HomeMy WebLinkAbout509 E 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS7 RESD!{I], SINGLE FAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of PorI Angeles
(Location Code 0502)
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Application Nuriber
Applicat.ion pin nunber
Property Address
ASSESSOR PARCEL NUMBER:
Application. tt?e description
Su.bdivision Name .
Property Use
Property Zoning
ApplicaEion valuaCion -
19- 00000426 Date 3/25/19
a2!240
509 E 4TH ST
06- 3 0 - 00 - 5 - 2 - 65?2 - 0000 -
ELECTRICAIJ OI{LY
Application desc
Ci.rcuits
ConC!actor
SMITH STUART T
4524 S REDDICK RD
PORT ANGEI,ES
ANGELES ELECTRIC
PORT ANGELES
l36A) 452-9264
wA 983638490 wA 98362
Permits
Additsional desc
Permit Fee
Issue DaEe .
Expiration Date
ELECTRICAL AITER RESIDENTIAL
1-4 CIRCUITS
?5.00 Plan Check Eee
3 /25/19 valuat ion
9 / 21"/ t9
00
0
oty Unit charge per
BASE FEE
Sxtensiort
75.00
Fee summary Charged Paid Credited Dtre
Permit Eee Total
PIan Check Totsaf
75.00
.00
75 .00
?5 .00
.00
75. 00
.00
.00
.00
.00
.00
.00
INSPECTION T}?E DATE:RESULTS:INSPECTOR:
DITCH
SER\,'ICE
ROUGH-IN ,ah t )n q
FINAL z'tilts JF
COMMENTS:(-v
PERMM WILL EXPTRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Elecirical Conaactor X Date:
\r{F
qffi
03/22/2019 07:55 FAI 360 452 9265
ProjectAddress:
Name:
Mailing Address:
Name
Mailing Address:
Email:
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Service/Feeder 200 Amp.
Service/Feeder 20'1.400 Amp.
Service/Feed€r 40'l-600 Amp.
ServicelFeed€r 601-1 0O0 Amp-
Sarvice/Fgeder gv.er 1000 Amp.
Branch Circ1rit W SerYic€ Feeder
granch Cirririt WO SeMco Feeder
Each Additional Branch Circl,rit
Branch CirculB 14
Temp. SarvicdFseder 200 Amp.
Temp. Servic€/F$der 201 -400 funp.
Angeles Electr ic
1 .2 SINGLE.FAMILY
ELECTRICAL PERMIT APPLICATION
rt*rblic Works and Utilities Departrnent
3ll E. 5th Street, Pon Angeles. WA 98362
3 60.1 17 .47 35 | wwu'.cityofla.us I electricalpermits(@cityofliuus
Duplex / ARU Euilding SquaG footage:
Email:
Phonel
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Expiratfon Dale: t9'O I - ?) ?J
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Ouantltv (Quan{ty r Unlt Chrr!.)
E120.00
$ 146.00
s205.00
s262.00
6373.00
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Temp,
Tsmp.
Portel to Portal Houdy
Signal CirwiuLimitBd E
Manufacturcd Homo
TOTAT
468,cny PortAngcl€t Cod6, and Lrlility Sp.dfcatiom PAMC Eicriric8l P.mlt Ape lcauons.
Print Name nature (D Otmer Contaclor / AdministrBtoo
O,vne. as dofncd by RCW. f 9.2S.26f : (1 ) Oyn€r will sccupy lhe sirustlr bt ttyo tt!t! aftar ihi! clgc-llcrl Frmlt h f naliz.d. (2) Otrn r i.
requk€d !o hl€ an dgctical contraslor It abovc aald prop€rty ls foa !ala, rBflt or lse-6c. PstBrit €xplrBt afbr dx monlha gf laat lnapecton.
Attgr rBadlng ths abova statsment, I hsrsby csrttly thrt I sm lha olYntr of tho r.bovo namsd plopany or a lbenaad olcctlcal oonkacior. I
am making the decficsl inst8llation or altoration ln compllsnco wllh lh. olecilcll lstv3, N.E.C., RC'Vft Chapbr 19,2E, WAC. ChrP{€r29&
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ELECTRICAL CONTRACTOR I NFORI\,ATION
PROJECT DETAILS
Amp.
lEteclrical Permit Apptications may be submifted to Clty Hall or olecttlcalpgrmits@cityo$s.us or faxod to 360.417'47111
OWNER INFORIVIATION
Single-Family Rssidential
$75.00
s93.00
sfio.oo
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