HomeMy WebLinkAbout505 W 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL STNGLE FAI"IILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
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Applrcation Number
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NTIYBER:
Application ts)'pe description
Subdivision Name
ProperEy Use
ProperEy zoning
Appllcation valuation
19- 0OOOO123 Dalre l/23 /19
o20aa2
505 W 4Ttt ST
06-30 - 00 - 0 -0 - 7485- 0000-
EI,ECTRICAI ONLY
Applicacion desc
Bedroom heater
ContracEor
EXI'RA MILE TECH
418 N. RACE ST,
PORT ANGELES
i.360) 451-5222
wA 98352
Permit
Additional desc
Permlt Fee
lssue Date
Expiratsion Da!e
53 .00
r/23 /79
't /22 /1-9
ELECTRICAL ALTER RESTDENTIAL
00
0
Qty Unit Charge Per
1-OO 53.OOOO ECH EI,_R BRANCH CIR WO/ SER FEED
Extension
63 .00
Fee summary charged Paid Credited Due
PermiL !'ee ToEal
Plan Check fotsaf
Grand Total
53 .00
. o0
53.00
63 .00
.00
63 .00
. o0
.00
. o0
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN tla ln Jtr AP
FINAI-itzil h dF 'tr0P
COMMENTS:
l/t/I
Sig ature of owner or Elecirical Contractor X Date:
see conf identiality LisE
505 W 4TH ST
PoRT ANGELES wA 98352
Plan check Fee
valuation
1 - 2 SINGLE.FAMILY I rED
Public Works and Utilities DeparEnent
321 E. sth Street, Port Angeles" WA 98362
360.417.4735 | wwrv.cityofraus I olectricalpermits@cityofoaus.
O 5 '.JASI-Proiect Address:
Nama:
Mailing Addr€$',-./?7
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tr Dupbx rARU Bul{rhg Square botage:
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Phore:zt"ct - 5(2- bol?
Llcense:€trP,*ar??3 P L
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Phone:460-qt l -,33I
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Namei
Mailing Address:o* 3t.LE
Email:
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ServiceJR€.ts 200 Anp-
S8rvice/eld€f aHa0Atry-
SerYicsrFe8{hr 4OfStup
Scivioelkedet 6l}l-f 0O0Amp.
Ssnr'ce/Eeder os 10m Arp-
Brandr (rGrit t,w Ssvi.E F€sdsr
Brandr CirdJit fitlo Serrice Fee{rer
EadrAddiord Braldr Gr. it
Brrr$ Cnotts l-4
Temp. S€fl ice/feeder ir00 A[p.
Tsmp- S€wierFe€der A1-a@ Anp.
T€mF. Se{vi€erFeeder 4lX {N, Amp.
Terp. SsticerFeeder dtll(m &np.
Portal to Pqtal Hordy
Si$rs, Ciqlnltinftd Bsgy - r&ra txr.
tdanubctrmd Hofl e Conrdilr
Renemde Ebc. ErElgy: SOrA qlsEn c l66E
ltamoetrt (Note; 95 br sach additorED
F{8t1300SSE!B
.. Edt Ad!6onalso0 s$rers fsd"
, E8cfi qrblladng, Dobcrled GsragE
EE$ Sximniru Pool, tHlirb
488, The City d Forl&rgdes Municipd Code.
Unit Cha.oe
s120,00
s1,46.@
u6.m
$2e.€[)
$373,00
$5.00
860.00
55.00
$'/5.00
$93.00
sfi0.00
$fig.m
$€a00
ssa00
$64.q)
il20.00
$rrP.6
$5a00
sr20.00
s40.fl,
s7400
sr10.00
Email:
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Owner aa dqrhsd by Rcltt 19-28261: (1 ) Orner xiI ooorpy tle stua&,re ftr tls !les! after tie cGcbicaf pe.m* as fnafEed. t2) Grrnor is
.Bqu'red to hira ar ebafrical 6or&act.r it aboE said proFrty i! fursab, I€flt or b6se. Flrmit ryir6 atlr sk months of lErt in5psaiioo-
Afur r"adng t le atous stalsr,€!8 I her€by €erltty lrrat I am fre drfler offhe sON mrnsd p,lpeny or a trceoied etEatrical aoofa.ror- |ar mddlE lh€ €k{ti.al in8&bn or lterdion in rorEEsnce w r Ul. oledical laars, N-EC-, RC1,ti. Ch@ 1928, ttnc. Ctlsphr 29&
14.t8-050 Ehc8ica, FermtAppfcstiofl s.
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Prinf Name Signatue ([ Oumet
and t btty Spedfical,o'ls and RAirg€-#.=-.,^J
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Date Be&ical Con$adr /Admhi5 rator)
IEb.fkal PetmitAPdications may bc sr${rttbd to C&y H.! or dccticaFermiE@dtyofrs.us or{Bxed b 380-417-47111