 142 "P>, S— Architect/Engineer Contractor Al l2 p L; en ,i Address: 074 tAJ 04%1 al v PROJECT ADDRESS: LEGAL DESCRIPTION. Lot: CLALLAM COUNTY PARCEL NUMBER. Total:lot coverage PLANNING USE ONLY Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 OA BUILDING PERMIT APPLICATION City ESA/Wetland(s): Yes No SEPA Checklist required? Yes 0 No Other: Phone: Phone: 1 J tj K Phone: State License #:�C lid P1.4- 411VE City gzeigi 7 11,1 Block: Subdivision: TYPE OF WORK. 'Ati Residential 0 New Constr. 0 Re -roof Stove Multi- family Addition 'Move❑ Garage .0 Commercial Te Remodel .0 Demolition Deck 0 Repair Sign .o Other BRIEF DESCRIPTION OF THE PROJECT Lli.a.441( 1-41.al M r COMMERCIAL /RESIDENTIAL. .Occupancy Group: Occupant. Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. TOTAL Sq. Ft. SIZE/VALUATION. SF /SF SF /SF SF /SF 001 /001 FOR OFFICIAL USE ONLY Date Rec. 1" 12-- Permit #:J C) Date Approved: Dale Issued: Zip: g Cag Phone joRZ) 2t Zip. '�li 9 ZONING. TOTAL VALUATION L to APPROVALS. PLAN. BLDG: DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with.current fee schedules. Contact the Permit Coordinator at 417 -4815 for. assistance. PLAN CHECK FEE. IF a:plan check fee is due it must. be submitted at the time the building permit application and construction plans are .submitted. All other permit fees are due atthe time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 .days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the: applicant (see Section :R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. :1 hereby certify:that l have read and examined this application and know the same to be true and correct. l am authorized to apply for this permit ..and understand.that it is m responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T•�FORMS\BidgPcrmitAppl.:wpd Applicant: Date: 17 Clallam County Assessor Treasurer Property Details 57734 LINDA J BOYD for Ye Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 57734 LINDA J BOYD for Year 2010 2011 Property Account Property ID Geographic ID Type. Tax Area: Open Space: Historic Property Multi Family Redevelopment: Township Range Location Address: Neighborhood: Neighborhood CD Owner Name Mailing Address: Taxes and Assessment Due Property Tax Information as of 07/12/2010 Amount Due if Paid on: M. Year 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2009 2009 2009 2009 2009 2009 2009 2009 Statement ID Taxing Jurisdiction 40717 ST SCH STATE SCHOOL 40717 CC -GEN COUNTY 40717 PORT PORT 40717 40717 40717 40717 40717 40717 40717 577342008 577342008 577342008 577342008 577342008 577342008 577342008 577342008 57734 0630000203800000 Real 0010 PA 121 PORT ST CNTY H2 L Land Use Code N DFL N Remodel Property' N 427 E SEVENTH ST PORT ANGELES WA Cycle 5 Res 10955130 LINDA J BOYD 427 E 7TH ST PORT ANGELES WA 98362 -6212 PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBR_ ARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK CITY_STORMWATER CITY STORMWATER WEED_CONTROL WEED CONTROL 2010 40717 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 CITY_STORMWATER CITY STORMWATER Legal Description Agent Code Section. Mapsco Map ID Owner ID Ownership: Exemptions: LOT 16 BL 203 TPA 11 N N 15041 100 0000000000% First Half Second Half Base Due Base Due Penalty Interest Base $131 39 $131 39 $0 00 $0 00 $1 $69 93 $69 91 $0 00 $0 00 $9 82 $9 83 $0 00 $0 00 $161 89 $161 89 $0 00 $0 00 $1€ $170 19 $170 18 $0 00 $0 00 $17 $20 32 $20 32 $0 00 $0 00 $2 $28 68 $28 69 $0 00 $0 00 $2 DIST $9 12 $9 13 $0 00 $0 00 $36 00 $36 00 $0 00 $0 00 $0 82 $0 81 $0 00 $0 00 $638.16 $638.15 $0.00 $0.00 $62 $149 44 $149 44 $0 00 $0 00 $2f $75 62 $75 64 $0 00 $0 00 $1 $1071 $1072 $000 $000 $2 $165 88 $165 90 $0 00 $0 00 $3: $184 79 $184 80 $0 00 $0 00 $3€ $21 97 $21 98 $0 00 $0 00 $4 $31 02 $31 01 $0 00 $0 00 $36 00 $36 00 $0 00 $0 00 $7 http. /vpn.clallam. net. 8084 /propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =57 7/12/2010 DATE OWNER/CONTRACTOR .UL v ADDRESS APPROVED 0 0 0 0 c 7 S J CORRECTIONS NEEDED 1k10 `r 1e__ 14 °1'ch Tt9l ii4 6 14 4 b C lac C. 14,05 CY ?)>Ar_ i 4 c. N w-- 14 L ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT Jb o3Z5 DITCH ROUGH IN /COVER SERVICE FINAL INSPECT O NOT APPROVED 0 0 0 0 (fib a 1A 2 A, i Lp,LIrz NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 Application Number Application pin number Property Address ASSESSOR' PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service change Owner BOYD LINDA J 427 E 7TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983626212 163915 119 90 4/19/10 10/16/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000375 407750 427 E 7TH ST 06 30 00 0 2 0380 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 119 9000 ECH EL 0 200 SRV FEEDER Charged Paid Credited SEQUIM ELECTRIC 8294 OLD OLYMPIC HWY SEQUIM WA 98382 (360) 681 3794 Plan Check Fee Valuation 119 90 119 90 00 00 00 00 119 90 119 90 00 DATE RESULTS Li lig ho &M ho ha b /.nIin Date 4/19/10 Due 00 0 Extension 119 90 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax: (360) 417 -4711 Date: /6ilf7 41 2 Single Family Dwelling Multi Family or Commercial* Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: 4 12 7 L t Building Square Footage: Description of above S v c h a n y d Owner Information Name: L i .1 e:C.( So../? Mailing Address: 4 12'7 F_ 2 r 7t'f` City P0- A k' State: wk Zip: a)3" 3 &Z Phone: x-15 2 4'?3 Fax: License Exp. Item Service/Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Owner as defined by RCW 19.28.261 Unit Charae $119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 $148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 $102.30 56.00 $110.30 35.20 73.50 $110.30 REC.EIVE APR 1 6 2009 ELECTRICAL INSPECTIONS Commercial Addition Alteration Remodel Repair* Contractor Information Name: Sold -4 ,nn E/ c.fri L' LL C Mailing Address Z `r'{ D (4 OIL4 es-to), t-i w, City State: w4 Zip: q8 3 8 Z Phone: till 4 Fax: License Exp. Cif.-7 Q A r I 90 3 C A Total (Qy Multiplied by Unit Charge] lt'T 90 Total (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.0 RCW Chapter 19.28, WAC 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 Credit Card Dated: `l 6 O 01101/2010