HomeMy WebLinkAbout2905 S Laurel StELECTRICAL PERMIT
CIry OF PORT ANGELES
360417-4735
N
s
Applicalion Nuftber ...
Application pin number
Property Address
ASSESSOR PARCEL NSMBER:
Application lype descripLion
subdivision Name
Properly Use
Property ZoniDg
Appl.icatj.on valuatsion
21-00001484 DaLe LL/L6/2L
t25076
2905 S IAUREIJ ST
06 - 30 - 15-2 -2 -9030-0000 -
EI,ECTRICAL ONI,Y
0
Application desc
DI{P
HAGGER'TY },IICHAEI, E
2905 S IAUREI, ST
PORT ANGEI,ES
EXTRA MILE TECH & EI,ECT.. LI,C
418 N. RACE ST.
PORT ANGELES WA 98362
1360) 557 -5222
ltA 983526910
Permits
Additional
Pemit Fee
Issue Date
Expirat. ion
desc
oace
58. 00
Ltlt6 /2t
5 /as/ 22
EI,EC-IRICAI. A',TER RES]DENTIAIJ
PIan Check Fee
ValuaEion . ,
.00
0
Qly Unit Charge Per
1. 00 5 . 0000 EcH
1. 00 53 ,0000 EcH
EIJ-ECH ADDNT BRANCH CIRCUIT
EL-R- glIANgE CIR WO/ SER FEED
Extsension
5.00
53.00
Charged crediLed Due
Permi! Fee ToEal
Plan check ?otal
Grand Total
68.00
.00
68.00
.00
.00
.00
.00
.00
.00
54. o0
.00
58. 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCTI
SERVICE
ROUGH.IN
FINAL
COMMF,NTS:p$
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of omer or Electrical Contractor X
G:\EXCIIANGFI Bt JII.DINC
I
Date:
1-2 SINGLE-ILY
ELECTRICAL PERM IT APPLICATION
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ProFctAddEss:
Proiect D€scriptbn:
09.5
t
La*L<a I
<l 4-
tr Stngh-Family Residd{bl tr Dudex / ARU Buitding Square foo@e:
Name:Email:WA
Maiting P'5gg55. )tQ Of t a tJ-L"t Phone:7UA-7-7G 4 Foct
1t;qms1 Exba Mib Te€fi & Electsical Ucens€:EXTRAMTg73R6
MaiUrE 666G5s; P.O. Box 3128 Port Ang€16, Wa 98362 Explration Dab:12t26121
g6s;1; extsamie@olympusrrt Phone:3W57-5222
lhm
ServicdFesder 2IX! Arnp-
S€r\ric?rFsoder 201-{00 Arp-
SerYbelFe€dd 401.6)0 AtYp-
ServiodFeeder 601-10{n Arp.
Servio€rFecds or,€r l(xD AtIrP-
Brardr Circuitw Seryico Feedar
Brandl CirctfrW/o S€rvice I*r
Eetr Addilbnd Brarri Cilul
Blardr Clrrrdts 14
Terp. ServlcdFeeder 2@ Ar+
Ierp- Servlcclk 20li{n AnO.
TaIIp. SenicarFeed€r /+01dD Amp.
Temp. Sendcel@ 6O1-1mO AfiF-
Portd to Pqtal l.tuly
Sig{Bl clrwut-imitsd EIe gy - 1&2 DU.
Mandacfr r€d tlorno Connedon
Ren*rable Ehc, EneAS sKVA Sysiern or ls
fhermcH (*oA $5 frr each adtrotd)
Fir$ lgn S$EB Fed
EachMdtiood qD s$Be b6t.'
Eadr olnhddhg , D€Scfied ca.6g6
Eadr Srinunhg Pool I tld Tub
Ouzi n letsl((hs&x Unit Charg3)
TOTAL $G{-*
Ownsras d6tu€d by Rcllr-192823'l: (1) Oln€r r{U ocalpy the €tucture brm l€als er fts e*a*ical penrm b tudH- (2) Owneris
Bquired b hiIe an aleclicd cfi*race'lf abovs said proF{ty b fur 6de, rE t or tece- P€ndt €learEs der six m(fts of bst'rEpediotr
After r€dir€ the above sefiEnt I ]rseby c8rfir/ that I arn the o n€f dtE abor? mmed properfy or a trcensed ehctitd conFactor- I
am maldng lh€ electi:d lnslatadon or albrdicn h compl'rsrce wiEr the ebctical hvus, NE.C., RCW. Cha@r 19.28. WAC. Chapter 295-
468. The CiV of Port tugeles lhxtkipd Co{fe, and Utf,ty Spedficafins and PAMC 14-G5.05O re4ardru Electn'cd F'ermil Applications-
llEilct@e
$120.00
$146.ff!
&I800
$2e"00
sl73.(x)
$srxt
$63-00
$s-u,
$75-00
$s.00
$110.00
51,19.m
$16&fi)
sl6.(n
$64.00
$120.00
$1(U(n
$Eem
$1Al.m
$4O,00
14.m
$1rotn
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$
$
$
$
5
$
$
$
$
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$
$
$
$
$
$
$
$
$
$
$
{{1 Lt Scott M. Smasal
Rint Name SigfEtre (n OxFcr E Electical Coofrae / Adnftism4
tElecticd PermitApplicdions may be sutmitted to Gity Ha[ or or laxed to 360.417.47'11I