HomeMy WebLinkAbout2433 W 14th StELECTRICAL PERMIT
CMY OF PORT ANGELES
360-417-4735
RS9 RESDNTI, SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-a
oo.s
Appli,cation Nunrber
Application pin number
Property Address
ASSESSOR PARCEI, NUMBER :
ApplicaEion t),pe description
subdivision Name
Propertsy Use
Property Zoning
Applicatsion valuation
19- 00000188 Date t/31/1-9
633824
2433 W 14TH ST
05 - 3 0 -01- s - 9-0060 - 0000 -
ELECTRICAI ONIY
Application desc
Replace electrical pallel
Contractor
PNGELES ELECTRIC
524 E. 1ST ST.
PORT ANGEIES
{36A) 452-9264
wA 98363 wa 98352
Pernit
AddiEio al desc
PermiE Fee
Issue Dat.e
Expiration Datse
120. 00
L/3!/t9
'7/30/a9
EIECTRICAL AITER RESTDENTIAL
Plan Check Fee
ValuaEion
00
0
Qtsy Unit Charge Per
1.00 120 .0000 ECll EL-o-200 sRV FEEDER
Extension
120 .00
charged Paid Credited Due
Permit Fee Total
Plan Check Tot.a1
Grand Total
t2a
t2a
00
00
00
120
l2a
00
00
00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DlTCH
SERVICE {?n )m +?-IgP
ROUGH-IN
FINAL q lttln $tr -ffi
PERMTT WILL EXPTRE SIX (6) MONTHS FROM I"A.ST INSPECTION
Signature of orxner or Electrical Contractor X Date:
JA]VIES A BREITBACH
2433 !.7 14TH ST
PORT ANGELES
COMMENTS:
EL1,2 sr
Name:
Mailing Address:
Name:
Mailing Address:
Email:
36A.417 .4735 | www.cityofpa.us I
ProjectAddress:
Proiect Dessription:
ffite-ramityResidental EI Ouplex / ARU Building Squaro footage:
1 . 2 SINGLE.FAMILY
ELECTRI CAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. sth Street Port Angeles, WA 98362
dra.us
Email:
Phone:
RECEIVED
JAN lonn
Licensa: ANGi l-F L6lal\ PS
Expiration D ale:. -&:.0J:-@phonet 3uo' +bHZt+
An€ieles Electric @ 0001/00 01
t
e
r&s
..t-s\
CN
cp
Item
Service/Feede. 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp.
ServiceiFeeder 60 1-1 000 Amp.
Service/F€eder gver 1000 Amp.
Branch circuil w/ SerYics Feeder
Branch Circuit WO SeMce Feedor
Each Additional Branch Circuit
Branch CircuiB 1-4
Temp. SeMcs/Fs6dor 200 Am?.
TBmp. Servics/Feeder 201-400 Amp.
Os.ntltY
Tsmp. Service/Fe
Temp. SeMce/Fe
Portal to Port8l Houdy
Signal CkcuivLlmibd
Manufactur€d Home
TOTAI
orrner as deflnad by RCW19.2S.26i: (1) Own€r vrill ooaJpy ths r[uciurc lor trF y6ars after thls olocfical p.rmit i. fna]Z.d. (2) Olvner b
rsquirsd to hire 8n slgctr'rcal cofltractor if abovg said Flpotty ls for !al€, ,Bht ot leale. PgIII t e,(plr6E afier six mocths ot hrt lnl,ediofl
After rgading lno aboyE Bbtemsnt, I hereby c€dlry $at I am tha orynat of O!6 abffa naanad prop€iy or E liasnrcd alect lcal 6ffactor. I
em making the eledrieal instatlstion or altorstion in complience wtth th3 electlcll latYs, N.E.C., RCW. Chaptaf 1 9.2E, WAC. ChaPtBr 29&
468,The City of Po.t Angaies Munlclp al Code , snd Utility Sp and 14.05.050 ng Eectdcal P.drttApdlcrtlofl 8..
Ptlnt Name Sign atura (Owner / Adminlstrator)
lallhffcr
$120,00
$146.00
$205.00
$262,00
$373.00
$5.00
$63.00
t5.00
875i00
$i"i!oo
$li'b:oo
------=_
OWNER INFORfi/ATION
,
ELECTRICAL CONTRACTOR INFORIVIATION
[Elec'trical Permit Applioations may be submitted to City Hall or BlecticalpomitB@dtyoh€,u8 or bGd to 3€0.417.47'lll
0l/30,/2019 11:34 FAI 360 452 9265
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PROJEC? DETAILS
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