HomeMy WebLinkAbout432 E AHLVERS:RD - Building ELECTRJCAL PERMIT
ClIfy OF PORT ANGELES
Application Number . . . .. . 17-00001198 366-417-4735
Date 8/25/17
Application pin number . . . 024952
Property Address . . . . . . 432 E AHLVERSRD
REPOR T S TA TE SA L ES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-3-1-9090-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
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Application deac
RV hook up
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Owner Contractor
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ZAVODNY, R JENNIFER EXTRA MILE TECH & ELECT., LLC
432 E AHLVERS RD
418 N. RACS'ST.
PORT ANGELES WA 983623708 PORT ANGELES WA 98362
J360) 457-5222
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 8/25/17 Valuation 0
Expiration Date 2/21/18
Oty Unit Charge Per Extension
1.00 63,0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63,00
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Fee summary Charged Paid Credited 'Due
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Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
f))9PE 1,17
SERVICE
ROUGH-IN
FINAL
CONWENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
Crry oF PoRT ANGELEs PERmrr AppucArm
Building Dbision/Electriod Inspections
321 East FE&Street—P.O.Box 1150/Port Angeles Washington,99362'-
Ph:(360)417-4735 Fax:(M)417-4711
Date:
—/18,2 Single NrMly Dwelling
Plan Review May Be Required,Pleme Complete Pectrical Plan RQview ation Sheet
Job Addriew 2- 6/-.CA S )24-'27
Building Squane Fboialfe�
DWJ"m of above— 1Z V LA 19 dMk %14-eretvf:� 6 0 A.-
Owner InIbrotaft- 0�v 0 Conl1raictorkdonnoWn
Name:- I 1 -0-Y\VN Z�--A Nmx'rX7-XA MILE Etc 4*#Cgt
mailingAddl2�2i.4,i-z- F-A-sr A-AjVtxS M ddress. 0. qox- 13 AWK
C,%Ame,s, 11,
r
Cklr (-14- ak�State: %Wk TX Ufff?-
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PhcwA!12--I"& ��-
fksw#IEX� P3<n2JA4#rh1-123 &
bm Unitchu" 9k Tchd Mk UuWmM by Unit Chame)
ServicuFbader 2DO Amp. $120.00 $—
Serviml!Feeder 2DI400 Amp. $146.00 $
Servicafteder 401-600 Amp $2D5.00 $--
ServlcefFeeder801400DArnp. $262Z
Servica�over 1000 Amp. $3n.00
&arich Cmit W Service Feeder $ 52
Bmnch Cmd WA)Swoke Feeder $ 63DO
Emb Addhorial 11ranch Cmd $ 5.OD $
Branch Chcults 1-4 $ 75.00 $
Tetrip.Soviod Feeder200 Amp. $ 93.00 $
Tmp.ServWFmler 2D14W Amp. $110.00 $—
Temp.Serv1cW1Fwder401-W0 Amp. $140-00 $—
Temp.S&-AcWTWder SD14000 Amp. $168.00 $
Portal to Ported HM* $ 96.W $
Signal Ckcuiy Umiled ErieW-I&2 Raindy Dmft $ 64.00 $—
ManLdkWW HOMe C=9CfiDn $12D.00 $
Rawaable Sectrical Energy-5WA Systain or Less $102.00 $—
Thermostat $ 56.00 $
Note:$5 OD far each addidonal T-Stat
NEW CONSTRugnom ONLY-
Rrst 1300 Square FL $12(100 $
Each Additional 500 Square FL or Pardon of $ 40.00 $
Each Outbuklim or Delached Cow $ 74.00 $—
Each Swimming Pool or Hot Tub $110.00 $ 2
Total
Owner as ddined by RCW.1928.M:(1)owner wig o=jpy the*ucture for two yews dw 1his de&M p=A is Aralized.(2)Ownier is recluked
to hire an 0eciftal ccintraft if above said property is fbr sa1%rent or lem.Peffrd e*ft after sk months of last kq)ecfian-
After readhg the above statement I hereby cer*W I am the owner of the above named property or a rcensed electrical contactor.I am maldnq
the elech;ai insta1labon or alteirafion in compbrice w1h the electrical IM N.E.C.,RCW.Chapter 192k WAC.Chapter 296-46B,The City of Port
Angeles Municlpal Code.and UbTdy Spedificagons aid PAMC 14 05 050 regarding BwbxNd Permit Apphcafions.
Signature of owner,electrical contractor or eledrical achninilstimtDr. 0 C=h 0 CkKk
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