HomeMy WebLinkAbout1113 S Laurel StAppfication Number
Application pin nunber
PloperLy Address
ASSESSOR PARCEL NU}4BER :
Applicalion t!?e description
SuHivision Name
Property Use
Property Zoning
Application vaLuation
19- 000017s7 Date u/o1 /L9
904342
1113 S I,AT'REL ST
06-30-oo- 0-3 -43 55 - 0000 -
ELECTRICAI ONLY
ELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-4t7-4735
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
Application desc
DHP
SALLY/STEIEN HEUN
1113 S I,AI'REL ST
PORT ANGELES
EXTRA MILE TECII
4L8 N. RACE ST,
PORT ANGEIES
1360) 45'7 5222
& ELECT. , LLC
wA 98352wA 983527133
Permit
Addit ional
Permit Fee
Issue Date
Expiratiolr
68.00
11/ a7 /19
s/as/2a
ELECTRICAI ALTER RESIDENTIAI
desc
Date
Plan Check Fee
valuation
00
0
Qty Unit Charge Per
1_ O0 5 .0000 ECH
1 .00 63 .0000 ECH
Extension
s .00
63-00
EL-ECH ADDNT BIANCH CIRCUIT
EI,.R. BRANCH CIR WOl SER EEED
Charged Credited Due
Permlt Fee Total
Plan Check ToEal
Grand Totaf
68 .00
.00
68 .00
68 .00
.00
58. 00
.00
.00
.00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN tt,lz Jfi ffi
FINAL r)tl s q
COMMENTS:
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST TNSPECTION
Signature of owrcr or Electdcal Contractor X Date
1 - 2 SINGL E-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Urilities Department
321 Fl.sth Strect, PortAngeles, WA 98362
3 60.417,473 5 | wwrv.cityofpa.us I electricalpermit@cityofpa.us
5 o.n.*)c Si.-a*
D 4<.p+t.,t
,il?.;;7fl_
t*
+-bt-+{
Project Address:
Name:.( y'< rr.]
fl Duplex /ARU Building Square footage:
Email:L)
MailirB Address t/t 3 S- L,.t c.-t c-f Phone:EEa -<15-7-,3
Phone: ?6o -q6l - ,3? g
Name: FX a-4 LE J-a
Mailing Address.o. iJ o/ 3tLz
Email:ol
h
ServiceJFeo&r 200 Amp-
Se!.rteJFseder 201-400 Anp-
Service,/Fe€der 401€00 Arnp
Servic€rFeedsr 6011 000 Amp.
SeMcerFeeder orer 1000 Amp-
Branoh Cinuit W Servics Feed€r
Branch Circuit \MO Service Fee&r
Each Additional Bfan€h Ciror'rt
Brairh C),rrJitS t-4
Temp, Service/Feeder 200 Anp.
Temp Se^/ice/Feeder 201-4m Amp,
Temp- Sefl,ice/Fee&, 401€00 ArF.
Temp. ServiE/Feeder 601-1m Amp
Portal to Portsl Hourly
Signal CiuriuLimihd Energy - 182 OU-
ManuaciJrBd Horne Connectinr
RenetyaHe Ebc. EneEy: SKVA qFbm or bss
Thsrmostat ( ote: $5 br eadl addntuEl)
Fr8t r30O S$are F€et
. Edr Add,ond 50O sqsate &€t"
. Eadr OrXbufding J Dstrched GarEeE
Ea.fi $r&miry Foot, Hot Tub
Clue ltv fgtsl (Qr.nrity r Unit Charge)
b3..'
unlt Charoe
$r20-m
s14a.00
$205.00
$26a-00
8373.00
$5.00
$63.00
$5.00
s15.00
s93 00
$1J0.00
s1lrg.6
s16E.m
$96.00
s64.@
t120.00
$r02.00
$56.(E
$120.(x)
340.00
9r4.00
3110-(x)
!
iD
$
$
)
$
s
s
$
I
s
s
s
$
!
$
6
$t L/1..u
Owner as defined by Rqfl 1928:61: (1) ol,,Itertrilloccupy the siructu,e for hrc years afi6r this dectical pemit is fioalized (2) ov/|le. is€quired to hire an elecfical cortador if above said property is b. sal€, reit or lcase- FBrmit *piIe. .rui
"i*
,onttioit"ut ir"pooon-
Afur reading the above staternent, I he€by cenjfy that I am the orner of the above named property or a lhaffied ebcfbal cont'actor, Iam making lhe eleciiral irEtallation or dieEtion io corllFfiarcs with lhe elecfical l8r,Jr, N_E.C,, RCW. Chapter 19.28, f|,,AC- Chapk 296-468. The hAngdes Municipal He,and Ut'lity Specitcatiorls and pA E 14.05.050 regarding Elertrr-cd PermitApplicatioos.
Print Name Signature (Owner Cor racbr / Administrabr)
[Electrical PermitApplications may be sub ftfed to City Hall or eledricalp€rmits@cityoFa us or iaxed to 360-412.47i1]
,
TOTAL