HomeMy WebLinkAbout1206 W 19th StApplication Nudber
Applicalion pin numlcer
Pr.oper:ty Addres s
ASSESSOR PARCEL NUMBER:
Appf icaEion E]'pe descripEion
subdivision Name
Proper:Ly Use
Proper!y Zoning
Applicatsion waluation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 0000092s Datse 6/2A /t8
372175
12 06 W 19TH ST
06 30-00 0 4 5805 0000
EI,ECTRICAI] ONIIY
RS? RESDNTL SINGLE FA]VIILY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application desc
Re!ri):e house after: fire
OLSEN, DAVE & MICI]ELLE
232 YELLOW ROCK IJN
PORT ANGEI]ES liA 983 62
ELECTRIC SERVICE
503 RHODES RD
PORT ANCEI,ES
(36A ) 452- 6424
wa 983 52
Additional desc
Is srie Date
Expiralion Date
148.00
6/20/ag
1-z / L7 /18
Plan Check Fee
Valuation
00
0
Qty UniL Charqe Per
17.00 5.0000 ECH EL
1.00 63 .0000 ECr{ El,
ECIj ADDNT BFANCH CIRCUIT
R BRANCH CIR I,IO/ SER FEED
Extension
85. 00
63.00
Charged Paid CrediEed Due
Permit Fee ToEal
Plan Check Total
Grand Total
148
148
148
148
00
00
00
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ulzz /,e {-ffi
FINAL /2 -/8 -t8 .H
EIECTRICAL ALTER RES]DENTIAL
A*O
COMMENTS:
Signature of owner or Electrical Contractor X Date:
rrlul'l :FAX NO,Jun. 18 2A1E ?:57nt1 pl
IUil
R6retlrabl€ Etec, Energyj SKVA Sygbm or bss?hemo3tat (Note: S5 lor each
G E-ILv
P
Public Wttrj<s anri Iltilities Dipa(men
$120.00
s146.00
$205.00
t262 00
$373.00
s5.m
063.00
$5.00
$7s.oo
$93,00
$110 00
$t49,0o
Sl6a oo
s95.00
$64.00
$120.00
$102,00
$s6.00
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Proiect Addtess
ProiBct Oesdiption:
Name:
Mailing Address
Name:
MaiJing
Ernail:
Addless:
lhln
321 E. 5th Srre,..r,Port,\rgeles. \[,h 9g:]6:3{t0.417.4 7.15 | wwr.v,ciry6 t'po.us I clcctritalpcnlitq@cityof pa_usi1ot
Residentia I D Dupiex /ARU Building Square footrge;
Efiail:
Phona:
Licome
iration Dats;
Phone:
S€McE/Fe€d€r 2@ Amp.
SarvicVr6e6., 29r-,* *O
Seryice/FssdEr 40t {@ AfirD
Service/} s6d€r 601 -i0OO AmD
SeMc,e/Fe6der Ov6f 1 O0O Arng.
Branch ChCu[ w/ geMoe FeBder
Branch O/cuh t r/O Service Feeder
Eaoh Addjtional Branch Ckcuit
Brafich Circgtts 1{
Temp. Servic€r'Feed6r 200 AnD.
Temp Se&rca/Feeder 20r_400 Arno,Iefip SeMce/Feede. i101400 A D.
Temp Sowi{rtje€der 60, _10q) Amp-
Podal to Pfirl ttoudy
Srgnal Circuit[lmiH Erergy. 182 OU
Manubctured l,ome Cohnedion
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t )1Owo€r is d€tined by RCW1O.2B 261 (l)O,vl,rerwill ocqlpy the gtrudtrE for trlo yearE rttBr tt[r 6le I Dermit is Iindized. 12)i5
required to hire an elednr5l contractor if above aaid property i5 lor sal€. .€l1l 6t lease. Permit expirq8 atrr 6ix months of last inspectionAiler readihg IIe above Stiatement,I hereby cerlify thBt I atn he ffvner of the sbove named Prop€fiy or a licens€d eledf icel cordtactor. I
am makidg the elect ri€l ;n6ts[ation or alera ofi in conplance with the el€chicsl laws. N ,E.C.. Rctry. Chapt€r .,9.28, WAC Cnader 29&468. l he Ciry of porl An0"les Mun icjp€l Code, snd Utitity Sp€crficrtio ns end PAMC 14 regEdine EledricEl permil ApFlicEtionr.
Print Name Sign ature (fl Garner Elecbicat Contra ctor / Administrator)a.
IOTAL
[Eleckicar Permir Apprication8 may be submittad 16 g11, 11.1 0r erectricarporm it8@cilyofpa.us or fared to 360.417.471i1
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