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RLECAL PERMIT
CITY OF PORT-ANGELES
. 36M17-4735
;Application Number 18-00001791 Date 11/27/18
Application,pin number . 959349 REPORT STATE SALES TAX
Property Address . 716 MILWAUKEE DR on your @XCIS@ tax formASSESSOR PARCEL NUMBER 06-30-01-7-1-0300-.0000-Application j type description ELECTRICAL ONLY to,the City Of PO/f Angeles
Subdivision Name . . . (Locadon Code 0502)
Property Use . . . .
Property Zoning . . . . .
Application valuation . . . 0 -
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Application desc
Heat pump system
Owner Contractor
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ROBERT J/CAROLE L RAUGUST,TRST AIR PLO HEATING CO INC
RAUGUST FMLy-RVCB TST187 221 W CEDAR ST
PORT AMBLES WA 98363 SEQUIM WA 98382
(360) 661-3901
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . . 11/27/18 Valuation . . . . 0
Expiration Date 5/26/19
Qty Unit Charge Per Extension
1.00 56.0000 BCH, EL-LVT-THERMOSTAT 56.00
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Fee summary Charged Paid - Credited - Due ---
Permit Fee .Total 56.00. 56.00 00' .00
Plan Check Total .00 .00' .00 .00
Grand Total 56.00 56.00 .00 .AO
INSPECTION TYPE DATE RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COWENTS: 7 b l
PERMrr WILL EXPIRE Six(6)MON' ;FROM LAST INSPEf.'"MN
Signature of owner or Electrical Contractor X Date:
- � �. <_ �
L
Ma Ah
51 LE-FAMILY` W
L=RIVAL PERMIT.APPLI AT10
Public Works and Utilities Depattrnent `
3ZI E.5th Street, Port Angeles, WA 9s362ELECTRICAL
3.60.417.4735 1 Wwvv.cityofpa.us I electricalpermits@cityofpa.us 1NSPEMONS
Project Address:
k Project Description,.. . . c �
l Single-Family RastderitlaG l� :E}aplex.lARU Building Square footage:
0VV ER"
®R i
—r
Name:
[ Mailing .........
0
i Name: .._
Mailing Address Eirprration Date:
Email: ;
Rhone
i 4�iY
{Qdantlty x ttmt`Ctiarge)
Service/Feeder $9 f }
Servide/Feeder 2t)1 400 An14. $140'.S3C3
3ervu*lFeeder 401-6f1Q m}5 O's t?0" ;
# j ServilFeeder 64[ifigD Amp.
ervieetFeeder over 1ppfS Amp. 73 QO
Branch Circuit W/Service C Feeder 60
--.�- »
( # Brandt CircuitW/ ttce Feeder G#0
.Branch Circuits 1 4
Temp.ServiceFeeder_2QO Autp;, 3
_.
C Temp;Servrt�/Feederr•�t31�$fiftAmp _. . ��49 fltJi
Temp.SerWWFeed0t.W, 1 10i i0Ilrnp its 0
Portal:to Portal;Hourl =
5t nal Circutt/Limited i;rie l`.YfB'
_ Mariubctured Florae Cc nneelie
49
Renewable Eiec.Etter9.Y `� ► , sS [tit OD .
�'herrlros#at(Note Sly liar
i _.
i
l Mks
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Owner as defined by RCW 19.28.261 (1){.lwtrerwill occupy;the structure for two yeara;after this electrical pocmit is firtali�9d.(2)Owner is
required to hire:an electrical contractor if above said property is for sale,rent or lease:Permit expire after six months oflasf inspection.
After reading the above statemerlj i hereby certlfy that.t am Ahe.owner of the:above named propeny or a licensed electr►cei contractor.l
aMr making the electrical instaliation qr atetattnn in cxtmplian'ce with the electrical lawsr N E,G:,fiCW'ChapteF 19:28 WAG:Chapter 296
96 ,The City of Rort Angeleltdytt�ipal_Gstde:attd Utility._S e-afications a d RAMC 1
l ..
R 50legarding: Permi314ppEiitions:
site Print Name Signature .. ..
_
g {M Owner electrical Contractor lActriintstratgrj
Electrical Permit[ Applications may pe Submitted to City Hail or elecfricalperrrtitsQcltyafpa.us or faxed to 366:417.47111]: