HomeMy WebLinkAbout622 E Front StApplicaLion Nurber
Application pin number
Property Address
ASSESSOR PARCEI, NWBER:
Application E!?e descripLion
subdivision Name
Property Use
Property ZoIling
Application valuation .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
17 0oo oos 55 Date 5/a2/1-1
628992
622 E FRONT ST
05-30-01-? 0-6200 3010-
EI,ECTRICA], ONLY
UNK.IIOt\rlI
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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applicacion desc
Ductle ss heaE pump
CAREGIVERS HOME HEAIJTH INCpo Box 315?
PORT ANGEIES WA 983 52
1360) 457 1644
ConEractor
NORTH PENINSULA ELECTRIC
761 ERESHWATER PARK RD
PORT ANGELES WA 98353
/.360) 4'7'7 -1754
Permit
Additional. desc
Perrnli lee
Issue Date
Expiration Dale
'74 . aO
s/a2/a1
1A /29 / a1
ELECTRICAL AITER COMMERCIAI,
otsy Unit Charge
1.00 74 - 0000 ECH EL-COMIU BITANCH CIR WO/ S/F
00
0
Extsension
14.AO
Charged Credited Due
Permat l'ee 10tat
Plan check Total
crand Total
'74 . A0
.00
74.00
00
00
00
00
00
00
74 .00
.00
74.00
DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS
PERMIT WILL E)GIR€ SL\ (6) MONTHS FRCIN{ LAST INSPECTION
Signature of owner or Electrical Contractor X Date;
Plan Check Fee
valuation
INSPECTION TYPE
tt)ilt
CITY OF PoRT ANGELES PERMIT APPLICAI'IoN
Building Division/Electrical Inspectious
321 East Lilth Street - P,0. Box 1150 / Port Angetes r ashingtoq 98362
Ph: (36{r) 417-4735liax: {360) 417-4711
RECIEETf E
ul/
' Plan Review May Be PieReqrf:
1*
3u ldin! Scuare F@t4sr-
3a6cription o! sbolre \ i
_-1Mu[i.Famity or Commercial"
lniormation Sheet
Er.ECiFrCAt.
rl'lsPECTt0t{S
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E* e*- B
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St'
Owner lnformation \1 -,J'$-r^\$"Contractor rmation
Name
Cityi
L{snse f/
i'lailirg Add.{ess
Cit/: Y"/ k\ _ Slate
Ptoreir!_ 1:QJ,!(Fax
LEe0se $ / H(p._
.I-
( \C-
YL,l.\zp:
Item
Se.rice/F€dsr 200 Amp.
SeryicdFeeder 2fi -4m Arnp.
SePltFeeCer 401 {0J Amp
Service,feeCer 601-1C00 Amp.
Serric&f eeder ove | 000 Amp.
Brancll Circuit W Seryke Feede{
8.ancn Ciroril Ur,lO Service FeedeJ
Eadr Addilioid Brafldr Cirwit
Branch Circuils 1 4
Texp. SeYicd Feederzu Amp.
Terp. ServildFeeder 201-400 Amp.
Teru. &ryicelFeeder 401S00 Amp.
Terp. ServiedFeeder 601-1OJ0 tuno .
Pord to Porld Hodiy
Siign/Oxfine lghtinq
Sioia. Circlliu Liodted Ercrgy - |,lulti-Famly
Sig0al Cirqrit/ Llldtd Enerqy / First 15i0 si - Corrercid
Note: $5.00 for eadr additional 1500 sf
RelewaUe Electical E0ergy - 5(VA Syster or L€ss
Thenrosiat
Nole: $5.C0 for edr dCiliooal T-Slat
L Staie Z:g:
Total Multiplied by Un rqe)Unit Charoe
$ 13200
$ 160.00
$ 225,C0
$ 288.00
$410.00$ 5.m
$ 74.m$ 5.m
$ 06.m
E 102.00
$ 121.00
$:64.00
$'85.m
$ 96.ffi
$ 88.m
$ 64.00
$ 96.00
$ r't3 00
$ 56m
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Owner as deiined by RCW,19.28.261: (1) S{ner willocsjpy lhe struchire fcr two yetrs afler tris elecbical peflxit ls inalizei. (2) O$mer'rs required
to hire an eleclrical contractor if above said prope,.ty is br sal€, ront or base. Permil expires afler six monlhs of lasi inspeclir:n. '
Afterreading the above statement, I hereoy cetbty lhat I am he owner oi the above named properly or a licensed electrical contractcr. I am making
he elechical instailation or elieralion in compliance wih the eleclrical latys, N.E.C-, RCIV. Chapt€r '19.28, WAC. Chapbr 296f68, The City of poi
Angeles Municipal code, arxi utility specifications and pAMc 14.05.0s0 regaiding Elecfical permit Appfications.
Signatur€ of ohmer, elsctdcal contractor or electrical administrator:fl cair I check
d-crap.cua * -6t",f--l-t -)
01101i2012
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