HomeMy WebLinkAbout3324 Upland LnELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
RS9 RESDNTL SINGI,E FAMfIY
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REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaLion Number
Application pin nunber
Property Address
ASSESSOR PAXCEL NUMBER:
AppLicatio4 E)?e description
Sulcdivision Name
ProperLy Use
Property Zoning
Application valuaElon
18 - 00001585 Date 11/01/18
696645
33 24 UPI,AND I]N
06 -3 0 - 15- 1-3 - 902 0 - 0000-
ELECTRICAN ONLY
Application desc
Hot tsub
Contractor
GEBALD K EDELBROCK/GAY HUNTER
3324 UPI.AND LN
PORT ANGELES WA 983523759
EXTF'A MILE TECH &
418 N- RACE S?
PORT ANGEIES
136A) 4s7 -s222
EI,ECT. , LLC
wa 983 62
Perrnit
Additsional desc
Permit Fee
Issue Dale
Explration Datse
110. 00
r!/ ot / !8
4/30/19
EIECTRICA! ALTER RESIDENIIAI
Plan Check Fee
Vafuation
00
0
QEy UniE Charge per
1. OO 110. OOOO ECH E],-SWIMMING POOI/I{OT TIIB
Extension
110.00
Fee aummary
PermiE Fee Total
Plan Check Totsal
Grand Total
110
110
00
00
00
110
110
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN rr lq )e €"fi&9---
FINAL i)lql B €$r'l) t
Signature of owner or Electrical Contractor X Date:
::::::i :iti :::it::i T:
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.00
.00
COMMENTS:
ECTRI ITAPPLICAT
Public Works and Utilities Department
321 tt. 5th Street, PortAngeles, WA 98362
3 60.417.473 5 | www.cityofpa.us I electricalpermits(@cityofoaus
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Project Address 3 ?"rq t^-J L .,! lv<
Oescription:t..)<.1 F ,,,<-tf-te'f i .4 5
ffsin gle-Family Residential fl Duplex i ARU Building Square footage:
Name:
Mailing Address L.o,-l,; €
Email:
2-
Phone '? Lj {rt
Phone:4Go-4Ll-r33I
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Name: EX|,z t4 LE Tec
Mailing Addressl o. B-x Sr,-g
Email'. E-X bl o/
elet-C
Item
Servic€/Feeder 200 Amp-
Servi€rFeeder 201-400 Anp-
ServiceJFeeder 401600 Amp
SeMce/Feeder 601-1000 &np-
Servicey'Feeder over 10@ Amp-
Branch Circuit W/ SeMce Feeder
B.anct Circuit WO Seavice Feeder
Each Addilional Brarch Circuit
B€nch Circuits l-4
Temp. Sewicer'Feeder 200 Anp-
Temp SeMc€JFeeder 201{}0 Amp-
Temp- SeNicer'Feeder 401S0 AllP.
Temp. SeMce/Fe€der 601lo0l Arrp
Portal to Po[al Hou.iy
Signal Circuiulrmited Energy - 1&2 OU-
Manufuctired Home Conneclion
RenewEble E ec. Enegy: sl(\/A SysEn or bss
Thermostat (Nole: $5 br eadt additionau
Frst l3{X} SqusE Feet
. Ead! Addilional 50O EquarE &6t"
, E8.h Oubstding / Deiadtd Gsrage
Each S\rrirBming Pool I tlot Tub
UnitCharoe
sl20-00
$146.@
$205.(x)
862.00
s373.00
s5.00
$63.00
$5-00
s/5.00
$33 00
$1 10.00
sI49-00
sr68.00
$96.00
$54.00
s120.00
$102.00
$56.00
$120.00
s40-00
sr4.00
slr0.00
Ouinlltv IgAl(QuantitxUottChalge)
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$
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$
6
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$
$
$
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$
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0
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$
$
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$
$
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TOTAL
Ov'&et as detined by RCW.1928261: (1) Ownerwilloccupy the strudure fortwo y€ers aier this e,ectrical permit Ls frialized. (2) Owner is
required tro hire an eleddcal Gor|tra€{or il above eaid properly is for sale. rent or laase- pgrmit epi.es afrer sk months of last inspoction,
Afte. reading the above staiement , hereby ce.tii/ that I am the owner ofihe above named property or a ticensed elecfic€l contraclor. I
am maklng lhe elecidcal installation or alteration in compliance \rrith tie elec.trical laws, N-E.c-, RC1I\,. Chapter 19.28, WAC. Chapte. 296-
468, The City ot Port Angdes Municipal C and Specifications and PAlrlC 14-05.050 regading Eledical PermitApplications.
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0ate Print Nime Signature (E Owner Electical Contractor / Administralor)
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lElectrical Pe.mitApdications may be submited to City Ha[ or elecficalpermiE@cityoFa us or faxed to #O-411.4211j
REGMUEl]1 - 2 SINGLE-FAMILY
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