HomeMy WebLinkAbout1826 Melody LnELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS9 RESDNTL SINGLE EAMILY
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REPORT STATE SAI-ES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 4502)
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Applicatio Nudber
Application pin number
Property Address
ASSESSOR PARCEL NUMBER :
Appllcation type description
Subdivision Name
Propertsy Use
Propertsy Zoning
Application valuation
19- 0OOOO132 Date t/23 /1-9
5s9168
1826 MELODY LN
06 - 3 0 -14 -1- 1- 013 0- 0000-
ELECTRICAL ONLY
Application desc
Circuits for bedroom and heaters
EX?RA MTI,E TECH
418 N. RACE ST.
PORT ANGEIES
135AJ 4s'7-5222
& EI]ECT., LLC
wA 98352
PermiE
Addit.ional desc
Permit Fee
Issue Date
Expiration Date
58 .00
t /23 /t9
't /22/re
Plan Check !'ee
VaIuatsion
EI,ECTRICAI, ALTER RESIDENTIAL
OEy Unit Charge Pe!
1.00 5.0000 ECH
1.00 63.0000 ECr{
EL-ECH A,DDNT BRSNCH CIRCUIT
EL-R- BRANCH crR wo/ sER FEED
.00
0
Extsension
5.00
63 .00
Charged CrediEed Due
PermlE !'ee '1'oEa1
Plan Check Total
Grand TotaI
58 .00
.00
58 .00
68.00
.00
68 .00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN r brln 4R 'Eo
FINAL q/r/fq k?#a
COMMENTS:I
Signature of owner or Electrical Contractor X Date:
D. AND S. XERBER AND A. GRO\'ES
182 5 MEIODY LN
PORT ANGELES IdA 9A3524942
Fee summary
Prolect Address:.?u Mzl o)
1-2SlN ILY
EI.ECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5{.h Street, Port Angeles, WA98362
360.41 7.473 5 | www.cityofpa.us I electicalpermits@cityofpa.us EI.IfIRMI
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Phone:ELa-trov-97ag
LE TE €t Litxrn*:EXTP*nf ?73 R 6.o. 'i3c* 312-E PA q9rbL Expiration Dab:/r-a6 - 2ot7ol€r ?hme: 3Go -''16, -,338
flEOEIUED
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Name
Mailing Address:7
Name:EX+.2
Mailing Address:
Email: E-X
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SsrvtceilFesder 200 Amp-
Servic€/fuer 201-4@ Amp.
SeMce/Feeder 401€00 Arp
Servicer'M 601-10@ Anp.
Servicey'ker over 1000 Amp-
Branch Cir(x.,it w/ Ssrvi€ Fssdcr
&Ench Circuit lMO Service Feeder
Eacfi Additonal Bramh Ci.ql-f
Branctr CiroJits 1-4
Temp. S€rvice/Fee{br 200 Anp.
Temp Sewioe,/Feeder 201-4{D Arnp.
Temp. Sewice/Her 401-600 Amp.
Temp. ServiceJFeeder 601-1 CPo Amp
Portal to Ponal lhudy
Signal Cirqrt/Limibd Eneey - t&2 OU.
Manutrctured Horne Conneclion
Renelyable Elec, EnergI 5l(\/A SyE*olfl or f?ss
ThermoEH (NoiE: SS br eadl additbnal)
Ftr8t 1300 Squs's Fet
.. Edt Adrlitkmal $O Equar€ H'
, Eadt Oiesidine / eched Gsragg
Csafi S{irrxdng fuol I Hot TUb
Unit Charoe
s120.00
$146.00
$40s.00
Q6a00
$373.@
$5,00
$6s.00
s5.00
s75.00
$93 00
st10.00
gr4e.m
$r68,@
$96.00
$64.00
s120.00
$102.00
s56.00
$120.0n
s40.00
sr4.00
$110.00
Ouantltu Ilhl {Q.raffity x UnA ch.Ee)
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$
$
$
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$
$
$
5
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s teoTOTAL
Oart€ asd€fined by Rcln.19:8:61: (1) Olrmert dl oc. py lhe s&ucture forttr,q year61fterthis elecbicat pemit is frEIzed. (2) Ornleris
rcquied b hiie ao ebctical coouector if *o\re said F.Bp€rty iB lbr s8le. tt rt or bse- Permi *ires anei.st* mortrs of Ust'hlpec6oo-
AiBr readhg lh. a6ove st3l€ment, I hetgby aelt0 l,lat I arn the owner oft le abovg nanEd propsttf or a trcEnsed ete(trical contador. I
em mddng the eldical instaBatioo o. aleralion in corFlance wilh tia elecfbat laws, N-E.C-, RCUi. Chaptsr 19.28, filtrAc. Ctlapbr 296;
468, The (Ity ef PortAngdes Mu cipel Cqde. and Uifty Specifiaations and HA[!C 14.05-OgO rEgarding Elec-trical PemitApploatiofls.
-2-L * i
Date Print Name Signatrre (E oryner Eleckical Cofi trac{or I Adminislrator)
E ttuplex / ARU Bu ding Square tuobge: _
lElect ical PermitAppli:ations may be submitted to City Ha[ or elec{ricalpermits@cityotsa {rs or iaxed ,o 360-417 -47111