HomeMy WebLinkAbout230 1/2 W 8th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
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,..lApplication Number
Application pin number
ProperEy Addregs
ASSESSOR PARCEI, NUMBER:
Application type descriptsiorr
subdivision Name
Property Use
Propertsy zoning
Application valuatsion
19 - OOOO1787 Da!.e ).1/t1/79
4S42la
23O 1-/2 W ATH ST
05-30- 00-0-2- 5544 - 0000-
ELECTRICAI ONLY
PIan Check Eee
valuaEioll
Permit Fee Total
Plan Check Total
Grand Total
t32
t32
00
00
00
132
132
00
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00
00
00
00
00
00
Qty Unj.E Charge Per
1.00 132.0000 EcH Et-coM 0-200 sRv FEEDER
Extension
132.00
Fee summary charged Paid crediced Due
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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0
Applicati.on desc
Servj.ce repair
GUSTAFSON, AITAN W & CINDY D
PO BOX 1314
PORT ANGETES WA 98352
EXTRA MILE TECH & ELECT., LLC
418 N. RACE ST.
PORT ANGEI,ES WA 98352
(360) 457 -5222
Permits
Addi.tional desc
PeamiE Fee .
Issue DaEe
Expiration Date
132.00
t1/ a3 /t9
5/i-t/20
ELEC'I'RICAI AITER COMMERCIAL
00
0
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN t\) D ) t,'N
FINAL ulu'l'n 4Y
COMMENTS:
Signature ofowner or Electrical Contractor X
@
Date:
M U LTI.FAMI LY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Pubiic triorks and -ijtiiities Deparhnent
321 E.5th Slreet, Port Angeles, \iA 9836?
-360.41'7 .47 3 5 | n rvl'.cityolpa.us I electricalpemrits@cityoftia.us
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Pmject Desaignrn:o.".- D-eso k t,A4+,44
O Multi-Famiv Residenttal tr commorcial / tndusrial / Public Buikling ssrare botag€:
Name:Ernait
Mailing Address:33a Q."*fF- Srzz"*Phone:?Go- {77-
l{ame:License:
Mailing Address:3t2-8 Eeirathn Date:/a- eG -7o t?
Email:phone: ?6 o -,1 b! - f31a
IElt
Se{vberFeeder 20OAIlp.
Sd$o€rFee&rZX.{IO Anp.
SBfl ,irdFeeder 4X-600 Amp.
SsvicerFeeder 0O1-1m0 Amp.
Sen icE Feed€ro$er 100oArnp-
Branfi qreit W Servlce F6€(kr
Branch G]IIrt tMO Ssvea Feader
Eacfi Ad{[&tEl Bralrdl Cltul
Branafi CircrdE 14
Temp. SeIvicdFeder 2(X, tup.
Tsnp- Selice/Feeder 20 F@ Arnp-
I€ p. ServiodFeedar 4Of$00 Amp.
Ternp- SerrricarFeeder @1-10@Amp.
Portal b Poral Hrnfiy
sign, Ou$ne Ligf{i€
SFgnal CLrrlitJtimibd Er qgy - ler8-Faofy
Srgrd Cir.ultfi,.imfrd EneEy/re 1500 st- Cdrmsrnsl
(i&&! $5-00 6r dr addnional f 6(p s0
RensEbb Eba Bler$,: 5l(\,A qFGm tr b6s
:ffEf]ro€ffi (N€b: $5 br €dr dfu)
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fi400
$1S-00
$225.00
866.00
$410-00
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$e00
$8aqr
$1(l2.O0
$12't-00
sI64-@
$165.00
$9400
$6Ams[m
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$113.90
$56.00
s /32''**
Owner a definsd by RCW"'9"28261: (1) Ovvn€rt/lf,l occrrry fiE stu.&rl€ lb, tub y8sls atlsr lhb ebceical perdt b firElLs(L (2) Owrter b
.eqsired b hirs an e@ical contaclBr if aboyB said propoty b for salq rent or k6e. PerD oeir€s sfiBr8ir mofltrrs 016 in6p€c0on
After reding fie above staEment I herBby cert'ry lhd I am lhe o,wer of the abc,e r€med propdv or a llceflsed dedicd @fit-act6. I
am rrEktng the ffiical irEtallstin w a&ralion h cdltp6anos uft tE elecui:al Bx;s, ttEC., Rq,tf ftaftr 192E, VIAC. Crra er 2s'
468. Ths Cry of PortAr€ol6 Mur*@al Code, ard t ttty Spsdficalions erd FAirC 14.15.(E0 ragarding Ebct lcd PsrrtitApdicatiicns-
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Print NamE Sign€ture (fl Osrer Elecfical Contacbr /AdminiEtrator)
lEleceid PermitApplicafions rady be suhnided to City ]lall or .-'ri:: - : i.:. r.::,:r';':;i,::;ix;;-:,.,::i,:';.,,,: or faxed b 360A17.47111
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