HomeMy WebLinkAbout600 E Park AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17 000 01528 Date t0 /2'7 /t7
a7al92
5OO E PARK AVE
05 -30 - 15- 1-2-0000 - 0000 -
EI,ECTRICA], ONLY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appticalion Number . .
Application pin .umber
Property Address
ASSESSOR PARCEL NT'MBER:
applicalioo type description
Subdivision Nane
Property use
Property zoning
Application valuation 0
Application desc
Ductless hea! pump T-sEats
Owner Conl!acEor
UNITED STATES OE AMERICA
* NISQUALIY NATL WILD REF
OLYMPIA WA 98506
AIR FLO HEATING CO INC
221 W CEDAR ST
SEQUIM WA 98382(360) 6 81- 3 901
Permit
Additional desc
PelmiE Fee
fssue Date
Expiration Date
81. 00
t0/27 /7?
4/2s/L8
EIECTRICAL ALTER COMMERCIAIJ
Plan Check Eee
val.uation
Qty unit charge Per1.00 56.0000 EcH5.00 5.0000 ECH
EI]-LVT TI]ERfiOSTAT
EI.LVT ADDITIONL TI]ERI4OSTAT
0c
0
Extensi,on
56. 00
25. 00
Charged Paid credited Due
Permit Eee To!a1
Plan Check Toral
Grand Total
81 .00
.00
81 .00
81.00
.00
81.00
.00
.00
.00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAI
COMMENTS:r*-
PERMTT WILL EXPIRE SIX (6) MONTHS FROM I-AST TNSPECTION
Signature ofowner or Electrical Conkactor X Date:
L0/L8/20L1 trED 13:13 FAx 350 683 3971 AirfIo iteating copie!@ooz/oo2
Crry or Ponr ANcrr,os PEPJVTIT AppLrcATIoN
Building DivisionlElectrical.Inspections
321 Eest Fifth Street - P,O, Bor 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Frx: (360) 417-4711
Date:_'l & 2 Single Family Dwelling
' Pian
Job AddEss:
vBe'e Electrii:al Plan Review lnformation. Sheet
Euilding &uae
abo\,e
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Name:
otv:
License # /
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Sen icelFeede{ 200 Amp.
SeMcsiFeede{ 201-{00 Amp.
S€rvicdFe€d€r 101-600 Amp
ServicdF€eder 601-1000 A|np.
ServbdFeedet over 1000 Amp.
Braodr gra,it W Service Feeder
Brandr Cirorit WilO Servioe Feeder
Eact Addilimal Brandr Circuit
&andr Orcuih 14
Temp. Sarvicd Feeds 200 Arp.
T€mp. s€Mc€{Feeder 201-400 Arp.
Temp ServicdFeeder 4016m Amp.
femp. Se icdFeeder60l-1000 Amp .
Portd to Poftal Hourly
Signal Circuiu Limited Energy - I & 2 Family D$€lling
l{anufacturcd }tome Cfi nediqr
tien&sable Eleddcal Energy - sKV System or Less
The.rnctal
Notei $5.00 for ead adflional T.snd
IIEW CONSTRUGTOU OI{LY:
Fi6t 1300 Square Ft
Each Additional 500 Squre Ft or Portioo of
Ea€fi Outbuildi.{ or o€ladrcd Garag8
Eadr Swimmiqg. Poo{ or Hot Tub
of owner,
tlame:
PP'TDV
Cit)4 Sbte:zip
Total {Qtv Multiplled bv Unit ohame)
Lire{6e
Unit Cham€
t 120.00
$ 146.00
t 205.00
$ 26Zm
$ 3R.00s 5.m
$ 63.00$ 5.00
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 16&m
$ 96.00
$ 64.00
$ 120.00
$ lm.m
$ 56.00 =
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$
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$
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iw
$ 120.00
$ 40.00
$ 74.00
$ '110.00 1.6[P-.,
Owner as defined by RCW.19.28.251: (1) Orvner willoc{ py he *uciure for tvo years after hls decticat pennit is finalized. (2) O$me.is required
to hire an electuical conbador il above said poperty is {or sale, rent or lease. Pennit expircs afte{ six monhs ol la-s1 ins?ection.
Afler reading the above stateme{it, I hereby certit that I am Sle owner of he above narned propefiy or a licensed ele€ficd contrador- I am making
6e electical installation or allerdion h cornpliance wih fte elecldcal hws, N.E.C., RCW. Ch4t* 19.28, WAC. Chapter 29MOB, The City of Po.t
Angeles Municipal Code, and Lftility Specifications and PAMC 14.05.050 regarding Elecfiical Permit Appli€tidls.
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contrac'tor or elec{n:cal administrator:tr crsh tr
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