HomeMy WebLinkAbout1021 O StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
RS9 RESDNTL SINGLE FAI4ILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-bI
$-s
Application Number .. .
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appf ication type descriptiou
Subdivision Name
Property Use
Property zo$ing
Applicati.oII va]uatlon
19- 00000489 DaEe 4/04/19
55421-',7
1021 0 ST
06- 30- 01- 8-4 - 004 0 - 0000 -
EI,ECTRICAI, ON],Y
Applicatio'l desc
New hcrne
Ouner Contractor
ACE MIC}iAELS INC
1329 Ii 10th ST
PORT ANGELES
l360) 460-5172
BOB'S ELEC?RIC INC
22 93 DEER PARK RD.
PORT ANGELES
(360) 4 5? - 588?
wa 983 63 wA 98362
Permi.t
Addlt ional
Permit Fee
Issue Date
Expi.ration
160 .00
4/04/19
10 / 0r/ls
ELECTRTCAL NEI4 RESIDEII'IIAL
U""a
Date
00
0
Qty Units Charge Pe!
1.00 120. 00 00 EcIl
1.00 40.0000 EcH
EL-R-SQF"I FTRST 13OO
EI,-R-SQI'T ADDITIONAL 5OO
ExEension
120.00
40. o0
Fee summary Char:9ed Paid Credited Due
Permir Fee TotsaI
Plan Check Totsa1
Grand TotaI
r.6 0
160
.00
.00
.00
.00
.00
.00
00
00
00
PERMTT WILLEXPIRE STX (6) MONTHS FROM I.{ST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH i l\1fi N w
SERVICE ?.n) r?A-r
ROUGH.IN 'l-tl - rr AP N0-
FINAL n)-t Jn fr 1P
COMMENTS:
Signature ofowner or Elcctrical Contractor X Date:
Plan Check Fee
Valuatiorl
150.00
.00
160. 00
lb
1 - 2 SINGLE-FAMILY
ECTR P
l'riblie \\irr'ks ancl l lilitics l)e ;riinn;t.lt
I I i L iih -\lri.i. il'r1 \r:r:clc.. \\:.\,)Nl(i.'
ihl/.. l-,-.ifl-i r,,rrrr..ill,r:irlr.Lr'cle;-liilrr-..ilxl:iir'ii:1.r:i.'.r.,iST
-'.
Project Address tJrec )
Proiecl Desciption
E Singl€-Family R
!
--D
C'f,--o
,tt
D Duplex / ARU Building Square footags
c <Ant .
.X -r/eb lo*b cwr4
Name:
Mailing
e
ss
cl ?
Address 7Jl r-I mail
Phone
License:
Expiratio
Name:
irailing
Email:
lEm
S€Nice/fo€d€r 200 Amp.
Servic€/f eeder 201-400 AIrp.
Servic€/Foed€r 401{00 Amp
ServicelFeeder 601-100O Arno.
Service/Feeder over 1 0m Arno.
Branch Circuit W Ssrvrce Fgede.
Eranch Circ!it w/O Service Feeder
Each Addd onal Branch Crrcuit
Eranch Circ!itrs 1-4
Temp. Se.vice/Feeder 200 Arnp.
Temp S€rvicelFe€der 201-400 Arn p.
Temp. Service/Feeder 401€00 Am p.
Temp. Servicai Feeder 601- 1000 Amp
Portal to Portal tlcudy
Signal CirdriuLimibd Enorgy - 1&2 OU.
Manrfachiled Home Conneolion
Renewabh Elec. Enerpyr sKVA Systern o. bss
Thermodal (NotB; $5 for eac*l addfional)
Fl6t 1300 Squara Fc6t
E8{fi Addioonal 500 sguatB f€€t"
EEch OJtbuildifE / Dehctted Gr'rg€
Eeh Swimming Pool / Hot Tub
ate
Phone >)
OuantN lqhl (Qu8ntlty x Unlt Charge)Unlt Chem€
$120.00
$14S.00
5205.00
$262.00
$373.00
$5.00
$63 00
$5 00
s75 00
s93 00
$110.00
$149.00
sr 68.00
$96.00
$64.00
$120.00
$102 00
s55.00
s120.00
$40.00
g'r4.m
tl't0.00
lan
-. ttl' t I
-lwvr--
$
$
$
$
$
$
s
$
5
s
$
$
$
$
$
s
0
t
-----
I
TOTAL
Owner as detaned by RCW19.28.261: (1) Owner willoccupy lhe st ucture for two years afterthas electricirl permit rs linalized. (2) Orner is
required to hire an eleslnc€l @ntaclor rf above sad properly rs for sale, rent or lease. Permit expi.es al:?r six months of last insp€ction.
After reading lhe above stalern€nt, I hereby cerliry lhal I am t,le owner ofth6 above named property ol ir licsnEed eieclrical contraclor. I
arn making th€ electrical inatallatron or alteration in compliance wilh the electrical laws, N,E C.. RCW. Chrpler 19.28, WAC Chapter 296-
468, The Cily of Port Angeles Municipal Code. and Unliy Specifications and PAMC 14,05,050 rega Electncal Permit Applications
?
Date Pri Name Signature (E E al Coniractor / Administrator)
)
lElectrical Permit Applications may be submitted to City Hall or electncalpe.mrts@c]tyofpa u: or faxed to 360.4i7.471 1l
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