HomeMy WebLinkAbout813 E 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS7 RESDNTI, SINGI,E FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-71-7"--
oo\5$\
Nr
ApplicaEion Nunber
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NU}'BER:
Applicatsion type descriptioo
subdivision Name .
Ploperty Use
Property Zoning
Application valuation
18 - 00001952 Date l/O'7/).9
068160
813 E 6TH ST
05 -3 0 - 00- 0- 1- 9{65 - 0000 -
ELECTRICAL ONLY
Applicatioo desc
SERVICE CHANGE
OI'ner ConEractor
WALZ, RANDALI, A & SHANNON M
8I3 E 6TH ST
PORT ANGEIES WA 983 52
ELECTRIC SERVICE
503 RHODES RD
PORT ANGELES
l36A) 4s2-6424
wA 9al52
Permits
Additional desc
Permit Fee
I6Eue Dace
Expiration Datse
120.00
t/o7/t9
7/06/t9
EI,ECTRICAL AI,TER RESIDENTIAI,
Plart check Fee
Valuation
00
0
Qty Units Charge Per
1.00 120.0000 EcH EIr-0-200 sRv TEEDER
Ex!ension
120. 00
Fee summary Charged Paid Credited Due
P.Lan cnecK'totaL
Grand Total
120. 00
.00
120.00
120. 00
.00
120 .00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE tlqln x =sp
ROUGH-IN
FINAL tbln &",?f
COMMENTS:t 7l
Signature ofowner or Electrical Contractor X Date;
FRDI,,]FAX NO.
NGLE-
L PERMIT P
Fublic Works and Utilities Department
Projecl Address 8 a.'
PFoject Description:
F Single-Family Re3identr-al E Dupler /ARU Bultding Square botage:
Name:Email:
Mailing Addresg:
321 E. 5rh Street Poft Angeies, WA 9g362
3 60.4 1 7 .47 3 5 I www.ciryofr a us I electricalpermits@city oft a.us
Dec. 28 zqle 2i 79Pn P2
EIUED
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Epirafbn Date:
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ltem
Servic€'/F€€der 20O Amp,
S€rvicEr'Feeder 20r-400 Anip.
Servic€r'Feed€r 401600 Amp.
ServicdFeeder 601 -1 000 Arnp-
SsrvicE/F€€der oY6r 1000 Atnp.
Blandr Cirorit W/ SeMce Feeder
Brandr Circuit w/O Se,vice Feeder
Each Addilional Branclr Ciranit
Branct CirEuits 1{
Temp. SeMce/Feeder 20O Arnp.
Temp- Servi:a,/Fecder2Ol-,{0O Amp.
Temp. ServrcdFeeder 401€00 Amp-
T€mp. S€wica/Fesder 601-1000 Amp.
Portal to Portal Hourly
Signal Crroriulimited Energy - 1&2 DLl-
ManufachJcd HornB Conosctiofi
RenewEble EIeo- Energy: sl(VAsystern or less
Thermost6t (Note: tE for eacfi addidonal)
2$
Date
Phone:-qyg.
trqU (qrantity x Unlt rge)
laa.oo
Name:
Mailing Address o
Unit Che$€
$120.00
$146.00
$205.00
s26200
$373.00
$5.00
s&.00
$5.00
s75.00
s93"00
$110.00
$149.00
$168.00
$s6.00
sar.00
$120.00
$102.00
$56-00
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$
$
$
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$
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$
$
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$
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TOTAL t
Orner aE d€llfied by RCW l92826f : (1) Omerwill ocdrpy the s{ru€tsre fortwo yearE sfrer thk ehctical permh ie finalized. (2) Owner ie
r€guirad b hirB an elefiical contraatdr if above said propGrty iE for sai€, Il]( or l6asa. P€nnit er,pit€s afur six monthe of taEt insp€dion.
Aner €ading ltE abgve Ebtsrn€nt I herEby csrt'/fo flrat I am $e o ,fier c,f the aboye named popeny or a licensed eleatncel conkactor. I
am maklng the €ledrjcal inshlhtirn or alteration in compliarce with fie eleclrical la{8, N-E.C., RCW Chapier 19.28, WAC. ChapGr 236-
45B. The City of Pod Arudes Municjpa.l Code, and Utility PAMC
uD)
l/+.gi,O5o ]egarding Ebcrical PermnApplieations.(rt^J
Print Name Signature (E Orner [f Electrical Cont-ectror / Administ?tor)
ELECTRICAL CONTRACTOR lNFORMATION
TGE
[Electrical PennitApdicatiorE may be Eubmitted to City Hall or epermiE@eityoQa.us or faxed to 3eO.+17.47'l1l
I
OWNER INFORMATION
PROJECT DETAILS
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