HomeMy WebLinkAbout2116 S Cherry StApplication Number
Applica!i,on pin number
Proper.Ey Address
ASSESSOR PARCEI, NUMBER:
Applicalion type description
SubdivisioI1 Name
Property Use
Properiy Zoning
Applicalion waluation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
1,8-0000137? DaEe 9/05/18
2464O3
2116 S CBERRY S?
06-30- 09- 5 -2 - 1485- 0000 -
EI,ECTRICAI, ONLY
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
&
\nd
....1
0
Applicalion desc
Duct les s heat. pump
O&'ner Contracto!
MARK AND VERNA JACOBS
2115 CEERRY ST
PORT ANGEIES WA 9836 ](360) 928- s235
EXTRA MILE TECH & ELECT
418 N. RACE S?.
PORI ANGELES WA
1350) 43't -5222
, LLC
94362
Permits
Additional desc
Permit Fee
Is6ue Date
Expiration Date
58. 00
s/os/r8
3/04/79
ELECTRICAL ALTER RESIDENTIAL
P.!an cnecK tee
Valuati.on
00
0
otsy Ullit. Charge Per1.00 5.0000 Ecu1.00 63.0000 EcH
EL-ECH ADDNT BRANCH CIRCUIT
Et.R. BRANCH CIR WO/ SER FEED
Extension
5. 00
63. 00
Fee sumnary char:ged Credi.led Due
Pennit Eee Total
Plan Check Total
Grand Total
58.00
.00
68.00
68. 00
.00
68.00
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL s)t 'h,B dP e^F
COMMENTS:
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signa ture ofowner or Elect cal Conaactor X Date
lqlu /u ldP h+"Y
1 - 2 SINGLE-FAMILY 1'
f
Public trVorks and Utilities Department
321 E.5rh Skeet, PodAngeles, Wr\ 98362
36A.41 7.47 3 5 | wwrv.cityolpa.us I clectricalpermits@cityofpa.us
h".*-^'l*
QS
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{*lProject Address:tl
Email. b-X
4c ,1
Name:cxc e, bC
Maling Address '?il 9.,.^^41-
Name: Ex+a-+LE TE e
Mailing Address..o. B-x 3l:-8
.*f u 4 AFT
Ernail:
Phone i{,0- 4 Lo -aZ.
Licen*-.€4f&441r ? 7 3 R bzExpiration Date ,/2-zO - 2o 11
Phone: 36o -'itl - r33B
s
i{- c <{9t
lLm
Servicer'Feeder 200 Aftp.
Service/Feeder 201-400 Arnp.
ServiceJFeeder,fo1 600 Amp
Servic€r'Feeder 601-1000 Amp-
Se.vice/Feeder over 1000 Arnp.
Bralch Circuit W Service Feeder
Branch Ci.cuit W/O Sewice Feeder
Eacfi Additional Branch Circuit
Branch CireJits 1-4
Temp. SeryirrFeeder 200 Amp.
Temp Seryice/Feeder 201-400 Amp-
Temp. Service,iFeeder iO1$00 Amp.
Temp. Service,/Feeder 601 -1 000 Amp
Portal io Portal Hourly
Silnal CirqrlvLimiled Energy - 1&2 OU.
Manulac,tured Home Connes{ion
Renewable Ehc. Energy: 5KVA SysEm or less
Thermostat (Note: $5 b. eadr additonal)
Frsn 1300 Squsre Fe€t
Eaah Additional 50O squaG ftet"
. Each Odbuilding I Detcted Gange
Each SY/inrdng Pool / Hot Tub
LJnit Charoe
st20-00
5146.00
@05.00
96200
s73.00
$5_00
$63 00
$5,00
$75.00
$33 00
$fl0.00
$'t49.00
s168.00
s8.00
$64-00
$120_00
s102.00
$55.00
$120.00
$40-00
gr4-00
slr0.00
Quantit tr0El (Quanlig r Unit Chargel
I
t
s
$
i!
s
$
iD
!
$
!
$
iD
iD
$
$t
(r3 ,"c
-d
TOTAL btr.or
O'flner as defEted by RC1i\/. 1 S.28-261 : (1 ) Owner will oc.upy the studure for two yeats afier this elecbical permit is finalized- (2) O^,ner is
required to hire an eleclrical conlraclot it above said prope,ty is for sale. rent oa lease- Permit expires after sk months of last inspeclion.
Aiter reading the above stabment, I hereby certit tfiat I am lhe owner oflhe abgve named property or a ftcensed eledn-cal contraq'tor- I
am makirE the electrical installation or alteration in compliance with the electrical laws, N-E.C-, RCW. Chapter 19.28, WAC. Chapter 296-
468, The city Port Angeles Code, and Utility Specifications and PAMC '14.05.050 regarding Elecfical PermitApplications-
Date Print Name Signalure (E Owner Electieal Cortraclor / Adminisfator)
[Eleclrical PermitApplications may be submitted t0 City Hall or electicalpermits@cityoFa us or faxed tc 360.417.4711]
fl Duplex /ARU Building Square footage:
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