HomeMy WebLinkAbout138 Forest AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SINGLE I'A.IIILY
0
REPORT STATE SAIES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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NJ
Applicatsion Number
AppI j.catsion pin number
Proper:ty Address
ASSESSOR PARCEI, NWBER :
Application Eype descripEion
Subdivision Nane
Property use
Property Zoning
Applicat j.on vafuation
19 - 0oooo124 Dare )./23/1-9
093416
138 FOREST A\rE
06 - 30 - 09- s - 2 -3 542 - 0000-
EI,ECTRfCAL ONLY
Application desc
Ductless heat punp
Contractor
BOBBI C TABEII,ANO ET AL
138 FORREST AVE
PORT ANGELES WA 983522515
EXTBA MILE TECH & ELECT,, LLC
418 N. RACE ST.
PORT ANGEIES WA 983 62
1360) 45',7 5222
Pel'Init
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER E.ES]DENTIAL
58.00
r/23 /:t9
7 /22 / t9
Plan Check Fee
Valuation
00
0
QEy Unit Charge Per
1 .00 s.0000 ECH
1 . 00 53 _ 0000 ECH
EL-EC}] A.DDNT BFANCH CIRCUIT
EL-R- BRANCH crR wo/ sER EEED
5.00
63 .00
Charged Paid Creditsed Due
58.00
.00
68.00
58 .00
. o0
58. O0
00
00
00
.00
.00
.00
PERMII WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN r /zq/tq "M 5P
FINAL itn li D #
COMMENTS:
?
Signature of owner or Electrical Contractor X Date
Pernits Fee Total
Plan Check Totsa1
Grand Totsal
ERMITAPPLICAT
Pubiic Works and Utiiities Deparhnent
321 E.sth Street, Port Angeles, WA 98362
364.417.473 5 | www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address:
Name:N\ <t tz_ l<-
E Dudex/ARU Building Square botage:
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Phone:7Ga-.1 60- o3l
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Malling Addrqss la f /=a ,z<<*A
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Mailing Addr€s:.o. ilot 31.1-8
Email:N €ol
Ucense:€xrR+ar??3 R b
L Ex[iration Date:,/2-26 - 2o l1
Phone: 360-q6r-r338
c
Unit Charqe
s120.00
$148.@
$205.m
$262.00
$373.00
$5.00
863.00
$5.00
$-/5 00
$93.00
$r10.00
$149.00
6168.00
$96.00
$64_00
$120.00
$102.00
t56.00
8120.00
540.00
g.,4.m
t110.00
Ol5 ttv
I
TOTAL
Iobl (Qrrnri$ x Unit Chrrge)
3b
$
$
$
it
$
$
!
$
$
s
o
$
o
$
o
I
u
$
5
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ol^,ner as d€&red by ROr\,19rA26l: (1) O{,rlerwi[ ocglpylhe rfua Ee brtvo years altertiis ele.fical le.mit E findized (2) Omer k
reqtirld b hite an electical cont'8cio. if above said prEperty is fur sale, rE rt or l€se. Permit e,Sires afrer sk monlis of last ,rs@on-
After r8dtng the &ove staErnent, I hereby certify that I am the odner ofthe above narEd propefiy or a li-nsed de(fiical con8ador- I
an rnaking lhe ebctlcalirEta ation or alterdim in comp6ance uith the eb(*Iizl layus, N-E.C-, RCI,V ChqtBr 19.2E, tlAC. ChapH 29e
4tiB, The City ot PqtAlgde5 Municip.l e, and and PAMC 14.05.050 rEgarding Electicd Permit Applic€tions.
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Oate Print Ndte Signature (E Oarner Cortrador / AdminisFabr)
Eh
spedfi1},ns
lElecttical Permit Apdications may be subtnited to Oty Ha{ or elec'tricalpermits@cityofta us or faxed to 360-417 .47 111
1 - 2 SINGLE.FAMILY
Itol'l
Servic€r'Fee&r 200 Amp.
ServicE/Feeder 201-40{) Amp,
Service,/Feeder 4Ol 600 Amp
ServlcelFeeder 601-1000 Anp.
Sewice/Feeder ovs 1000 Anrp"
Branch CiroJit W Seoice Fe€d€r
Branch Ciroit l^,/O Se ice Feeder
Eseh Addtional Blarlch Circuit
Branch CirqJils ,-4
Temp. ServiodFeeder mO Amp.
Temp. SeryioerFe€der 201-100 Anp.
Temp. Servbe/Feeder /O1S00 Amp.
Temp. Sewice/Feeder 601-t 000 Anp
Porbl to Poia, ltourly
SlJnat Cirqri!'l-hitsd Energy - 1&2 gU-
iilanubdured Fkme Conns{ios
Rene$rable Elec Energy: SKVA Sygem or tsss
Thermo# (l.loie; $5 ior each additiomD
FEsl 1300 Square F@t
. Eed! Adilbosl 500 squete ftcl"
. Each ollb{ drB, D€@led GarsOE
Escrr S$,imdng Pool , Hot T[b
4 '.2: