HomeMy WebLinkAbout620 W 9th StAppficaEion desc
l,leter socket replacement
Application Number
ApplicaEion pin nuiber
Property Addresg
ASSESSOR PARCEI, NUMBER:
ApplicaEion- ty?e description
Subdivision Name
Propert.y use
Property zooing
AppficaEion valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604t74735
RS? RESD\ITL SINGI]E FAMILY
0
18 - 00001786 DaEe tl/21/ta
213268
620 W 9TH ST
05 -3 0 - 00- 0-2 - 9718 - 0000 -
ELECIRICAL ONIJY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ConEractor
FISCH JANET IT
620 W 9TIt ST
PORT ANGEI.XS wA 983 52 73 03
ANGELES ELECTRIC
524 E. 1ST ST
PORT ANGELES
l36A) 452-9254
wA 983 62
Permit
AddiLional desc
Permit Fee
lssue Dale
Expiration Date
120,00
!!/2r / rg
5/20/te
EI]ECTRICA-IJ ALTER RISIDEIYI]AI
Plan Check Fee
Valuat i.on
00
0
Qty U it Charge Per
1.00 120.0000 EcH EL-0-200 SRV FBEDER 120.00
Fee summary
Permi! Fee Tolal
Plan Check Tot.al
Graod TotaI
L20
120
00
00
00
120.00
.00
120.00
00
00
00
.00
.00
.00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE tt lza lLh -F w
ROUGH.IN
FINAI Ltlb[18 #gfi-)
COMMENTS:_t,
Signature ofowner or Electrical Contractor X
:Y:::: ::ii.-_ :::ii::l *:
Date;_
tt/20/20L8 14:24 FAX 360 452 9265 Anaeles Electric
1 .2 SINGLE.FAMILY
ELECTRICAL PE MIT APPLICATION
Public Works and Utilities Department
321 E. 5tb Street, Port Angeles. WA 98362
360.417.1735 | www.cityofp.us I electricalpemrits@cityo$a.us
Project Address:&'p t TL
/ ARU Buildlng Square foobge:
Name:Email:
Mailing Address: Phone:
@ ooo l/oo o 1
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OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORNiATION
PROJECT DETAILS
Name:ANGELES ELECTRIC, INC.
Mailing Address:
Email:
lleIl
Service/Feeder 200Amp.
Service/Feeder 20'l-400 Amp.
Ssrvice/Faeder 401-600 Amp.
Service/Feeder 60'l-1 000 Amp.
Service/Fe€dor over '100O AmP.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional. Eranch Cirqrit
Branch CircuiE 1-4
Temp. Se.vlca/Feeder 20O Amp.
Temp. SeMc€y'Feeder 201-400 AnP.
524 E.STREET, PORT ANGELES WA 98362
Lic€n69:ANGELE146ORS
Expiration Dale:al18no19
Phono 36A-452-9264
ntlty x Chargc)
$ _-._.--_
$ _______-_-
$.,
$
$120:00.r
s146.00
t262.00
$73.9q,
$5r!!' ',,'
S63:00
t5.00
375,00
s93i0o.
01'r 0:00
!',, t
'.=--
$I
$
$
s
$
$
Temp. Service/F
Temp, Servicer/F
Portal to Portal Hourly
Signal Circuivlimited E
Manufactured Home Con
Renewable Elec Energy:
TOTAL
Atter reading the above atatomed, I hercby cadify that I am lhs ownet of tha aDwe namod propa,ty or a llcais€d ohclricC contracbr. I
em making thB €lecfical installation or sltsrailon i0 complianca wlth tho 6lactical laws,H.aC., nOtV. Ctrapte? 1918, WAC. Chapi.r2gc'
458, Tt!e Port Angel6 Munlclpal Code, and Utlllty PAMC ,I4 050 Elcctlcal Ponnlt Appllcatons'
Date Print Name Signature (E own€r Contraclor / Admlnietrsbr)
owner as defined by RCw.19.28.261: (1) ch,yner wit ocaDy the struclur€ fo. two !,€ar3 aft€r thls ol€ddcal pg.mil is ffnalLed, (2) C"msr ie
raquired to hiro an elecUcal contraaoi if above sakt propeity b br ssla, rsr or leasa. Pormit oxpi€t aisr llx ,nonlhr of lalt im9€ction'
Amp.
[Etectricef permit Applications may be submitted to City Hall or ireclrlcelpermlts@cityoFa.us orfuxed to 360.417 '47111
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