HomeMy WebLinkAbout1143 Campbell AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'.z-4735
t
(^
N
-.0
Application Number . -Application pin nuniber
Property Address
ASSESSOR PARCEL NWBER:
Applicats.ion type description
Subdivision Name
Property Uae
P.operty zoning
Applica! j.on valuatioD
19- 000013 59 Date
040983
1143 CA}{PSEI,L AVE
06-3 0 - 14 - 5 -4 -04 70- 0000 -
ELECTRICAIJ ONI'Y
RS9 RXSD}ITL SINGLE EAXII,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
9/to/1-9
Appllcation desc
14 circuits
CALEB J A]TD EEIDI A COPKO
500 sE 177TH AVE
vANCOt \IER WA 9a5a2
(s03 ) 915-5844
SIIAMP EIJECTRTCAI CONTRACTING
PO BOX 383
PORT ANGELES WA 983 62(350) 452-1589
Permi I
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAT AITTER RES IDENTIAII
1-4 CIRCUITS
125. O0 Pl.an Check Fee
9/to/L9 valuaE ion
3/08/20
Qty Units Charge
10.00 5.0000 ECH
.00
0
BASE FEE
EL.ECH A-DDIII BRANCI{ CTRC-T'IT
Extension
75.00
50.00
Charged Pa id Credited Due
Permit Eee Totaf
Plan Check Total.
Grand Total
125
725
00
00
o0
125 _ 00
.00
125 .00
.00
.00
.00
.00
.00
,00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T1?E DATE:RESIJT,TS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ?-lo- lg lP 4A
FINAL rolahl P fta
COMMENTS:
Signature ofowner or Electrica[ Contractor X Date:
ELECTRICAL PERIVI IT APPLICATION
'i)
!FEcE/v,.,.
sr, - u tii
Pqect Address:
Project Des{:npti
il 7:t
ou (it.t-t*
?
N
(t{!'
i-,- Single-Famrly Resrdential l. I Duplex /ARU Building Square lootago
Nante
Maiting Address -[.]..-'l-:Z{
l{ame
i\{;riltng Address
Itenr
Sen,!!e/l-eeder 200 Amp.
Ser'r'iieiFd.:d*rr ?01-400 n nlp
5efvr,:e.i cede. 401+t0l) AfitD
S ii^aDr,'!'cf:der r;0I - I OoC Arnt].
i el,.eiteed e. 0ve' l0O0 Allrp
i.E.rul Lli,curt !,Vl Servicr Fr:eder
8rfircl. Cr.uit lVrO Servrse Fr;eder
ti{:h Ada(ronal Brlrnch Cr!,(xrrl
Braroh Crrcurs I 4
T(jrrll: 5.!.l,c.r/f.ede r ?00.funD
Tefi p Serrrce,rt'eeCer 201, 400 AnTr.
lerrE 5Erv,cEil-.jeder 4Oi-61),.JAnrp
IE lp aiervrcriFee"let 001-1000 Amfi.
F'crlai :+ PDi{,il l-loudy
S,!!1a; C{crrn,rlrmitcij EneE! - 1&2 OU
t,i;rriulacUre{ Hur e Cor$lr.raiuon
Rr:lruvnhl(i Ekc EneTf: iKVA SyEtetn or les$
lhrrarcst.rl rNcte l;5 for ca(Jt ad(lihonsl)
Frr8t 1300 Square Feet
Eecn Additionhl 500 squa.e lesl:'
Edc*' Orrtbuildiflg / O€bohEd Gdrage
Ea.h Swlmming P6ot I H$t Tub
Email:
hone 4
t.icense:
Expiration Oate
Phone
Qsrflltv Iolel ntity x Uoil Charqc)
tl
Unlt Charoo
s120.00
$'14ti.00
$?05.00
s;262 0t1
s3i:].rJD
$5,00
g{i3.00
s5.00
s/5.00
s93.00
s 1 10.00
s r49 00
sr68 00
$90.00
$64 00
s'120 00
$ r02.00
$56.00
$1?0.00
s4o.bo
$74_00
$1r0.00
tt
](f,t _
-:
s-=_-.
$
$
$
5
$
5
S
s
$
$
s
$
$
reqrrred lo hre .in eleclri(nl cooltacto. if abc,ve snrd prcperly E lor sale. .eol o. lease. Penntl exptres after six rraolhg oI lset ,nspeu:l.!r,
Alle' rea{iing l}x'abovc Et.tBment, I hereby cert,fu lhal I a/ll the or,wer o, the above nsmed p/operly ar a ltceosp.d elBcln(al contraclor I
am m!lki{!, lhe elecllical installatmr or alteralion fi crmpliance wilh lhe electricel lew5, N.E.C., RCW. Chapler 1ft,28, WAC. Chaprer 2s6-
46ts, The (l.ly (]l [\)fl [4uniiJpal CodE, iind Uiditf iolls and 05.050 rega,dirE Eleclrical Perm:t.ADphcatlons.
cfl+i
nilltl Pt,lnt Narna $agnatur6 {Owner G Slectrical Contractor i Administratorl
{a:.lcchical perrort ApFlicalions may be subnritted to City Hall or eleckicalpermit$@crtyofpa.ug or taxed to S60.417.47111
1 - 2 STNqLE:FAtVilLY
!-marl :
Et Egf,RlcA[;CO Nf RAC f Oft , I N F0ntlAr loN
PROJECT DETAILS
I