HomeMy WebLinkAbout1014 Madrona Street - Building ELECTRICAL PERMIT
CITE OF:,` RT ANGELES ,,,,t-
360-417-4735
Application Number 16-00001862 Date 12/20/16
Application pin number . . 130502
Property Address 1014 MADRONA ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-08-5-8-1305-0000- our excise tax form
Application type description ELECTRICAL ONLY on y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Application desc
Ductless heat pump
Owner Contractor
BURWELL, J ROSS EXTRA MILE TECH & ELECT., LLC
703 S LIBERTY ST 418 N. RACE ST.
PORT ANGELES WA 983626664 PORT ANGELES WA 98362
' (360) 457-5222
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 63.00 Plan Check Fee . . .00
Issue Date . . . 12/20/16 Valuation . . . . 0
Expiration Date . 6/18/17
Qty Unit Charge Per Extension
1.00 63.0000 ECH - EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
4
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
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FINAL a ,� w� � -1
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date: '
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CITY OF FORT Ammo;Platrar APPLICAlIONA P***.-4,!.•••-
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Ph:(360)417-473S Pa=(360)417-4711 ililir
_II&2 Single Family Dwelling
*Plan Review May Be Required,Please Complete Electrical Pim Review inforreedon Sheet
ade Adam= 7 0/4/ Pr)ac//Z-LY/l'( 5 4- 4i-
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cer A. ' it t).6,- 21E 97c.g .14111 „ Sear 74 Itrip2
Phu* 2 7-v2.'17 Fac Phonic ...er ._-_ :-.. ArT7
License0f Exp, Le*!7. . -,- ' 4
Item Mann ilit Mai Varliallabid br Ualt Chars*
Servicefeader2001tria
$1l00 $ -
' SendooFeeder201-400 Amp. $148.00 - $
Serricafrader401-600Amp $205.00 $ .
Service:Feeder Sti-1000 Amp.
$26200 $
. SenriceFeeder our 1000 Amp. $373.00 - $
thatch Chad WI&nice Feeder $ 5.00 $
Branch CirmetWaSemice Fondle' $ 83.00 I $ (4 3.`-'''
Each&Mond Branch Circa $ 5.00 $
Branch ands 1-4 $ 75.00 $
Temp.Service/Feeder-2110Mo. $ 9100 $
Temp.SentteiFerder201-401)Amp. $MOO 1
Temp.SeniceiFeeder4014130 Amp. $142.011 - $
Temp.ServiCeiFeader601-10130 Amp.. $168110 $
Portal to Pedal Hardy $ MO _ $
Signal amen,Weed Energy-1&2 Fogy Deft $ 64.00 - $
Manufactured Home Carmeolks $MOO $
Renewable SECItal Energy-5KVA Syslem or Less $10200 - 8
Thermostat $ 56.00 - $
Noir$5.00foreach addifforml T-Stat
NEN CONSTRUCTION ONLY:
Hat 1300 Squirm FL $120410 $
Each Addidema1500Equas Ma-Pawn of $ 40.00 $
Each Ckdteking orDeladred Garage
$ 74.00 $
Each Streaming Pool or Horfteb $110.00
$47e: Total
Owner es danced WM:W:1928261:(1)Oenered occupithe Maze foram yan*Er 216*OW pantie fa mend(2)Omer is required
to hire an efecbical cordractorf abrare said poperty is tors*,rent or lease_Parma spires after sk mantis Mast imecrion.
Alter rearing the above sialawerd,I busby certify Id I am the crenerof the above earned parody or a foamed eledrical contractor.I an waking
the e1001031. kidder=sal in comprence idh the electrical lass.ItEC.,KW Chapter 1921,WAC.Chapie.296-46%The City of Port
Angeles Mtmini4a1 Code,end UtHySpectficettans and PARC 14.05.050 regarding Eteddcal Penult Applications.
Signature el Gamer,eleckkal ccmbacter or electrical ainbisMatoc CI Colle 0 amok
L_OL)SA._ %,:g pat : V&A Con O SI '( &•
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