HomeMy WebLinkAbout209 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTIJ SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaEion Nuniber
ApplicaEion pin numb€r
ProperEy Address
ASSESSOR PARCEL NWBER:
ApplicatioI! t),pe description
Subdi.vision Name
Property Use
Property Zoning
Applicat j.on valuaEion
18 - 00001750 Date 11/15118
624000
209 W 11TH ST
06 - 30 - 00 - 0 -3 -2575- 0000-
ELECIS,ICA], ONI,Y
Applicat.ion desc
Hood shunE trip
Ol,ner Contsraator
OLYMPTC ELECTRIC CO
423 O TT'MWATER
PORT ANGELES
(350 ) 457-s303
fNc
wA 983 53
Permi !
Addi.tional desc
Issue Date
Expiration Date
79.00
a7/15/1-8
5 / 1-4 /19
ELECTRICAI, ATTER COWERCIAL
PIan Check Fee
valua!ion
.00
0
Qty Unit Charge per
1.00 74 .0000 EcH
1_ 00 5 .0000 EcH
EL-COMM BRANCH CIR WOl S/E
EL.ECH ADDNI BRANCH CIRCUIT
Extension
't4.00
s.00
Charged Pa id Credited Due
Permi.t Fee Total
Plan Check Total
Grand Total
'79 . OA
. o0
'79 .04
79.00
.00
79.00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
N)KC.
,11-l @u.
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN ttl*ln w s)
FINAI ah lB tr -ADCOMMENTS:
Signature ofowner or Electrical Contractor X
CATHOLIC DIOCESE OF SEATILE
9IO MARION ST
SEAI'TLE WA 98t04t274
Date:_
Nov 13 2O18 04:'1'1PM HP Fax page 1
M C
Public \lbrks and Utiliriss Department
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,Wr321 E. 5rh Slreet. port Angeies, WA 9g362
36A 4 n.4f 35 I www,cityofpa.us t "i."r,;""f p".rn it.g1l,yntpr. us,
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Proircl Addrcss a fi
Proiecr Oescdption
E Muhi-FEmity Residcntist Commercial/ lndustrial / public B uilding Square foohe:
Neme:
Maiing Addre$:77+
Email
Narne:
Pll6ne:. 35o -qsz- ?,1c.'/
Phone 36rL{57-(to!
Mailirts Addres : 423D IER TRU CK RTE,. PORT ES.3Emeil:
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Servi:e/Feeder 2OO tunp.
Servhe/FEsder 20 1 {OO Arnp.
Service/F.ed.. 40 1 60 O Amo
Ssrvice/F€€d€r 60.t .1 0OO Arr p
ServbeJFeeder olr€r lO(E Amp.
Erandr Ci(IJit W Service Fr€der
arandl Cirqr \ /rO Se.vic6 Feldor
Eacfi Additional Eranch CirEuit
Brancfi ctrc{rtE 1-4
Tcflp. Sswioc{Falder 2@ A.np.
T€rp. Se ioc/F€rbr 201-400 Arnp.Tlnp. S€rviosr'FEder ito.600 ArF.
Temp. SewicrrrFeeoer @1_t@ Amp.
Portal to Po{tel Hourty
Slgnal CirqiiuljmiEd ErEOy - Mu.ltifamty
Sigrsr C rcsolimited ErErgy/Filt 15OO 8r - CofirElfj.t_ (No€. $S.oC tui ascfi ad.ritionat 1SOO !0--Reneyabte Et€q En$gy: SKVA Sydom or hE6
ThermosEr (Noe: SS fur eaci addfion.$
x Unit
tr32.00
$160.m
$22s.00
$288.00
$410.m
$5.m
$74.m
$s.m
i86.00
sl02.00
$121.00
$r64.00
0r85.00
t96.00
988.00 .
s06.o0
$rr3.00
$56.00
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,aiiv,o,*Owoer as defirBd by RC\ 119.28.261 1) OwnBr will oaqJpy the Studurr for t{o ycars after thi8 el Bclrical pefrnit B finllized (2) Offie{ brEquirBd to hirE an electrical contractor if abow 6al, propedy iB fot sale, r.flt or lesse. pgmtt exrirEg afrer six months of lasl lnEpection.After reding ths sbovs statemcnt,I heEby certify thst I am the olyr€r of $e above nErEd prDpBrty ora lioenEld ciodrical canlrEdD. Iam making the etsclricat hsbtlatim oraltrfafion in compliance !rdb\ {he e lBct icat lawB, N.E.C.. RC1/V. Chapbr 19.28. hrqc Chapte.296-458, The Cit), of pofi Angsbs Mu nicipll Code, and Utility Soecificatbns
/?aod PAMC 14.05 .050 Ggarding lecf ic.l Pomit Applicitbnr.
Pdnt Name (E Owncr f] Elcctical Cffitracbr / Ad m inistrator)
lElec{rical Petmit Applicetions may be submitted to cny Halr or er8drrcerperhits@catyotsa.us or faxsd to 360.417.4zlll
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