HomeMy WebLinkAbout904 Eckard PlELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS9 RESDNTL SINGLE FATIIJY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
G\g
Applicatsion Nufiibe! . .
AppLication pin number
ProperEy Address
ASSESSOR PARCEI NT]MBER:
Application ts)?e descripti.on
subdivision Name
Prope!ty Use
ProperEy zoning
ApplicaEion valuation
18 -00001801 DaEe 1L/29 /)"A
5 81711
904 ECKARD PTJ
06-3 0 - 15- 5-2 - 0130 - 0000-
ELECTRTCAIJ ONLY
Application desc
wal1 sconce and tlood lights
Owner ConEractor
PAM IJAKE
173 9 W 5T1{ ST
PORT ANGELES l.lA 983 63
EXTRA MILE TECH
418 N. RACE ST.
PORT A}IGEIJS
13501 451-5222
& ELECT. , IJ'C
wa 98352
Permi!
Additional desc
Perrni! Eee
Issue Dace
Bxpiralion DaLe
58 .00
tt/29 / 1A
5/28/19
ELECTRICAL ALTER RESIDENTIAL
Pfan check Fee
Vaiuation
00
0
Qty Unit Charge Per
1 . 00 5 .0000 ECH1.00 63.0000 EcH
EL-ECH ADDNT BRANCH CIRCUIT
EL-R- BRANC}{ CIR WO/ SER FEED
ExLension
5.00
63 .00
Cbarged Paid crediEed Due
Pemi.t Fee TotaL
Pran cnecK lotal
68 .00
.00
58 .00
58 .00
.00
68 .00
.00
. o0
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGI{.IN v (
FINAL LlilR 4F *
COMMENTS t'v
Signature ofo$:n€r or Elecirical Contractor X Date:
In)ql,o ful)
1 - 2 SINGLE-FAMILY
MITAPPL
Public Works and Utilities Dcparkaent
321 E. 5ti Street, Port Angeles, 'vVA 98362
360.41 7.47 3 5 | xr,vlv.cit_vofpa.us I electricalpermits@cityofpa.us
flECE,l,ED
0v 2 ? 2016,ffi
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Project Address;1oq {xk"-..,)l.-<.,.
Proiect D6crip6on:Ail u)+ir 9<,. ,-< </ r\r 2 lcc.-*r-,.x * F/...,1.h
dsingb-family Residential E Duplex /ARU Building Square footage:
Name:\<Email:
Mailing Address frr.,Phone:i(0 - 77{'01 6
Ucense:
Elpiraton Date:/2 -z -Zat1
Phone:?Go -.1b1 - |33S
Name:
Mailing
Email:
Ex+a-
Address;
f-s
otL 3 | 2-6
Item
SeliceJFeeder 200 Arnp-
SeMcelFeeder 201 -4{D Anp.
Servicer'Feeder 401400 Arnp
SeMce/Feeder m1-1 000 Anp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feedcr
Braoch Circuit W/O Service Feeder
Ead) Additiooal Eranch CirqIt
Branch CirclJib 1-4
Temp- SenicdFe€der 200 Anp.
Ternp Servr-cer'Feeder 201-400 Amp.
Temp- Service/Feedcr iO1500 Amp.
Temp. SeNice/Fe€der 601-1000 Amp
Portal to Portal Houdy
Signal CirariuLimited Energy - 1&2 OU,
Manufactursd Horne ConrEdio,r
Renewable Elec. Energy: st<VA System or less
Thermoslat (Nob: $5 fer each sdditiorEl)
Fnst 1300 SquaB Feet
Esdl Addi6onal 50O square ft€t"
. Each Outbu0diry / DeEhed Gar{e
Eadr Swimming Fool , Hot Tub
Unit Cbaroe
$120.00
$146.00
p05.00
$262.00
$373.@
$5.00
$63.00
s5.00
s75.00
$93 o0
$110.00
$r4s.00
sl68-00
$96.00
964.00
s120.00
$102.00
s56.00
$120.00
$40.00
E",4.@
$110.00
Ouantlt, trohl (Quanliv r Unit Charge)
$
$
$
$
i!
$
$
s
$
$
$
$
$
$
s
$
$
9
-CT'z'
-
I
TOTAL --84--
OMer as defined by RCW19.28-261: (1) owher wtrl occupy the structure for two years afterthis elecfical permit is finalized" (2) Owner is
required to hire an ebddcal conbactor if above said ptoperty is for sale, rent or lease- Permit epires afur sk months ot last inspactioo-
Afler resding the above stalement, I hereby certiry that I am the owner ofthe above named ploperly or a licensed ebctic€t cootractor I
am making the eleclrical in$anation or alteration in compliance wi0r the elec,trical laws, N-E.C., RC1ir. Chapter '19.28, WAC. Chapter 295-
46B, The City qf Port Argeles Municipal , and Utilrty SpecilicaSons and PAMC 14.05.050 Eledrical Permit Applicarons
.,..^-*i
Oate Print Name Signature (f] Owner Contractor / Administrator)
ll->-?-;S
[Electrical Permit Applications may be submitled to City Hall or electricalperm(s@cityoFa us or faxed to 360-41 7.47'l 1 ]
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