HomeMy WebLinkAbout115 E 7th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
COMMUNITY SHOPPING DTSTR
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nunber
Application pin nuhber
Property Address
ASSESSOR PARCETJ NUMBER :
Applicatsion t),pe descriptsion
Subdivision Name
Property use
Property zoning
Application valuaEion
19 - 00000226 Date 2/2O/t9
577552
115 E ?TH ST
05 - 3 0 - 00 - 0-1- 6655- 0000 -
ELECTRICAL ONI,Y
Applicalion desc
Temp ser:vice
MARTIN NANEZ
115 E ?TH ST
PORT ANGELES
(360) 912-5088
4T8 N- RACE ST.
PORT ANGELES WA
1360) 451-5222
, LLC
94352\.lA 983625126
Permit
Additiolal desc
Permit Fee
Issue Datse
Expiratsion DaEe
93 .00
2/2a/a9
a/79/t9
00
0
Qty Unit Charqe Per
1.OO 93.OOOO ECH EL-TEMP SRV O-2OO SRV FDR
Extension
93.00
charged Paid Credited t\re
Permit Fee ToEaf
PIan Check Total
Grand Tola1
93.00
.00
93.00
93 .00
.00
93 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I.A.ST INSPECTION
INSPECTION T\?E RESULTS:INSPECTOR:
DITCH
SERVICE )q1-)I W :&
ROUGH.IN
FINAL z,-)zr),s -P
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Signa ture ofowner or Electrical Contactor X Date:
ELECTRICAL TEMPORARY SERVICE
Plan Check Fee
ValuaLion
Owner
DATE:
I
=+COMMENTS:
jEcr,veortl I g l0t9
ELECTRICAL PERMIT APPLICATION
Pubiic Works and Utilities Deparknent
32i E.5th Street, Port Angeles, WA 98362
360.417.473 5 | www.cityofpa.us I electricalpcrmits@cityofpa-us
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lo-Prciect Address:
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Name:f-< 1id r Email:
Mailing Address:i { <.- €45f 1{a th.rL'I Phone:
Name, €x+a Lz Te
Mailing Address.o.o* 3l.L8
Emafl: E-/€
Liense:r?7
7bL Expiration Oeb'. /-/le-2ot1
Phone: 360-{61-t338
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M€T
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Servics/Fee&r m0 Arnp-
Servic€iaFee&r 201-400 Anp.
ServicdFeeGllo l€00 tunp
S€oic€/Fse&r60r-1000 &np-
Seilice/Feeder oi€r', 00O Anp.
Brandr CirqJit W Sewi€e Fesd"r
Bra0$ Cirurit WO Seryice Feeder
Esdr Additmd Eranch Ci cuit
BBnch Cinuits l-4
Temp. SerYie./Feeder 200 Arp.
TEmp Service/Feeder 201-400 Aryp.
Temp. S€wic€/Fe€da. 401 €00 Amp.
Temp. SeNice/Feeder 601-1000 Amp
Pofial to Poftal Houdy
Sigml CirEuiuLimitsd En€Ey - 1&2 DU-
MaruiaEhrrEi Home Connecflofi
Renetysblo Elec. Ene8y: sKVA SysEm or less
Thermostat (Nste; $5 fur each sddttimal)
Fl.st l@ S+|ar€ Fec{
.. Eadl A.Eiubnal S0O squaE H"
, E*h Onbulding , O€{Bdtcd Gar8ge
Edr Swilrming p6d l gqt yub
Qrap$tv Iqru ouatrtlry x Unit CtEEeiUnit Chame
sl20_00
$14ti.00
$205.00
$262.00
$373.00
$5.00
s63.00
$s.00
$'/5 00
s3 00
6110.00
$149"00
s168.00
s6.00
$64.00
$120.qt
$102.00
$56.00
$120.00
840-00
5',r4.00
$1'r0.00
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Oener as defined by Rcl r't9.U261: ('l) ormett!,ifl o€c{py tlle strulture tor two y€as afrerlhig ete*icat Fermit b f]Efized. (2) O.rner istequi,Ed b hite an eledtiEalcoflrado, if above said property iB br rah, lBnt or teasa- nermiranpires aftei six mordrg of last hspedbfl-
TOTAL +1 3.*
Ahr reading ths above statenEnq I hereby cenify that I am tie owner ofthe above nam€d ploparty qr a iicansed sledrical conta.io.. Iam making lhe elec.bical irEtallatbn or alteration in comptance wi8r the ebctrical h|irB, N-E.C., RC!V. Chapbr 19.23, VIAC. Ch8pter 296-
458, The Cig of Por! Angeles Municipd Code. and tjlimy Specifications and PAMC 14.05.050 tegarding Etectuical Permit Applicrtions.-/,
Print Name Sionature (fl Oftrner Elec&ical ContrEc{or / Administrator)
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IEl€cficaf PemitApPlicatbm may be submitled to City HaX oI electricalpermits@cityofpa us or faxed to *0.417.47111
1 - 2 SINGLE.FAMILY
El Duplex / ARU Building Square botage: _
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