HomeMy WebLinkAbout829 E 8th StCOMI.4ERCIAL NEICHBORIIOOD
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
ON
t
\n
--lApplication Nuhber
Application pin number
Property Address
ASSESSOR PARCEIJ NUMBER.
Application t!?e description
Subdiwision Name
Property Use
Property zoning
Applica!ion valualion
18 - 0000115? Date '7/2s/tB
65120'7
829 E 8TH ST
06 - 30 - 00 - 0 - 2 -24 95- 0000 -
EIIECTRICAL ONIJY
Application desc
Ductfess heaE pump
HOSPICE OF CLALIA}4
540 E 8TH ST
PORT ANGELES
COUNTY
wA 983 52
EXTRA I,III,E TECH
418 N. RACE ST.
PORT ANGEIJES
1360t 451-5222
& EI,ECT. , I,]JC
wa 98362
Permit
Additional
l ssue Date
Expiration ," a.
79. 00
'7 / 25 /tA
L/ 27 /7s
ELECTRICAL ALTER COMMERCTAI]
Plan Check Fee
valuali.oll
Qty Unit Charge Per
1.00 74.0000 EcH
1.00 5.0000 ECH
EL COMM BRANCH CIR WOl S/F
EL'ECH ADDNT BRANCH CIRCUIT
00
0
'74 .04
5. 00
Charged credi t ed Due
Permi ! Eee Total
Plan Check Total
Grand Total
79.00
.00
79.00
79.00
.00
79.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN 4zoJB @ lT
FINAL t,"t6l B I €
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7 -4735
MULTI.FAMI LY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Deparknent
321 E. 5th Street, Port Angeles, v/A 98362
360 -417.4735 | www.cityofpa-us I eiectricalpermits@cityofpa,us
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Ct'nt-c €S)
i lndusEial / Public Building Square fuotage:
Phone:scc-\f) -lrt I
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1tft-.Pt_t\
ELIITRICAT
tNSPEcll0t!s
PmFct Addrcss:
Prcject Dscdplion:
E Multi-Famiy Residential
l,,lane:
Mailing Address:Sqct g
Name:fxtuL /t/l:l. Ta.* €E/<-hz tL. I LiceNe:€xl-aF r4 r77, RL
?4- n?ibL E eiatiort DdrI. /2-2b -2or 1
Phone:,to -4LI -t7)S
Mailirlg Addr$s:P.a. Bo* 4tLg
Email:
tIE
Senice/Feeder 2mAltp-
ServicdFe*r 2014m Amp-
Se'l,icsrFaader 4{rlSmar|p-
S€rvicdFeeder 60r-1 0q) I{tP-
Se ricE Feeder olEr '10@ A.np-
Branch Citrrril lr\fl Sarrhs FEd€r
Erancrr Ctuslit tl0o Seivhe F€edrr
Ead! Addtord Bradr Crorit
Braut Cturits t4
TeIrp. SefticdEed€r 200 A,Ilp.
Terp Ser*gFeed€. 201-a{x) Anp-
Tcnp. Scr!,igFcc&r tmf 50O Arlp-
Teflp. Serv*lerFeeder6ol-r0mArn .
Ponal b Poftl Houly
Signal fiort/Limitsd Energy - Multi+E rdy
Sbnal CirurnimiEd E Etror/Filst 15m sf - Conrfletctsl
(Nots: st(x,breedr ddiEonel 1500 d)
Renes# Ehc' Ble.gI Sl(\/Aslrlsn shss
TlErmGtst (Nob: S5 tu edr addilbnal)
Unit Charde
$132-m
$160.00
@5.S
@8-00
E410.m
$5.00
st4.@
$s-00
s86.00
fi@-m
s121.m
$e4-00
s185.00
s96.00
s88.00
$s8.00
Quaotitv ldEl(qlrltfny r UnfrCll. g.)
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$
$
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$
$
$
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9
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$
$
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$
a
9113.00
s6.00 a1,*TOTAL
Gmer as defined by Rorrl1g2826l: (l ) Glnersi ocqrpy the sructur" hrtlro yeaE aflBrlhis 6ledi:al prflnit is ftdized. (2) O/neib
tEquir€d b hire an ehctical coflMerif abore sakl propeny b for sab, rer sr tsasa Pemit ec9irBs &rdx tttq rs of bst insFdion-
AftEr reediry the ddE SEnEnt I tr€reby cerfry thd I sm lte omer of tie aborB nam€{t proporty or a tosEed ebciical aortaabr. I
an maling lhe el€cti:al inlaldion oraHion in qnplarcc riiE! the elcdical hE, N.E.C.. RCW- Chrpler 1928, WAC. @29e
'168,The City of Port Angdes Code, aff t tirity and PAMC 14.05-050 rwardiE Eiledricat Psmit App[calions.
-7
Print Nami Signatur€ (E Ovner Electical Contador / Adminisffir)
lEle(fical PemitAppli(rions may be submiftd to Ci9 Hall or eleclrielpermits@cityoha.us or faxed to 3€/J-417 -47111
CONTRACTOR tNFORItll.ATt(}fit