HomeMy WebLinkAbout1028 Flores StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
Application Number
Application pin nunicer.
Property Address
ASSESSOR PARCEL NI]MBER :
ApplicaE ion type descripclon
subdivision Name
Ploperty Use
Property Zoning
Application vafuaEion
18 - 00001911 DaXe t2/L9/1A
4353s0
1028 FLORES ST
06- 30 - 00 - 1-0 - 5805- 0000-
ETECTRICAL ONLY
UNKNOWN
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Application desc
Service repairs
MC KEE .fOHN
PO BOX 4028
PORT ANGELES wA 983630997
ANGELES ELECTRIC
524 E, 1ST ST.
PORT ANGEI,ES
\36A) 452-9264
wA 98352
Permit
Additional desc
Permit Fee
fssue Dale
Expiration DaEe
145.00
t2/L9/tB
6 /t'7 /19
ELECTRICAI ALTER RESIDENTIAL
Plan Check Fee
Valuation
00
0
Oty Unit Charge Per
1.00 146 . 0000 ECH EL-201-400 SRV FEEDER
ExEension
145.00
Fee summary Charged Paid CrediLed Due
PermiE Fee Total
PIan Check Total
Grand ToEal
00
00
00
145.00
.00
145.00
.00
.00
.00
t46
145
00
00
00
INSPECNONTYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE &ln ltA dR -sF
ROUGH.IN
FINAL o,fn/te,..,af
COMMENTS:
PERMTT WILL EXPIRE SrX (6) MONTHS PROM [-AST TNSPECTTON
Signature ofowner or Electrical Contractor X Date
.{ngeles Elect ric
ProjectAddress:
Project Oesoription:
E Single-Family Residential Duplex / ARU Bui Square fuotage:
1 .2 SINGLE.FAMILY REGEIUED
ELECTRICAL PERMIT.APPLICATION
t\rblic Works and Utilities Department
3l I E. sth Streel, Pon Angeles, WA 98162
36A.11 1.4735 | www.cityofira.us I electricalpemrits@)cityotraus
@ooo2/ooo2
!I3llli
l"tt:
ls
Name:
Mailing Address:
Name:
Email:
Phone:
Lic6ns6:
Mailing Address:
Email:
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 -600 ArnP.
Service/Feeder 601-1000 AmP.
Service/Feeder ov€r 1000 Amp.
Branch Cirqrit W Service Feedor
Branch Circuit WO Service F€edor
Eacfi Additional Branch Cirq/il
Branch Circ{rits 1-4
Temp, Servico/Fo8der 2OO AmP.
Temp. SErvice/Feeder 2O1 4OO AmP.
mtltY x Unh Chr19.)
Temp. SeMce/F
Temp. SeMdF
Portal to Portal Hourty
Signal Circ!it/Limiled
Manufactursd Homr
TOTAI
After roading the above sEtemBnt, I hereby cerlify lhat I am ths ownff of th. abd. namod prop€rv or I liasns€d slecalcal conaacior. I
am making the elecl.ical installation or altsration in mmplianco wi[r thc.l€ctlcal l.ws, N.E.c., RCw.chapt r 1 9.28, WAC. ChapEr 29&
468, The of Angel$ Mln Code,aod Utility and PAMC I Apdlcauom
Data Print Name Signalure (E Owner / Adm lnistrdlor)
Otlrlllr#
Exgiration Oate: f$ 'O I' 22 2-O
en"n",3,tro. +b42Jt4
--77-
Unh qh.rd.
s120.00
3148.00
$20s.00
$262.00
s373.00
05.00
s63.00
s5.00
$7s.00
t1:oq
$110:00
$
$
l
I
a
$
s
$
$
s
$
Own€r 8s do.fined by RCW.'19.28.281: (1) O,vnsr ryill ocdJpy th. stucfirrg foa tro y.srs sfrer thit d.€trlcrl p.,mlt ls finalz€d. (2) O'Ynor b
|'"quir"O to nf"
"n "reariqal
contoctor'tiaUova said propeny b ,or !alc, rsnt or leasr. P€Irnat arpltaa rttsr dx moiths sf laat lnrpccdon'
fz/7
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORI,llATION
I
PROJECT DETAILS
[Etsctrical permlt Applications may be submitted to City Hall or ol€cticalpormlts@cityoha.us or Exed to 380.417,47111
12/18/2078 09:18 FA-I 360 452 9265