HomeMy WebLinkAbout523 Marine DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
INDUS?RIAL HEAVY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pod Angeles
(Location Code 0502)
$
NApplicat.ion Number
Application pin number .
Property Address
ASSESSOR PARCEL NUMBERi
ApplicaLio, type descriptsion
subdivision Name
Property Use
ProperEy Zoni!g
Application valuati.on
L7- 000008 92 Dat'e 6/29/17
4402!2
523 MARINE DR
06 -30 - 00 - 0 - 0 - 3 640 - 000 0 -
EIJECTRICAII ONIJY
Application desc
Sign
Owner Co11tractor
JUDSON LINNABARY
102 N CEDAR ST
PORT ANGELES
EXTRA MII,E TECH & EITECT
418 N. RACE ST,
PORT AIiIGELES WA
\360) 4s7 5222
, LLC
98362wA 98363
Permit
AddiEionaL desc
Permit Fee
Issue Date
Expj.ralion Date
EI,ECTRICAI, AI,TER
88. 00
COMMERCIAL
PIa! check Fee
valuation
00
06/ze/r'l
L2/25/11
Qty Unit charge Per
1 . 00 88 .0000 Ecrr Err-coMM-srGN
Exlension
88.00
Charged Credi-ted Due
Permi! Fee Tolal
Plan Check TotaI
Grand Total
88. 00
,00
88,00
88. 00
.00
88. 00
00
00
00
00
00
00
PERMTI WILL EXPIRE StX (6) MONTHS FROM I.A.ST INSPECIION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:V:t
Sig nature of omer or Electriaal Contractor X Date:
,l;. t,. . .a
l
t
$
N
f('),r I
CITy oF PoRT ANGEI,ES Mi[T APPIJCATToN
Building Divi*ionlElectrical hspccrions
321 Ecst Fifth Seeet-P.O. Bor 1150 / Port Angdes WshingbD,9886;Z
Ph: 860) 417-47J5 Far: @6ll) 417-4?1r
Date:7^it-t7 /**-r*r or Gommercial*
t Plan Review May Pte6e Co
Job Add,ess:
Re{bw lfifonnalbn Shetra rJ{
Buildiflg SquaE Fdge
D€scripti$ oi abor€
Owner
Nane \ a\Lt.\-tL Iofoflnation
NafiIe:
cihr
LrcerEe#/
s-/{1r*ir
Zp'.
Ucense* /
lEn Udt ClnrqeS€flicelFed€r2@Arp. $ lg0SsflicelFeeda20l-4(EAmp- $ 1600
S€n ice,FeedeFl0l€oo tunp $22r.d)
Ser!ics/Feeder601-10@ Arp. $ 288.fl)
Sqric8/Federolg JomArnp. $410.fl)
Brdrllll gtrtritw&nioe F€eder S 5.00
&anch Cfun W,lC Sdrice F€e&r 5 74.m
EdrAdrE dC Sladr Cnarit S 5.mBrardro'rqnsl4 $ 85.00
T€rrO Sqvice./ Feeddzu Arp- 5102.@
Temp. &fltuE/Feeder m1-4@ AnF- S 121.@
Temp. S€wirei&401d)0Amp. $ 1el-d)
T€mp.genilceGeederol-rom &rp . $ r85.m
Po{talbFord thny $ 96.00
Siwou0ns tighling $ 88.00
Sr:grd Oru.0/ Limtsd E rsgy -Mfifady S 61.m
Signd Crudr Ltuited EE S,/ Frst lSm C- Cqlr|E rid g 95.00
tloE $Intu eadl a.l(6dd fimd
Ralelrde E&ctid Erugy-sl(vA Wn ort8ss t 113.00Tturrrstal $ S6.m
tLE $5-(n tur dr addti('ld T-Sat
Tot;l(Qtv lrultiDlled bv lJnit Chardet
s
s
o$'ner as defrred by RC1IV.19.18.261: (1)Omsw locc py$esfruct re ftr tlrio years afterhis electicatpermit is fuatued. (a Ovr erb,eqrtedh hirB an electicd conhdctor if above said troperty is for sale, rei{ or hase. Permit eryires der six montin of qst insp"ctori-'
Affr redmg lhe dole staternert, t nerely ce*ify tat i am the omer of fie above nam€d Eop€rty or a frcerEed elec-ticd cfitracior. I an ndlng
he €lecfk?l insfdblim or alhrdim in comdsnce wih he ekcticd larE, tLE.C., RC1rv. Chde ig.eg, WAC- Cha$er 29e$B, Ttre City of Fort-Ang# MuniiFICode, ard u$itySp8dficatiofls and PAMC 't4.05.O50 regarding Eorticd peflnitAppi nons.
SigBatra dosner, d€.rdcd conf.cbrcshctiEd eiiifrec tr c.sn OH
El Gtac.dt
3-t-1-i 1 01tt1t 12
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