HomeMy WebLinkAbout510 E Park AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTL SINGLE FAIIILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
5
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AppLicatj.on Numbe!
Application pin number
Property Address
ASSESSOR PARCEL NIJMBER :
Appl icat.ion t),pe description
su.bdivision Name
Property Use
Properly Zorling
Application valuation
19-ooooo1o2 Date I /1,8 /L9
439714
510 E PAR( AVE
06-30- 15 - 5- 0- 91?0- 1000-
EI,ECTRICAI, ONI,Y
Application desc
BaEhroom remodel
ST ANDREWS PATISTI PORT ANGELES
510 E PARK AVE
PORT ANGELES WA 983525938
EI,ECII,IC SERVICE
503 RHODES RD
PORT ANGEIJES
135O) 452-6424
wA 98362
Permit
Addit ional
Permit Fee
Issue DaEe
desc
ELECTRICAL ALTER
1-4 CIRCUITS
85 .00
t/L8/te
't / t't /t9ExpilaEion Date
Qty UniE Charge
COMMERCIAL
Plan Check Fee
Val,uat ion
00
0
BASII FEE
Extension
86.00
Fee summary Charged Paid Credited Due
Permit Fee Tot.al
Plan Check Total-
Grand Total
86.00
.00
86.00
86. 00
.00
86 .00
.00
.00
.00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL ilrt l, t 4f kL2
COMMENTS lt
Signature of owner or Electrical Contractor X Date:
frECEIUED
MULTI-FAMI LY / COMMERCIAL
P
Public Works and Utilities Department
321 E, 5th Stseel Port Angetes, WA 9E362
360.4 17.4735 I www'cityo$a.us I eleo&icatpermits@cityofua.us
Proisd Addrtss:5to 1r.
Pr4eci Descdplim:
E Urrnfamry nesiacntid E Cmtme(Liel / lndll8tid / Pub{€ Byllding S$ers ftotEEF:
Neft!:
Mailhg Addreas:5to .€. Po.nR
tu0IRtcAL
IsPfcr,0ils
1loti
l+t--IOlN
I'IIEIOWNER INFORMATION
ELECTRICAL CONTRACTOR INFOi?MAIION
PROJECT DETAILS
Neme:
Mailhg
Emell:
Ad6re3$;
Sewic8iF..dsr 200 Anp.
S.r\ricdFr€&r &t*400 &rp.
S€ryi€/Fer&r lo1€@ Aaltp,
S€n kE F€eder 60t-! @0 A.rE.
S6oicaiF..der tn/6r'l 0(ro Anp.
B@ndl ei6rt W SarYicg F*d!.
Br.natl Cinult WO San k FcGd.r
Each Addiliond Br'rlch CirqJit
8.andr Cirorb 1{
fenp. ServirolFeeder 2@ Arp,
Iemp. S€rYir€/F €€do. 201 -a(,0 &ry-
Tefip. SewiceGeedef .Or€m Arp,
TEmp. SsrvioeiFe€tter@1-10c() Amp.
PorH b Po.tel Holxry
signd cirqitttaiH Eerg, - lrufi-Fe y
Signd Ciqitt lmild En rgrrFtrst 15&d- Co,tlrl.dal
(Nob: 31i.00 h'r ech addlinEl 1500 dl
Renerabb Elac. krargy' SI(/A Sy&.Ir oa h*
Ihormod 0e: $6 tor eddmddlton80
Licen3e:
ExpirEtion D.te:
Phon€b 5
x
sr tr2.00
il60.m
@5.@
t288.00
t4r0.@
85.00
$74.(D
0s.00
586.00
t102.00
8121,00
91e{.00
Ers5.00
ts6.o
aE'e
t98.00
__.
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-
$
$t
$
I
$
3I
$
t
s
s
3tt
$
$
3
86,oce
lrt30o
$58.00
3,6*o TOTAL
Olurcrrs ddrlod by RCMS.28261: (1) 0lr/116r! ocsrpy thc *uctJEfut{ro flsr rrEr$E etectrbl pefirit isfhdizd, (2) otmar is
rEquilrd to hire En ehcticdl EfltErls i, above said p.!9erty iB 6. sah, rcni or lcf,st. Fsniit rIpir* star !b( monthg of lr3t hGpacdon,
Aft€r readiirg thc .bow aiaE nrn( I har€b, cartity lhd I am tllc o./n€r of the Ebove named pmperq of a {oensed d€abicel cofikrdor. I
am makhg fte el€cttel k@ldion o( alts don h .DlrpX'erEg ldit]r Urs d€(,i'3l tsrE, N-E-C., RC"lt, Cnspbr f 9-26, tmc: Chaptar 2S+
468, ThG Clty of Pod &tsel€3 MunidpEl He, itrd Uflity
RoLry? Rwl
SDecIHons ard PALC 1.{.05.050 reqs|&rs Ebdicel PerfiflApDHio.E"Ai,*dfur
Date Prird Name Ete.tricel Conts3c{fi / AdminEtrabr)signatuG (E ol*r F
lElGdric.l Permit Apgl[.atoha may bG s.rbmitted to City liall o. eEqbi:sbe'mits@civofpe ua d far.d to 560 117 .17111
=- l c-.-*rit- Servica. Irc
