HomeMy WebLinkAbout615 Milwaukee DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4r7-4735
R.s9 RESDNTL SINGIE FA]"IILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
*S
e)NJ
Application Nuiber
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
ApplicaEion type description
Subdiwision Name
Propertsy Use
Property zoning
Application valuation
19- oooooo27 Date L/ 08/19
0 04 831
515 MfLWAUI(EE DR
05-30- 00-4-8- 002 0 - 0000-
ELECTRICA], ONI,Y
Application desc
Temp povrer
Contractor
WAL'TER AND MARGARET BARSZCZ
2 062 l.tot l4BY COURT
cAsTrrE ROCK CO 80104
KIRSCH EI,ECTRIC INC
P. O. BOX 33 96
SEQUIM
(350) 5 83 - 6819
wA 983 82
Permit
Addi t ional
Issue Date
Expiration
a"."
O.t"
93 .00
r/ oB /te
'7 / o7 /t9
ELECTRICAL TEMPORqRY SERVTCE
.00
0
QLy Unit Charge Per
1.OO 93.OOOO ECH EL-TEMP SRV O 2OO SRV FDR
Extension
93.00
Fee summary Charged Paid Credited Due
PermlE lee 'total
Plan Check Tot.al
Grand Tota1
.00
.00
.00
00
00
00
PERMM WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SER\'ICE t lrcln &XJ
ROUGH-IN
FINAL t )n ltq @ d
Signature of owner or Electrical Contractor X Date:
Plan check Eee
vafuatsion
93 .00
.00
93 .00
9l .00
.00
93 .00
INSPECTOR:
COMMENTS:
CA ATI
':
I
\-*{)
to
N)
360.417.,1735 I r,vlv tr,.ityo fp 0. u s
Proiect Address:r-n( \u\le^{-
Puhlic Works anC l.trilities l)epanmeni
l2 I I':, :rh Slreer. Pon Angcle.i \f .4. (,8J61
elclt;italpcrm its;?r1cit1,o l):ir
Emait
Phone
Lrcense
?0i
1
jectPro Descriptiohi
ngle-Family Reeidential E Duplex / ARU Bu dlng Square footage
Maiiing Address
Name:
lda ilin
Email:
\
Date
ougoutv lCtal r (Jn,t chatgel
$_
$_s---
$ .__5--r--
$_
$ '-**$_---
0_s_
s
$--
$-_...=.-
$ _--.s_
$--
$ ,-.
Expi
llsm
Service/Feoder 200 Amp.
Se.vice/F€odar 20'l-400 Amp.
Servica/Faeder 40 1 $00 Amp.
S€rvice/Fesder 601"1 000 Arnp.
SarvicE/Feeder ov6r 1000 Amp,
Brsnch Circuit w/ Sorvlce Feeder
Brancir Cirouit WO Seflicr Feeder
Eath Additional Eranoh Circuit
Eranch CiraJiE l-4
Temp Seryia€/Feeder 200 Arp
Temp $erviceitFeeder 201400 Amp.
T6rhp Se,lice/Feedrr 401$00 rrnp.
Temp. Service/Feeder 601^ 1 000 Arip.
Porlal lo Portal Hourly
SiqnBl ChcuivlimitBd Enqrgy - 1&2 DU-
Maoufactured Hollre Coooeclion
Rene.#abio Elec. En6rgy: sKVA Sy8tem qr less
Thermostsl (Note: $5 lor eacfi sddfion 6t
$l20.oD
$146.@
s205.00
$262 00
5373 00
95.00
$63.00
$5 00
s7s.oo
$93 00
$110,00
s14g.oo
9168.00
$98.00
$54.00
$i 20 00
$102.C0
$56,00 $_
.;..$... .: -: ;
-s "i','..,t.,.,,ir.9r' ii;; .9---ij.jl- ' ,,
TOTAL I
Owner as defined by RCW19,28.261: {11 owner will occupy the struclure for two years aher this etectricat permit is fina.lized. (A) Ownsr ,s
Equired io hir€ an elecfical ccDtrector il ebove aaid proporty is tor gale, rent or taasB. permit exptres atBr six months o, lagt in6pedio rr-
,qflEr ieading the above siatement. I hereby cerlry thsl I am the own€r of lhe above nEmed property or a licensed electricat contractor I
am mat(ing the electrical instanation or altaralion in compliance vrith the eleclrical laws, N.E.c., Rc\^i chapter '19.28 wAc. cheDier 298-
I
4eB The City oi PortAngeles Municipai Code. and Utility Specifi and PAMC 1 0 r$erding Electricai Permll Applicaliohs
Oale Print Name Signature iI Owner EI I Contractor / Adminisirator)
IElectrical Permil Applications may be submified to city Hall or etectricaipenxits@cityofpa,us or faxed to 360.41i.47i 1]
I - aS"INGLE-FAMJLY
rl
Name: