HomeMy WebLinkAbout1129 W 7th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
RS7 RESDNIIL SfNGI,E FAMILY
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REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicat'ion Nudber
ApplicaEion pin nudber
Propertsy Address
ASSESSOR PA.RCEL NI]MBER:
Application. E],pe descriptsion
subdivision Name
Propertsy Use
Propertsy Zoning
Application valuation
19 - OOOO044S DaEe 3/28/19
4!0244
112 9 W 71'll S?
06 30-00-0-1-5550- 0000 -
EI,ECTRICAIJ ONLY
ApplicaEion desc
Dryer
Contsractor
DANA AND SILVIA RASMUSSEN
112 9 W'7TH ST
PORT ANGEIES WA 983 53
EXITA MILE TECH
418 N, RACE ST,
PORT ANGELES
\350) 451-5222
& ELECT., LLC
wA 98362
Permi t.
Additional desc
Permit Fee
Issue Date
Expiratj.on Date
53.00
3 /28/le
9/24/a9
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
valuation
00
0
Otsy UniE Charge Per
1. 00 63 .0000 ECH Er-R-BRANCH CIR WO/ SER FEED
Extension
53.00
Fee summary Charged Paid CrediLed Due
PermiE. Fee Total
Plan check Total
Grand ToEaI
63_00
.00
53 .00
63.00
. o0
63 .00
.00
.00
.00
o0
00
00
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN qf,eln $)..'B}
FINAL z1*,1tt 4P Eso
COMMENTS
a-t-
Signature of owner or Electrical Contractor X Date:
Ow er
1-2SINGLE-FAMILY ii.i'ryvs,.
emCfRlCnl- peRUtf Rppl-rcnflOru ;"'
r,'
Public Works and Utilities Deparknent
321 t.5th Skeer, Port dngeles, WA 9S362
360.417.473 5 | www.cityofpa.us I electricalpermirs@cityofpa.us
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@Project Addre.ss:
Name:
Mailing Address:
Meiling Address:
Email:
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9<n-l Emaii
E Duptex / ARU Buibing Square bobge:
//) 7 k/.1t< (-i
Phone;B,c, - ro1 -7fr<
Nane: EN*a'Le Ts Liense:EXf@r*ar?73 R b.o. Bo* 3l r-8 PA q9?bL ExpiratbnL€Phone;1C"o -q6l - r3ts a
A-xl ,i-
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ServicdF€eder 80 Amp-
Service/F8eder 201400 Amp-
SeMce/Feeder 401€00 Arrp
ServicelFeeder @r-1 000 Amp.
SeMce/Fceder over 1000 &m.
BEnch Circuit \,u, Service Feeder
BEndr Orguit w/O Service Feeder
Eacfi Additional Branch Cirorit
B.anch Circuib l-4
Temp. Servi:eJF€der 200 Amp.
Temp Senice/Her2o14mAnp.
Temp. Seftice/Fe€der r(}l{Xf Amp.
Temp. Sqvicy'Fe€der 601-10@ ArW.
Porial to Penal HorEly
Sig'lat Cir€uiulimlFd E lergy - 1&2 DU.
Manufacfu rS Horne ConneEiiofl
Renelyable Elec. Energy: 5l$/A Sysbm or less
ThefinoEtat (Note: 95 br 6dr addfiarral)
FrI3t 1300 S$Bre Fe€S
.. Eedt Addilkrnat 5@ square ftd'.
, Each Grbuiurq r E€'lechld Gaege
Eadt st trfldng pool / tdTub
j
Cluantl{'/fo&l (Quantity r Ltnit Chrrge)Unit Charoe
s120.00
$145.00
$20s.00
u62.00
$073.m
$5.00
s63.00
s5.00
$75.00
$93 00
$110.00
sl49-00
9168.00
$s6.00
si4.&,
s120-00
$10200
$56.(D
si20.00
$40.{x,
s14.00
ir10.00
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owner as dedned by RcW 1928-251: (1) owner willoccupy the studurE 6r iro years aterlhis ebcticalpermit iE rnalized- (2) o,|]sr isrBquired to hire a.l eledrital conba&r if above said prq€dy is for sab. reot er t;ase. Permit api,es atei sx mmnstlast inspoc6on.
After reading the above statement, I hereby certi8 lrrat I am the own6r of tt|e aboye named pEperty or a licensed eledn-cal contador. Ia'n making the eledical installation or alterstbn in co[p[ance witr the el€ctrical latt{s, N-E.C., RCW. Chaptsr 19.28, !'r4{C- Chapbr29e-468, The gty of fuAngeles Muniqipd Codq and Ut ity Specifications ard PAMC 14./f 5..h S
05-050 regardino Ehcticd PermitApplications.
Date Print Name SEnature (E Owner Electsicel Confactor / AdminBtrabr)
lEe€{rical Permil Apdicatbns may be submitted to City HaX or electricalpermits@cityoba us or faxed to 36 0.417.4711j