HomeMy WebLinkAbout1003 Grant AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-4735
RS9 RESDNTI SINGI,E FA]UIIY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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".\r{s-Application Number
Application pin number
Propertsy Address
ASSESSOR PARCEL NUMBER:
Application t'l?e description
Subdivision Name .
Properly Use
ProperEy Zonlng
application valuation
18 C0001336 Date 8/30/\8
541704
1OO3 GR-ANT AVE
06-30 14 5 6 0114 0000
ELECTRICAL ONLY
Application desc
Upgrade panel
STREETER, MARIN M
7846 I.ORI DR]VE
I{UNTING BEACH
.562)',l43-77tA
APS ELECTRIC
546 BENSON RD.
PORT ANGELES
(360) 4s2 5753
cL 92648 wA 983 53
Permit
Additional desc
Permlt !'ee
Issue Date
Expiralion Date
Qtsy unit charge
1.00 120.0000
ELECTRICAIJ AI]TER RES]DENTIAL
120.00
B/3a/rB
2/25/Le
Plan Check Fee
Valuat.ion
00
0
Per
ECH EL O 2OO SRV FEEDER 120 - 00
Charged Credi ted Due
Permit Fee ToLal
Plan Check Tot.al
Grand ToEal
124
l2o
724
120
00
00
00
00
00
00
00
00
00
00
00
00
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE 7- rz -in *P *)
ROUGH-IN
FINAL 7-rt - tB }P
COMMENTS:
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTTON
Signanre ofowner or Electrical Contractor X Date:
RESULTS:
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Public rks and Utilities Depaitmentc
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321 E,5tI Stree!, Pon Angeles, \r,A 98i62
360.117.4733 ciryofta.us I electricalpermits@cityopa.us
Project Address
i)o3 L uc
Pro.iect Description:
(Singte+amiry nesiOential tr ttudex I Blildhg Square 6otege:
Name:Eniail:
Maiing 136;*.'loca 4 t"t.Phone:-qq.t
Name:
Mailing
Email:
Address:Expiration Date:
Phofle:
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Se.Y*ldFesd6 e Arnp.
SarviccrFs.d€r 201.{OO A,rp.
SlrYice/M. {O14@Anp
S€rYi€a/FEi(F 601 J000 tup.
SsYi€/Fe€der over 1 000 &lp-
B.andr CirEfiW S€wb F..d.r
Brandr GrqJtt lrilo S€n i:e F€der
Edl Additional &and1 Cicril
B.aftrr Clillub 1-i
Tamp. Sa.Yba.F!€&r m0 AJYp.
Tefip Scn lcaaFled€r 2O 1-100 Arf.
Temp. S€rvicdFeedcr 401400 Amp.
Trmp. Servi€elFaeder 601- 1000 Aflp.
Portsl to Pottal l{oLriy
S(ral Cirqrit Lhtbd En€rgy - rE2 EU.
Msnu&atlrEd Hsne ConrEdion
Renstds Etsc. E r€r!r: sl(v S)*m ff h6s
Tl€firc€lat (taote: SS br.adr addttonal)
Fi.rtlrEs(tlJrk
E chAfficlal50081116
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I120.00
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t205.00
$8zm
t373.00
$.m
$3m
15.00
t75.00
$9300
tlr0.00
t14S.m
E16400
$6.m
t84.00
3120_00
t10200
$6.00
$20.00
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3r10.00
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Ov/rGr 16 d€fried by RCrr'V 19.29.261: (1) O\Nne.oc.lpy th. stsudurt for tw6 y.arE eJE.thiB €l€drical pennit i3 friali2.d- (2) Oxi.r b
proFrty i9 br srE, ront or ieaae- Parmit ereiro! altar six monti. of last
'nspediOn.
Gquired to hirE an elc6lrical contraalor it aboye
Aficr Gading ti€ above sbt nrnt I hcreby that I am the o,yaer of tre a,bove nanl€d propsrty o. a lbemed ele(trical conu'ador. I
codpfance wfi the ciacfica, laws, N.E.C., RCW. CnaBetr 19.28, y'rAC. Chaplar 296-.rn makirE ti1e eMaal insdalhuon o. alt€€tion
4uB, The Cityzxtg ct P6(t Angeles Code.Lttitity Ele.irical Perrnit Apolicat ons
et 1r\
Date ame Sigature 1[E Electsical Cont-actor i Adminislrator)
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OWNER INFORIIIAT}ON
PROJECT DETAILS
iElectical Permit ApCications may be ic City Hall or electricalpermits@cityoFa us o. faxed to 360.417.47111
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TOTAL
ELECTRI{:AL CONTRACTOR INFORIIIATION