HomeMy WebLinkAbout508 E Park AveApplication Nuniber
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ASSESSOR PARCEL NUMBER :
Applicats ion. ts),pe description
subdivision Name
Propertsy use
Property zoning
Application vafuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS7 RESDNTL SINGLE EAMITY
0
19- 0000043 0 Date 3/25/19
148200
508 E PARK A\'E
06-30-15-5-0-0140-0000-
ELECTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Owner
US BANK TRUST NA AS
13801 WIRELESS I4AY
EDMOND
TRUSTEE FO
oK 73134
EXTRA MILE TECH
418 N, RACE ST,
PORT ANCELES
\36A) 451-s222
& ELECT., L],C
wa 98352
Permit
AddiEional desc
PermiE Fee
Issue Datse
Expiration Date
63 .00
3/2s/t9
e / 2t/a9
Plan Check Fee
Va1uats ion
EIECTRICAL ALTER RESfDENTIAL
.00
0
Qty Unit Charge Per
1.00 63.0000 EcH EL-R- BRANCH crR wo/ sER I'EED 63.00
Charged Paid Credited Due
PermaE !ee'I'ota-L
PIan Check ToEal
Grand ?otal
63 .00
. o0
53 .00
63 .00
.00
63 .00
00
00
00
00
00
00
PERMTI WILL EXPIRE SIX (6) MONTHS FROM I-AST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN t lzrlfi bF 'Ynr
FINAL qk)n I #
COMMENTS:l
Signature ofowner or Electrical Contractor X Date
Application desc
Garage circuits
1-2SING LE-FAMILY
ELECTRICAL PERMITAP PLICATION
Public Works and Utiiities Depa(ment
321 F-. 5th Street, Poft Angeles, WA 98362
360.41 7.473 5 | wwwcityofpa.us I electricalpermit@cityofpa.us
5 o 9 € ;-.c:, 'p.,-*k J"L .
tr Duplex /ARU Building Sq€re
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Project Address:
k Email
9r-
D
Mailing Address 4
73Pb
Mailing Address:P.o. Bo* 3r.L6 PA qg 3bL Expiration Date /2-a6 - 20t1
Emel| G a\Phone:160 -.1t 1 - r?a 6
Otr€
ItsE
ServlcdFeeder 200 Amp-
SeMc€/Feeder 201 -400Amp-
ServicelFeeder 401 €00 Amp
Service/FEgdgr 601-1000 Anp-
ServicE/Feeder over 1000 tunp.
Branch Circuit W/ SeMce Feeder
Branch Circuit wlo Servie Feeder
Each Additional Eranci Circuit
Branct Circlrih '1-4
Temp. SefliceL/Feeder 200 Amp-
Temp Sen icerFeeder 20'1-400 Amp.
Temp. SeNice/fuer 40t$00 Amp,
Temp. SeMceJFeeder 601-t 0o0 Arnp
Portal to Portal Houdy
Signal CirsriuLimited Energy - 1 &2 DU.
ManufaafiJred HonE Connedion
RenewabE Elec. EneEy: sKVA Syslem o.less
Thermostat (Note: $5 br each addilional)
FiEt 13@ Square Fee(
Each Additional 5OO squa.e fet"
Eash Odbu[dilrg , DeEched Garage
Each S'arhming Pool / Flqt Tub
Ouanfitr, trghl (Quantity x Unit Charge)
TOTAL
Owner as defned by RCW.19-28.261: (1) Ownerwilloccupy the stludure for two yea6 after th-rs elect icat permit is finalized. (2) Orner k
raquired lo hire an electical rorhador if above said property is for sale, rent or lease- Permit expires after sk monfis of last inspectior.
Afrer reading the above statsnent, I hereby cefiiry lhat I am tte owne. oflhe above narn€d property or a licensed elecbical contador. I
am making the eledriaal inslallation or alteration ln compfance with the electrical ,aws, N.E.C-, RCW. Chapter 19.28, WAC. ChaptBr 29S
468, The grty ot PonArgeles Municipal Code, aod Utility specfications 8nd PAMC 1 regardiflg Electical Permit Appli6liofls.
Unit Charqe
5120.00
$145.00
$205.m
U62.oo
$o73,@
$5.00
$63 00
$s.00
s75 00
993 o0
$110.00
$.r49.0o
$168.00
s6.00
s4-00
9120.00
fi02.@
$s6.00
$120.00
940,00
gr4-00
s1r0.00
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Date Print Name |. l laministrato4
lElectrical PermitApplications may be submitled to City Ha[ or electricalpermits@cityofpa us or faxedto 360-417 -4711)
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