HomeMy WebLinkAbout1030 Homestead AveApplication Nunber
Application pin number
Property Address
ASSESSOR PARCEL If{,]MBER:
Application .E,'pe description
Subdivision Name
Property Use .
Property Zoning
Application valualion
18-0000193s DaLe l2/2't/La
895880
103 O HOMESTEAD A!-E
05 3 0 - 14 - 3 - 2 - 0010 - 00 00 -
EI,ECTRICA! ONI,Y
UNKNOh]N
ELECTRICAL PERMIT
CMY OF PORT ANGELES
360-4t7-4735
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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SIEI'IENS JOHN ],
103 O I'OMESTEA.D ST
PORT ANGELES
ANGETES ELECTRIC
524 E. 1ST ST.
PORT A]NGELES
l360) 452-9254
l,lA 983522731 wA 983 62
Permit
Additiooai desc
Permit Fee
fssue Date
Expiralion DaEe
146.00
72/27 / 1A
6/25/Le
v.Lan cneck !'ee
Valualion
00
0
oty Unit Charge
1 . 00 146 .0000 ECH EL 201-4OO SRV EEEDER
Extsension
145.00
Charged Paid Credited Due
Perm.rc !'ee 10ta1
Plan Check Tolal
Grand Total
146
146
00
00
00
00
00
00
.00
.00
.00
.00
.00
.00
146
146
PERMIT WILL EXPIRE StX (6) MONTHS FROM T.A.ST INSPECTTON
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH I R *
SERYICE I nl)1 w -sD
ROUGH.IN
FINAL ,)R "mfr
COMMENTS:
Signa ture ofowner or Electrical Conhactor X Date
\
ELECTRICAL ALTER RESTDENT]AL
rt /tl
An8eles Elect r lc
2 SING -FAMILY
@ 0001/0001
REGEIUEts
1 ULI G
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ELECTRICAL PERM IT APPLICATION
h&lic Works and Utilities Deparfment
3f I E. sth Street, Port Angeles. WA 98362
360.11 7 .47 35 | www'.cityo$a.u.s I electricalpermits@)cityofpa.us
esid6ntial E Duplex /ARU Building Square tootrgc::q@
tlkilRILAt
rNsfr$flNs
Project Address:tuz
Proiy'cl Description:
/Sinsle-Famity R
ELECTRICAL CONTRACTOR INFORil/ATION
Name:lLf-Email:
Mailing Address: Phone::ic -v(a.43?7.
Name:
Mailing Address:
Ernail:
Item
Se.vice/Feeder 200 Amp,
Service/Feeder 201-400 Amp.
Sorvice/Fe€der 401-600 Amp.
Service/Feeder 601.10o0 &np.
Servicey'F8eder over 1O0O Amp.
Branci Cirqlit w/ Seavice Fseder
Branch Circuit WO Servic€ Feeder
Each Additional Branch CirsJit
8raocfi Ciro.rits 14
Tsmp. Servlc6/F€oder 200 Amp.
Temp. ServicalFeed€r 2Ol -4OO Amp.
Licensa; AN(zE lEJ4fiD2S--
Expiraion Oala: JfuQ-l:L2?zDpnone:3b0' 4b*]t4
thllcIJircr
s.120.00
.s 146.00
020s.00
$262.00
,s373.00
$5.00
363.00
.55.00
OnrntltY lntlt, x U Ch.rgo)
t
3
$
,tt
i
$
it
s
'$
-:%a
Temp. Service/F
Temp. SerYice/Fe€d
Portsl to Portal Hourly
Signal Circuivlimited E
Manufactursd Home
fOtAL
Own6r as defned by RCW19.26.261: (1) olrnor ryill occ/py tha $ruotrr3 iortwo ttll! slbr thb €loctrhal p.mlt L fnallu.d. (2) Ownor b
reqqirad to hire an d€ctrical contracior it abow sald propcrty ls fD. aala, rsnt or La.., Psmit erQlt a a{lgf rix mmlha of hat inapaLton.
Aft6r ,ssding tie ebova gbtamsnt, I horeby cortfy Olat I im tha owoar of lha ibovc mmad pEparty or a llaanled dsLtlcrl sonfaotcr. I
am making the elec.lrical installauon or alteralion in compllancq wllh lha cloclrical hwt, N.E.C.. RCW. Chspter 1 928, WAC. Chapt f 29&
468, Tho of Angelsa Mu and Spedfcation and FAMC P€mlt ApClcatlons.r
Date Print Name Signeture (fl Own6r / Ad ministrator)
PROJECT DETAILS
lEtect ical Permit Appli6tions may b6 submittsd to City Hall or electioalp€rmits@cityoFa.B or fsxed to 360,417,47111
1,2/25,/2018 15;23 FA-I 360 452 9265
it
ea
*
S75:00
893.00
61.t 0,,00
OWNER INFORMATION
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