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116 E Ahlvers Rd
ELECTRICAL PERMIT CITY OF PORT ANGELES 360-4174735 RS9 RESDNTI] SINGI,E FA}IILY 0 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) <F \n N [-ApplicaEion Nunber Application pin nu ber Propert.y AddresB ASSESSOR PARCEI, NUMBER: Application t,?e deEcriptj-on subdivision Name . Property Use Property zoning Application vafuation 18 - 000 01326 Date 8/2A/lB 959172 116 E AHI,VERS RD 06 - 30 - 15- 3 - 2 - 0000 - 0000 - ELEC'TRICAL ONLY ApplicatioD desc Carneras INDEPENDENT B]BI,E 112 N LINCOLN ST PORT ANGEI,ES CHURCH OP PA wA 943522979 SECURITY SERVICES NW PO BOX 660 PORT TOWNSEND I,,rA 98368(800) 859 - 34 53 Pernil Addi.tional desc Permi,! Fee Issue Date Expiration Da!e 141.00 B/28/aB 2/24/t9 ELECTRICAL ALTER COTIMERCIAL Plan Check Fee vaLuation 00 0 Qty Unlt Charge Per1.00 95.0000 EcH 9.00 5.0000 EcH EI--I.II,]]TED 1ST 1500 S0 FT EIJ-A.DDNT IIMITED 15OO SQ PT Extension 96. 00 45. 00 Charged Paid credi.Led Due PerflrE !'ee'rotar P1an cneck't'oEar Gra.d Total 00 00 00 141.00 .00 141.00 .00 .00 .00 141 141 00 00 00 INSPECTION TYPE DATE:RESULTS: DITCH SERVICE ROUGH-IN n lzzln "p -.'gAJ FINAL o'lzzJre M COMMENTS: t PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature ofowner or Electrical Contractor X Date: INSPECTOR: tB/24/2018 FRr 14! 38 FAx 360 79? 8482 S6curtty Scrvtccr N r{ MULTI.FAMILY /COMMERCIAL Bool ELECTRICAL PERMITAPPLICAT]ON I Public wbrks *autiiffiilffi"*-- ' 321 E. 5th Strc€t, PDrt Angeles, WA 98362 360.417.4735 | www.cityofpe.us I oloorrioalpcrmlts@ctryofpa.us .E lllIt oo-1 \nN [-\ProlGctAddre33i t/L E, I FO, ProjGEt DrEEriplion:tp E Multi-Famity RrEidantiEl ts Commodal / lndutfial / Pubrc Bultdlng squere roohge: Nems Emall; MailhgAddr.sri PhonE: .c2(!4{ Neme: MBllhg Emaal: LloenS6: AddroEE Exprrrtlon Drte: Phon€ Itsrn x Unlt S€.vladF€€dor 200 A.rB. San cr/F.sdrr 2ola@ Anp- S.rvirra/F.!*r tlo'l€00 trfi p- SrrvlcJFcrd.f 801-l 000 Arnp. Sefik-/Feedef ovEr t 000 lrnp, E Endr Cirluit w/ 56 lca Fsd6r Brandr ClBrit Yt/O 8s.vl€. Fg€dEr Each Additim.l Brrnch Ci,Eull BrEndr Cllwlts 14 Tr]np. SrMca/Fr.&. 200 Arfl p. IbmD g.Mc.iFr!d!. 201{00Amp. Trmp, ServicE/Feofi. 401€@ Amp. ]bmp, Sorvio.rFegdsr 601-1 600 &?, Portrl to Ponot Horny Slgna/ ClrqluLlmlbd Encrly - Multi+rmily Slgnal Clr M.Jmiled Enorgy/FiEt t 5m af - Cor .rdel (t{o !: i5-0o hr .lclr rddltonal 1 S0O 30 Rlnaurabb Eho. En.rgy: 5lC1A EystBh * Era ThGrmo.Et (t{ob: 16 for ladl Eddrtioflel) Afrcr raedlng th. Ebov. rbbmcn! I he,eby crrtify thrt I fii thr own€f o, $e Ebot/s namrd pEpany 0r a liErr.d elBstric8l confr(Iot. I*$ rhrkln€ thr rlrctlcal lnctr Etio. o. aitafldon ln compll.nc. wi0r lEm N chrptlr 19.28, WAC. CheDbl 20& 46B,a of PortAngel€o firunicipEl COd!, tnd Ulll Ity Sp.dfi rdmg Ebcuical Prmlt Appllcsthnt. t132.m 9r80.00 ws.00 $206.00 til10.0O 35,m 374,00 35.00 t88.00 $102.00 $12r,00 $184.@ 8185.00 80r.00 $8.m 386.00 qh.e!, qs,?o t!#LLrct^, owrEr rt dcfnad by Rc\it{,18.26.261: (r} o\+'tiarwllloccJp, he rbuEtrre Fortu,g yrrr! rltlathL ahdriEilplrnrtt tr flnlltsld, (2) oy{ner iatBquittld b hllt an rLclrlcrl coffildor ll aborrc s€ld pro9erly rr hr 6llc, llnt or l;tr. P3rmit axptrEE ifr!; Eh monttra otlfir rnopedion. $ s 0 $ st It $ c I $ $ $I s D8 4r 4 Prlnt NamE (El orvner E actricEl ConfEctor / Admlnlsh?Er) ,nd lEleclflcel Pgrmit AppliEatlone may b6 submttrod io Ctty Heltor ot6ctriEatparhitr(Dcttyoho.us or laxed to g€0.417.471r1 IVFT Er't 3.00 q58.00 +-