HomeMy WebLinkAbout2412 W 12th StRS9 RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
$I6$
Application Nulrllrer
Application pin number
Property Address
ASSESSOR PARCEL NUIIBER:
Applicatsion El,?e description
Subdivisio Name
Property use
Property Zoning
Application valuation
18 - OOO018 86 DaEe l2/\A/rA
517270
2412 W t2Tfl S'r
06 - 3 0 - 01- 5 - 9 - 03 00- 0000-
EI,ECTRICAI, ON],Y
AppficaEion desc
Porch and garage outfets
Contsractor
CHEYENNE E TULI,ER
24L2 W !2TH ST
PORT ANGELES
EXTRA MILE TSCH
418 N, RACE ST,
PORT ANGELES
\360) 451-5222
& ELECT. , LLC
wa 98352
Pernit
Additsional desc
Permit Eee
Issue Date
Expiration Dat.e
58.00
a2/ta/ra
6/16/19
Plan Check Eee
valuatsion
ELECTRICAL ALTER RESIDENTIAL
00
0
QEy Unit Charge Per
1.OO 5-OOOO ECH EI.-ECH ADDNT BBANCH CIRCUIT
],.00 53.OOOO ECII EL-R- BRANCH CIR WO/ SER FEED
Extens ion
5.00
63 .00
Charged Due
Permi! Fee :foEal
Plan Check fotsa1
Grand Total
58 .00
_00
58 .00
68.00
.00
68.00
00
00
00
.00
.00
.00
I
PERMTT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN /-z-17 ,4P
/'e- t7 ,{P
COMMENTS:
I
T
Signature ofowner or Electrical Conhactor X Date
ELECTRICAL PERMIT
CiTY OF PORT ANGELES
360-417-473s
wA 983 53
Paid CrediEed
DATE:
FINAL ,M,.2---',---
-
I
1-25INGLE-FAMILY
PE MI
Fublic Works and tltilities Department
321 F,.5lh Strect, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address i2 :Lr-L : i,-<r-|
<>"t].s lJ s ctt*l;;l''\
Duplex / ARU Building SqEre footage:
Mailing Address:aqt
Name:
Mailing Address
Email:E-x
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Email
Phone:€.li.-3i5' iaz=
Nan'e-. Ex+a-LE -i.e License:ExrR+nr773 R b.o. Bex 3lr-8 PA q 9 7bz Explrauon Date:,/2-ab-2ot1
Ph&e: 30 o-q6l-rB38
hsm
ServicelFeeder 2O0 Aflp-
SeMce/Feeder 8t-400 Ar8p.
ServicdFeeder 401€00 Arnp
SeMcerFeeder 601-1000 Arnp-
Service,/Feeder over 1000 Arnp-
Branch Circuit W SeMce Feeder
Bran* Circuit WO Setvics Feeder
Each Additional Bianch Circlit
Branch CirqJits 'l-4
Temp. Servic€r'F@der 200 Amp.
Temp. SeNice/Feeder 201400 Arnp-
Temp. Service/Feder 401600 Amp.
Temp- Sewice/Feeder 6011000 Arp
PorEl to Porlal Hourly
Signal Ct6dtLirnited &ergy - 1&2 DU.
Manu&ctJred Horne Connectiolr
Renewable Elec. Ener$[ sKVA System or bss
Thermostat (Note $5 for each additional)
FlEt 1300 SquE e Feei
Hr A(Eitonal 50O qusre ftst"
Eadl Oibuflding , Mt€d Gar4e
Ea$ Swimmirg Pool , Hot Tub
GluanlItu lqhl (Qurdiv x Unft Charge)
>:Z
(rt
Unit Charae
$120.00
$146-00
$205.00
u62.00
s373.00
$5.00
$63.00
$5.00
$75.00
$1)3 00
9110.00
$149.00
s168-00
$96.00
$64-00
$120.00
$102.00
$56.00
$120.00
s40.00
$-r4.00
9110-00
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sTOTAI-
Owner as defined by RC11,19-X261: (1, Olvnerwill occupy the studu.rE forlt o yea6 after thiB ete.*rical permit is finalized- (2) Orner i6
required lo hite aD eleclriEal contEdor if above said property 'rs ,or sale. refit or lease- Pemit oeirEs afte. sk monlhs of last iospadion.
After reading tlre above statement t hEreby ce.hTy tiat I am lhe owier oflhe above named property or a licensed eleafical contrador. I
am making ihe eleetrical insttlaton or alt€rat'rorl in comptance w-rth tha eldrical hws, N-E.C-, RCiW. Chapter 1 9.2A, V'dAC. ChaptBr 296-
468, The grty of PortAngeles Municipal Code, and Utility
J-L-/x - /g
PAMC 14.05.050**_J .egard;ng Electrical PemitApplications.
Date Print Name Signature (fl Owner Eleetical Contraclor / Adminisbator)
lElectical PermitApplications may be submitted to City HaI or electricalpermits@cityoFa us ortaxed to 0.417.47111