HomeMy WebLinkAbout104 Apple LnELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTI SINGLE FA}lftY
0
-4
\
-\
{\
\iApplication Nurber
Applicatlon pin number
Property Address
ASSESSOR PARCEL NUMBER :
Applicatsion ts}'tr)e descriptaon
Sllcdiwision Name
?roperty Use
ProPerty Zoning
Application valuation
19 - 00001453 Dare 9/20/a9
279449
104 APPLE IN
06-30 - 15 - 2-2 -02s0 -0000-
EIJECTRICAL ONIY
ApplicaEion desc
Paael updatse
Contractor
GUERRERO ER}'N M
278 22ND AVE
SAN FRANCISCO
APS ELECTRIC
546 BENSON RD
PORT ANGELES
135A) 452 6 751
wA 983 53
Permi ts
Additional desc
Per:miE Eee
Issue Date
Expiratlon Date
120.00
9 /2A /a9
3 / 78 /20
ELECTRICAI ALTER RESIDENTIAL
00
0
Qry
1.00
Unit Charge Per
12O.OOOO ECH EL O 2OO SRV FEEDER
Extension
120.00
Charged Due
Permit Fee Total
Plan Check ?ota1
Grand Total
120. 00
.00
120.00
120
).24
00
00
00
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERYICE k )e)th s
ROUGH.IN
p)bln -P =dP
COMMENTS:
PERMIT WILL EXPIRE Stx (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
cA 94121
Plan Check Eee .
Valuation
Paid CrediEed
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
RESULTS:
{P
FINAL
2 SING E-FAMILY
ELECTRI CAL PERM IT APPLICATION
Public Works and Utilities Depafiment
321 !1. 5th Street. Pod Angeles. \\A 93362
364 ]17.47 -15 irt\'*.cityofpa.us i elecrricalpermits@cif.oflpa.us
-t_-
1
ff:;Ti,,
no
3
*
\Project Address:lo
Projecl Description t.
E Singl+Family Rgsidential D Duptex /ARU Buitding Square footage: _
Name:
Mailing
s{i Email:
Address:L.4nL Phone : 3hf '.t15'?^s I
Name S
Mailing Address.Expiration Date ao
Email Phona:3 -l
Lcn
hem Ou.ndt IEtsl(Qraafty x Unlt Chr.ge)
Se.vics/Fsed€r 200 &np.
Ssvi€./Feedar 201 -4@ Amp.
S€rYi{rFee&r ,{01 .6m ArrD
&rvicaf.6der €01-l m0 Arnp.
SerYicer'Feedsr over 1000 Arp.
Brsnci Orcuit W Seryi{re Fseder
Branafi Ctgrit lA,lO Servlce Feed€r
Esci Addithnal Br8n(,l Circuit
Brsndi Cirqtits 1-4
Temp. Serviefeedsr 200 Arnp.
Tcmp ScrvicG/Fesd€r 2014@ Anrp.
Temp. SefvierFe€d€. aol 4O0 Amp.
Temp. Servhe/Fe€dar 60l J000 Ary.
Porbl to Poial Hourly
S€nalCird/in-imitBd Energy - 1&2 OU.
ManufgctuGd Home Connecri}n
Renev€bh El€c. Energy: $(VA Systsrn or tses
T?€rmo6td (!iote: S5 fur eacfi addioonal)
Frd 1300 SqqErB F.d
Eadi Addfbnd 5OO {u.r€ E i"
Each ol*luf<kq I Drtechcd Garage
Ea.h $rhyfli'u Poot , Hot Tub
a 3,-
i P.r '
tl'l
Osrier as d6lined by RCW.19.28.261: (1) Oil,ner willoasJpy tll€ struclure for two years ater filis electrica, permit is finalized. (2) Omsr is
.equired to hi.e an eEctic€l cootlacior if above said property Is for sale, refit or lease. Pemlt e$irBs aftar slx montis o, la3l inspecdon.
Affar Gading fle abovs stat€{I}ent, I hersby certit thd t €m tte oryner oithe above narEd propsrty or a lioens€d atecirical corrfsdor. t
am rnaking tie ebcficat instatlation or alteralion in cofiplance wisl tha slectical hl6, N.E.C., RCW. Chapier i9.2A, t rAC. CiEpEr 296-
458, The City of Porl Argeles M Code and PAM Elecfical Pcrmn Applicatiorisq.rq (si
Date P.i E Electical Contraclor / Adminisffior)
lrnit Ch..q.
s120.00
$146.00
$205.@
e32.00
s73.00
$5.00
s63.m
$5.@
375.00
s93.00
3't 10.00
8149.00
El6E.00
s96.00
$&r.00
$120.00
s102.00
$56.00
s120.00
sio.0o
gr4.&
tl10.00
)
I
s
$
$
$
S
I
6
5
s
$
s
I
s
s
3
!
3
I
3
lElectrical Permit Applic€tions may be submit{ed to City Hallor electriealpermits@cityofpa us or fuxed to 360.417.47i11
lTl-\-
tfr
l$l
i
ELECTRICAL CONTRACToR
I
TOTAL
Signaturc (E