HomeMy WebLinkAbout1210 Dutch DrApplication Nuirrcer
Applicatio! pin Dumber
Property Address
ASSESSOR PARCEL NLTIqBER:
Applicaf, ion tlpe descripllon
sulrdivision Name
Property use
Property zoning
Application valuaEion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
18-00000333 Date 6/04/7e
848125
1210 DUTCiJ DR
05-30-01 8-0-0090-0000-
EI,ECTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appl icaElon desc
ContracLor
DAVID A A]v1D MARIIJYN K HILDEBRA
2]11 259TH PL SE
SAIIM!\]VIISH WA 98075
KIRSCH
P, O,
SEQUIM
(360)
ELECTRIC ]NC
BOX 3396
wA 983 82
583-6819
Permi!
AddiEional desc
Permi! Fee
fssr.re Date
ExpiraEion Date
384.00
3/14/LB
e/to/lB
ELECTRf CAIT NEW RESIDENTIAL
Plan Check Eee
Valuation
00
0
QLy Unit Charge Per
1.00 64.0000 EcH1.00 120.0000 EcH
5.0 0 40 .0000 ECE
EL SINGLE CIR L]UITED MUITTI
EL R SQFT FIRST 13OO
EI,-R SqFT ADDITIONAL 5OO
Exten6ion
64 .00
120.00
200.00
Charged Paid credited Due
Plan Check Totsa1
Grand Total
384
384
384
384
00
00
00
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST NSPECTION
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH >lilt l./c *v "wfi
SERYICE
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COMMENTS:n^lru\'tQ, u-\.t1rdr-o t-
Signa ture ofowner or Electrical Contractor X Date:
FINAL rc
.
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Prolect Addle8e:zlo
Namc:
Malhg Addre8s:oo3
. Public Works arid Utilities Dbpaltnent
3Z.l E- sth Str€et, Po(t Angeles, WA 98J62
360.41 7.47 35 | wwv.cityotba.us I electntalpermits@oityofpa-us
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OWNER IiNFORIUATION
ELECTRICAL CONTRACTOR INFORIIIATION
PROJECT DETAILS
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sflica/Fbsdar 6oi jiffiA"p vtot- s'fili#;;,il-:;:q6ffi utud-+ +D;;;ffi[.'3$[;;, #*X;
Brardr Cft lt VlffO gYida Feeder
Erf,h Addttonrl Erafidr Cirqlfr
EFadcfi Ci{uriB :14
Tcmp. Senica/Feef, q @ alp.
Iemp. Sen ice/F€€doi 201.{$Q gIp.
T€mp,8s!iE8/Fs(br/l{lt60oAlrp-' r,, .
Temp. @601.1m4ttp-
Porrat to Po.bl tlo{dl . ' ...' . ...-.:
Shn6lol1t,li'r,LfnrftcdEneqy':142"O0.' ..,, ..
iianu6ctrEd Home Conrft,lio . .
Ren#ble Elea ErElEy SKVASjI8Em or lscs .
themdat (Note; $5 br
_E4dlqryiqY.r,l+ltdttgelI....,, :,,
$r46.@
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S7goo
sq.00
569.00
$5-m
$?5-O0
s.00
$110,00
,.qt4s.00r :.'1;- :
$166,00 i rr
.,r',$86.00 '
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$120.00
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TOTAL i
Owner aB dsfn€d by Rcltltt 92e26'l; (1) Oremer !y l ffi+y the suere lbrt{ro yed3 dbrthk ejecrrlcd p€fitt b fm[2od. (2) Owr€r lB
t€qulEd b hilE an etsctical corttsaaior it *oY. Eai, prop€rty ia for sdE, Ifrlt or lsasc. tulmit €e$iEc anarsix manfiB of la6t in€pec1icn.
Atar Gading th€ aboire #Bmsnt, I hd8by csrtify lH I Em ltte swrier of tle e6ove nem€d propety or a Ecansad eHicel oorrbaslor- I
srn rfiaking tl€ El€cbi:al inet lalioE or alleraliofi in cofiplancewfrh the elcctioal hrrs, ttEC-. RCW- Chader 19-28, UIqC. Chapler295-
4€E The Clty ol PonAngd.s Munichal Oo4e. aftl lfifity Sp€cincdid'€r,+.05.050 n€ardnE Ehctical PEmit Application3-
Print Name Srrgnatlre (Owner D Ele€fical IAd
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IEl€ctical Permtt Appllcauone may be 3ubmltted to Crty Hall or electri6lpemits@cityofra.u8 or tr,(ed b 3€0317.47111
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Proiect Descrigtion:
Name:
'Public Works and Utiliiies D6paltmcnt
3?l E- sth Streei; Port lrngoles, WA 9-8362
360 :41 7 :473.5 i wwrt.cityofua,us I electricalpcrurits@ciryofpo-us
glerFamilyResirCential E Otjplex /ARU Buitdlrtg SquqB
Name:
Mailing
Email:
liceffie:
Daie:,.
Servic€/Feedei 40{€09 Amp.
Sewj iElFeeder 60ll :1 0QO limp:
ServlcDlFegder ovfl lom A.np
arandr CinultW S€-i:\,iq+ Feedot
Brancli Circuit:WO Sei'\,/i6e Feeder
Each Addiiiooal Bieich Gircuit
Branch Citruits I.4
Temp, Servi-i Feedir 200 Arlp
Tsmp Servict/Fe€der ?01-{00 Arnp:
c
s
$
a
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Potldt0
s110.
'-$i't-29."-s$-
Signal Circuillllmfi€d
Manuirottrtrgd Htirle,
Reneti,Sble,Elea; Ensrgy:
hr:each
* G\tprr- Se*'TOTAL
I hereby g8rtify thd I am the gw06r
or altereion in cornpliadcB with thi
468, Tho of PoilAng€les Municipal Code. and Utility spesifisdtlons'anil PAMC 14 05.0
Print Name Signature (/Admini
OwB€r es defined by Aq#.f A.ze,ZS t l (,!Jiq-wnerWlloqqupy th9 swerlr-e for lwgiyear: afier this elbdtiaal, pe.mit
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fralized, r(2) r9wnar E
fequlred tq hir€ an Electrjcal coFtraclor il auove sa propsrty is lor €ale, reFt:or ioa8g. Pgnnit eDeires,after six months o, lagt inspEdionl
Afrbr leadlm thc abova st8tnrient,
am making theGlectrical installatibn
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IElectrrcal Permlt Applicattons may be Eubmited to City Hall dr elewicalpemlts@cityofpa.us or fa(ed to a€ A:a17.47111
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