HomeMy WebLinkAbout103 Lopez AveRS? RESDNTL SINGLE FAIVIILY
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REPORT STATE SALES Tfi(
on yaur excise tax form
to the City of Poti Angeles
(Location Code 0502)
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Application Nunber
Appllcation pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsio4 t),pe descripEion
Subdivision Name ...
Propertsy Uae
Propertsy Zoning
Application valuation
19- 00000512 Date 4/10/L9
5606'72
103 r,oPEZ AVE
05-30- 10 -5- 0- 203 5- 0000 -
EI,ECrRICAI ONLY
ApplicaEion desc
Eeat pufi1p change out
Owner Co11t!actor
MICHAE! & MONICA LUCAS
103 LOFEZ AVE
PORT ANGEIES WA 983522535(360) 565-L386
PENINSUI.A HEAT INC
782 KITCHEN-DICK I'D
SEQUIM
(360) 681- 33 3 3
wA 983 82
Permit
AddiEional desc
PermiE Eee
Issue Date
Expiration Date
56.00
4 /L0 /le
t0 / 0't / 1-e
vlan cneck !ee
valuaEion
00
0
otv
1.00
Unit Charge Per
56. OOOO ECH EL - LVT- THER}4OSTAT
Extension
56.00
Fee summary Charged Credited Due
PermrE !'ee'lota l
Plan Check Total
Grand T'oEal
56.00
.00
56. 00
56.00
.00
56.00
00
00
00
o0
o0
o0
PERMIT WTLL EXPIRE SD( (5) MONTHS FROM LAST tr.ISPECIION
INSPECTIONTYPE DATE:RESULTS:INSPECTOR:
DITCH
ROUGH.IN y'/r- ltq &#
FINAL d$
COMMENTS:
I
Sig[aturc of owner or Electrical Contractor X Date
ELECTRIEAL PERMIT
CITYOF PORTANGBLES
360-417473s
EI]ECTRICAI ALTER RESIDENT]AI
SERVICE
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tl
1-2StN GLE-FAMI LY
EL CTRI CAL PERM ITAP PLICATI ON
Public Wor:ks and titilities Dcpartmont
321 b.. sLh Street, porr i\ngeles, \\A 9g_162
360.4 I 7.4735 | www.cirysfpa.us I elecrricalpermirs@lcityotpa.us
RECEIVED
IPR s 20ts
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Project Address:
Project Description:
Ef Single-Famity Residential D /ARU Bui{ding Square iootage IASq
Name z Email:L.UV.Es-,urCa.ae o
MairingAddress \fA € \oFA_?_Ar{ DA qEBrnA Phone:acf)--\61L0
Name License:
Mailing Address Expiration Date
Email:Phon", 3r\.Q:\.081:33ft8_
llem
Sorvice/Feeder 200 Amp.
Service/Feed8r 201 400 Arnp.
Servic€r'Feeder 401 €00 turp
Servber'FE€dEr 6011 000 Amp.
Servic€y'Feeder ove|l00O Arnp
Branch Circuit w/ Service Feeder
Branch Circlit WO Servic€ Feeder
Each Additional Branch Ci.cuit
Branch Circuits 'l-4
Temp. Service/Feeder 200 Amp.
Temp Servbe/Feeder 201-4OO Amp.
Temp. Servi.€y'Feeder 401,600 Amp.
Temp. Se.vice/Feeder 601-1 000 Am p
Portal io Portal ttoudy
Signal Cir(lriyl,mitad ErErgy - .t&2 DU.
ManufacluEd Home Connection
Renowablo Elec. Eneey: 5KVASystem or less
Thermostat (Nots: 55 lor each additional)
Fi d 1 300 SquarB Fset
Eactr Additionat 500 lqua|e lEe{"
Each Oulbuiding / Deiaded Gsrage
Esdr Swimming Pool / Hot lub
After reading the above statement, I hereby certit thal I am
am making the electrical insta ation or alteration in cofiptian
468, The City of PortAngeles Municipal Code. snd Utility
Ouantltv f.olal (Quantlty x Unit Charge)
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Unlt Charoe
s120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
9s.00
$7s.00
$93 00
sl10.00
s149.00
s168.00
$96.00
$&1.00
$120.00
$102.00
$56.00
s120.00
640.00
st4.00
91r 0.00
s
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8_5
=t-0
TOTAL
Owner as defined by RCW.19.28.261: (1) Owner wlll orctpy the struclure for two years afrer this el€crrieal pemit is finalized. (2) Owner is
required to hjre an eleciricel contractor if above ssd property i6 torsale. reot or lease. Permil expires affe; six months of last insp€c0on.
the owner ofthe above named property or a lice
N.E C,, RCW. Ch
nsed elecldcal contraclo. I
19.26, WAC. Chapler29S-
C Applications.
q
Date Signature (E Owner [f Electricat Contractor i Administrator)
[Eleqtrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa us or faxed to 360.417.4711]
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