HomeMy WebLinkAbout1624 W 8th StApplication Nunrber
ApplicaEion pi.n number
Property Address
ASSESSOR PARCEL NUMBER:
Applicati.oo type descriptsion
Subdivision Name .
Property use
Property Zoning
Application valuaEion
1g - 00001899 Date 12/L9/lA
a26274
1524 !l aTH ST
05 - 30- 00- 0-2 - 523 s- 0000-
ELBCTRICAIJ ONIJY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTL SINGLE EAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
SERVICE
KIM AND ..'ASON RIBE
1624 W 8m ST
PORT ANCELES
ANGELES EIJECTRIC
524 E. 1ST ST.
PORT ANGELES
1350) 452-9254
wA 983 52
Permi !
Additional desc
Peml! Fee
fssue Dale
ExpiraEion DaEe
ELECTRICAI, AI,TER RESIDENTIAL
200 Al,lP SVC
120.00 Plan Check Fee
12/79/ LA valuat ion
6/L't/t9
00
0
Qty Unit charge
1.00 120. 00 00
Per
ECH E!- 0.2 OO SRV FEEDER
Extenslon
120. 00
Fee summary Charged Paid Credited Due
Permit Eee Total
Plan Check Total
120
L2A
00
o0
o0
120
).20
00
00
00
.00
.00
.00
.00
.00
. oo
PERMII WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE e-ln /n F TbP
ROUGH.IN
FINAL olnlB $>-W
COMMENTS:
Signature of ownor or Electrical Contractor X Date
wA 983635208
12/76/2018 12:23 FAX 360 452 9265 AnBeIes Electric
2 SING E.FAMILY
IT PL
AEOHffi$0001,/0002
OEC 1:,r0ffi N
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Proiecl Address:
Public Works and Utilities Dbpartnent
321 E.5th Streeq Port Angeles, WA 98362
360.4 17.4735 I www.cityolpa.us i elecuicalpermits@cityofpa.us
lUZ,t W, t/- Srpa*
ELl-2 sF
al A6r.'/ARU Building Square tuotage:
Name:Emall:
Mailing Address:Phone:
Name:Licensc:
Mailing Address:Expiration Oete:
Emai[ Phonq
---ItsE
Servi-/F€sder 200 Amp.
Scrvica/Fecdcr 201-4$ A,np.
Servir=/Fee&r tlO l-600 Anp.
Ssrvbs/Fe.dsr 601-1000 Amp.
SerYi:e/Feeder ovgr 10m Amp.
Branch Clrcuit W SorYica Fesder
Branch Ckluit hflO Slrvias Fc€de.
Elch Additional Brandr Cirorit
Brandr CirEUitr 1-4
Ternp. S€wice/F6e&f 200 AInp.
Tcmp. Scrvice/Feedrr 20110{) Nfip,
Temp. SeNirFeedr. 40t6m Amp.
Temp. SeNice/Feeder@1.1@0 ArD.
Porial b Portel Hoqly
Signal CirariulimiEd En€ey - 'l&2 OU.
ManufactJred Hom€ Connealion
Renewable Elec, Energy: 5K/A Syrtem or lacs
Thermostat $5 ior eactr
I6-e!.!ei
$r20.m
$148.m
8205.m
s282.m
t373.00
$.m
$63.00
35.00
s75.00
$03.00
$110.00
3149.@
tl68,00
$s6.00
s,4.00
sr20.m
$r02.@
356.00
-
^:ws-t-
$-
$-t-t-3-3_t-
3-t-s-t-3-s-8-
Owhe. as defned by Rqrr.19.28-26ii (1) O{uner wiI occ{py lhc luuoturr for &p ye-a altlrlhis el.octic.l porntt k fmaftzad. (2) O,rn rb
roquarEd to hira an elsc-tical contrsdor if sbova said prop€rty is for sal6, rcot or La!s, Perfiit cxpilEs afror sk months of lrrt insPaclion.
After reading lie abova ltatemsr( I hergby c€rlit that I sm tle olwrer oftha abovs namad prcperly or a licrns€d aledtiBl contractor, I
am nEklng tie elestrical in6tEllaton o. slter8ton in aompliance wifi hc clscrla.l l&la, N.E-C., RO/v. Ch.ptsr 19.2E WAC. Ch{trr 29&
TOTAL
488, The Gg Porl Anseles Munichal 8nd utility Specifications snd PAMC 14.05 regarding Appladions.
oate Prlnt Name Signature (0 E.ctrical c / Administrabr)
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
[Electrical Permit Applications may be .ubmit d to City Hall or electricalpermit @civofpa.ur o. faxrd to *0.417.47111
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