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HomeMy WebLinkAbout212 Whidby AveELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 1.. N { Application Number . . Apptication pin numbe! Propelty Address ASSESSOR PARCEL NUMBER: applicat.ion Eype descrip!ioil subdivision Name ProperEy Use Prope!Ey Zoning Applicatsion valuaEion 21 ooooo35? Date 3 /24/2L 854194 212 I{ITIDBY AVE 06-30-10-5 - 0-093s-0000 - EIECTRIC]IIJ ONIIY RS? RESDITAL SINGLE FAMILY 0 Application desc service and circuitss garage Con!ractor Tara Mason &,lameB McDonal6 \rR 212 whidby Ave PORT ANGELES wA 98362 .425) 819-4604 OI4NER Permil Additional desc Peimit Fee Issue DaCe Expiratj.on Datse 135.00 3 /24/2! 9/20/21 ELECTRICA! AITER RESIDENTIAI PLan check Fee valuation .00 o Qty uniE charge Per 3,00 5.0000 Ecll 1.00 r20.0000 EcH EIJ-BRANCH CIRCT'IT W/FEEDER EIJ- O -2OO SRV FEEDER Extsension 15.00 120, O0 chalged Paid credited Due Permi! Fee ToEal Plan Check Total crand aolal 135 135 00 00 00 135 . O0 .00 135.00 .00 .00 . o0 00 00 00 REPORT SALES TD( on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE:RESULTS INSPECTOR: DITCH SERVICE ROUGH-IN FINAT COMMENTS:E>\: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signanrre of owner or Electrical Contractor X C: EXCHANCE BUILDINC Date: 03/11 /202L wED E!03 PAx aoo1/o01 1.2SING E.FAMILY ELECTRICAL PERM IT APPLICATI ON Public Works and Utilitios Dcparlrncnt 321 E. sth Street, Port Angules, WA 98362 160.4 17.4715 I www.citvolba.us I clcctricalocunitsd)citvofoa.us, fr*- ?b_,+,1 _.lin To :,* ! \ \N\l\+l Prolect Addross Proloct Dascrlptlon:IC€ dshgl+Famlly Rosldental E Duplex/ARU Buildlng Square footage: Mailing Address: Emalli Llcohs6: Meiling Addr6s8:Elglra0on Date: EI.E(]TRICAI,. CONTRACTOR I NF(.)RI\NATION [rE ,' Srt.lcc/r.ccdcr 2p0 Amp, Servica/Fo€dar.81<OO Atnp, S€ModF€odor 401{00 Amp. Sewica/Feeder 60'l -1000 Amp. S€rvicdFa€dor o\ror 1000 Arnp. ,, Branah clrtsft W S! lca Fssdar Branch Circuit W/O gervlce F€6d€r Eaoh Addlllonal' Brandt clrcult Brandr Clrculte i-4i Temp. Servlce/Faa$gr,'2OO f mp. Temp, gervloo/r#r 201 .400 A.nP. Tomp. S6wlc6/F6edGr &1.600 Amp. Temp. Sorvica/Feed6l €01-1000 Arnp. Portel to Pofial Hou y Slgnal Ctutt/Llmtted Enorgy - 1lt2 DU. Manuhcfi.rEd Horn€ Cmnec{on Reheureble El6c. Ensl!)a s!ryA6t!bm orlea! The.mosbt (Note: $5 for eact addlthnal uD[![rEt 0120,00 114E.00 $205,00 0202,00 t373.00 06.00 t'83,00 ,t{.Q9, ;:,,i 37r$l00 ' ' ,,.' r:tl-Q.fl0, .'t{{d:00'' s149,00 $168,00 s86;00 $El.m E1m.m $102.00 i!6.00 grrtrgot T nlt Chlrgc) 'c I / Aa. aa ?!_*)5 0 IItt 3 $ s $ s.i s s $ $t ( st TOTAI Owner as defined by RCW 19,28,2E1: (1) Orwlgr wlll oooupy lh€ structur6 for two yeal1a aftor thlc dootrbal p€rmlt IB flndksd. (2) Ownar lB requirgd b hirr an el€otrio8l cofltrdcbr lf ebor6 Eail propatt is for 8ale, refit or l€aeo. Pemlt eJolr€s sfbr alx monthB ot last lnspacdon. After reedlno lho abov€ statemont, I h6r€by oorL that I 6m lhe qrpr of tha above nam6d propa y or 6 ll€6n86d elacrdcel oonfactor. I am making tro decfical ln€tsllatlon or altffatlon ln oompllance wllh the clectlcal lErr,3, N. E.C., RCW. Chsptsr tS.2E, WAC. Chapter 29& ,168, Th€ Clty of Port AngCes Munldpal Spaclflcstlone and PAMC I rdlno Elgctlosl Pen t Appllcstlon8. It ard ignEturo (El.q/vnar ! Electrlcal Cohtractor / Admlnletrator) Name: Neme: OWNER INFORN/AIION FI]OJFCT DI-'|AII S Deto 05 05c Print Name