HomeMy WebLinkAbout531 E 8th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMERCIAL NE]GI]BORHOOD
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
J)I!,N
Applicdtion Number
Applicatsion pj.n [umber
Property Address
ASSESSOR PARCEI] IIOMBER:
Application t)?e description
Subdivision Name
Propert.y Use
Propert.y zoninq
Applicatsion valuaEion
19- 00000221 Date 2/t9/19
444361
531 E 8TH ST
06 -3 0 - 00 - o- 2 -2 775 - 0000 -
ELECTRTCA], ONLY
Appfication desc
Service change
ContracEor
VANBROCKLIN MICTIAEL D
73 S RIDGE VIEI,{ DR
PORT A}IGELES WA 9A362A157
ANGELES ELECTRIC
524 E. 1S:t ST.
PORT ANGELES
l36A) 452- 9254
wA 98362
PermiE
AddiEional desc
Permlts Fee
Issue Date
Expiration DaEe
120.00
2/re /te
I /LB /a9
EIECTRTCAL ALTER RESIDENTIAL
otsy Units Charge1.00 120.0000 ECH EL-O-2OO SRV FEEDIIR
Plan unecl< Iee
ValuatloII
.00
0
Extension
120.00
Fee summary
Permit Fee Total
Plan Check Total
Grand Totsal
120
t20
00
00
00
120
120
00
00
00
00
00
00
00
00
00
PERMTT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTTON
INSPECTION TYPE DATE:REST]LTS:
DITCH
SERVICE z)zt) n p flD
ROUGH.IN
FINAL ilz-z-)ll a *
COMMENTS:b
Signature ofownef or Electrical Contractor X Date
:T:::: :11: - :::il::i :::
INSPECTOR:
02/t5/2019 08i09 FAI 360 452 9265 Angeles Electric
1 .2 SINGLE.FAMIIY
ELECTRICAL PERM IT APPLICATION
hrblic Works ancl Utilities Deparbnent
321 E. 5th Street, Port Allgeles, WA 98362
360.117.4735 | wwrv.cityofpa;us I ts@cityoflia.us
ProjectAddr6ss:€st L
idential E Duplex / ARU Building Squaro tuotaoe:
Name:Email:
Mailing Address: Phone:
A oool/ooo2
;;',?,;f toI*t-t\
N
N
Name:
lVailing Addre6s j
Email:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servic€'/Feeder 401-600 Amp.
service/Feeder 601-1000 Amp.
selvice/Feeder oYer 1 000 Amp.
Braneh grcuit W, .SarYic6 FBedet
sranch Cimit lro Sewica Feedet
Each Additional BFnch Circuit
Branch Citcutlg 1-4
Temp. Servlc6lFaEdet,200:Arnp.
Tamp. S€Mcs/Feeder 20'1.400 Amp
lJnlt Charo.
$120.00
$146.00
$20s.00
Ls262.00
9373.00
S5.oo
363.00
t5,00
$1l,qo
.,609,90
81id:oo
Li(f,nee /LL!GEJ:S,L4LaDES-
Expi ration)alet a\2 -O I - a ^2J
Phone:*r0'+b
Chargc)
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,
s
s -=.-, ,
__-_+
$
$
$
$
$
3
Temp.
Temp.
Portsl
Signal
Servi
to Portal Hourly
CkcuiULimited
Manufactursd Homo
TOTAL
Owner as dsfined by RCW.19.28.28'i : (1) olflncr wlll ocE{py ths r&uctur fur lwo ysa6 &r thb slccfictl P.rmlt l. flndlz.C. (2} Otvnar ia
roquirBd to hire an ;ec,trical contractoa f abovs said properiy lr tot 8ds, renl or loaaa. Psrnit sxPlras a{Lr lir msn0l. of lsat ln$oclim'
Afier readiog lhe aboys statsm€nt, I hereby cerd, that I am tha ownel of th. !!oY€ narhsd p.opedy ot a lcans€d .lcgtdcal onb.ctor. I
am making thG €leEtrical installation or altsration in compllancq wfih tha olsctrlcbl letys, N.E.G., RCaV. Chaptor 1016, WAC. Chaptcr 29&
468, Ths City Port Angele!aod Ullllty and PAMC 1 Permlt Aopllcs0on6.
te Print Name Signalure (Ownor
OWNER INFORIVIATION
[Electrical Psrmit Applications may be submitted b City Hall of eteatrloalPermits@cltyotsa.us or lb*ad to 360.417.47111
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