HomeMy WebLinkAbout1821 E Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
17-00001501 DaLe 17/30/t't
10112].
1821 E LAURIDSEN B',VD
05-30-14-5-8 0350 - 0 000
ELECTRICAI, ONIJY
RS7 RBSDNTL. SINGI,E FAMII,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
T
.i.\
$l\o
Application Nunber .
Application pin number
Property Address
ASSESSO& PARCEL NSMBER:
Application E}.I)e description
Subdivlsion Name
Property use
Property zoning
Application valuation
Application desc
Furnace and heat pump
Owner CorItractor
BERNICE .]EANEAN APSENS AND .]AM
18 21 E I,AURIDSEN BI,ID
PORT ANGELES WA 983524923
AIR FI,O HEATING CO
221 W CEDAR ST
SEOUIM
(350) 581-3901
INC
wA 98382
Pe!mit
Additional desc
Pernit Fee ,
Issue Date
Expiration DaLe
ELECTRICAL AI]TER RESIDENTIAL
55. 00
7!/30 / 7'7
5/2e/78
Plan Check Fee
valuat i.on
00
0
Qty Unit Charge
1.00 56-0000 ECH EL'LVT THERMOSTAT
Extension
55.00
Fee Eummary Charged Paid Credited Due
Perml.t !'ee 10ial
Plan check ToEal
Grand ToEaI
s6.00
.00
56. 00
56.00
.00
56. 00
00
00
00
.00
.00
.00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:fx-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
L0/30/2011 MON 14:19 FAx 360 583 3971 Airft-o Eeating copier
-1
& 2 Single Family Dwelling
' Plan
Job rddressl
Building Squae Foobge:
Ooo3/oo3
-{
\.:-
o.\
D
D€sc{ibtbn of above
Owner
Name:tlarne:
cry:SHe:zb:City:
Liceose #/
ax:
LiErse # / Erc.-
@
ServidFeed€( 200 Am.
ServiodFe€d€r 201'400 ArP.
ServicdFe€der 101$00 tuIE
S€rvice/F€ede. 601-1000 &np.
SeryicelFeede( ove{ 1000 Amp.
Brandr circllit W Servie F€€der
&andr circuit wo seryice Feeder
Eadr Mditional Brancfi CiHit
Brand) Circ{iib l4
Temp. Sewiod Feeder 200 Amp.
Temp: SerM'cdFeeder 201-400 AmP.
Temp. ServbdFeeder 401$tr ArP.
Temp. servr'cdFeeder @1-1S0 AnP .
Pqtd.to Portal Hourly
Signal Circuiu Ur*ted Ene{y - 1 & 2 Fafily Otrding
Malrrfacured Home Cdlnecliorl
Re{ervable Electd}al En€rgy - 5KV SFtem r Less
Thsmctat
Note: $5.00 for eedr addtrofld T-Sa
NEW CONSTRUGTION OI{LY:
Frst 1300 Squars FL
Each Addit mal 500 Square Ft or Portim o{
Eadr Outbuildng or oetadled Grage
Eadr Swimming Pool or tlot Tub
Unit Charue
$ 120.00
$ t46.m
$ 205.00
$ 262.00
$ 373.m$ s.00
$ 63.00$ 5.00
$ 75.00
$ 93-@
$ 110.00
$ 149.m
$ 166.00
$ 96.m
$ 64.m
$ 120.00
$ 102.00t 56.00
s
g
$
s
$
$
s
s
s
l. ra-*
120.00
&.00
74.00
$
$
$
$
$
$
l=nr:r"*
Omer as defined by RCW.19.28.261: (1) Orvner wrll ocqrpy fire studrr€ hr tr\o yeae der Uis elecfiical p€mit is finalizod. (2) Ovner is required
to hire an dec-tricd bntrador if abore iaid property is for Ab, rent or lease. Permit exptres after six montrs oI hst hspedion'
Afler reading the above statement, I he{eby cedfy 0rat I am tre ouner of he above sarned property or a.licersed- elecffical confacbr. I am making
fre ee6icai instaltati:n or alterdion in coirplian& wfi Ere etscmca hws, N'E.C.. RC'tiY. Chapter 19.2& !{AC. Chap(* 296-468' Ihe City of Pott
110.00
Angeles Municipal Code, and Utility Spetifrcations and PAMC 14.05.050 regarding
Signature of owner,conoac{or or elec{dcal administrator:tO Cedit C.d
Crry or Ponr ANGELES PERMITAppLIcATToN
Buildilg Division/Electrical.Insp€ctions
321 East Fifth Street - P.O. Bor 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Far: (360) 417-4711
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Total (Otv Huldo{ied bv Unn Cha&e}
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