HomeMy WebLinkAbout804 E 3rd St (2)ELECTRICAL PERMIT
CITY OF PORTANGELES
360-417-473s
PUBLIC BUIIDINGS & PARKS
0
REPORT STATE SAIES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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Application Numbel . .
Application pin nuhber
Property Addregs
ASSESSOR PARCEIT NUMBER:
ApplicaLion type descliption
Subdivision Narne
Property Use
Property zoning
ApplicaEion valuaEion
19- 00001784 Dare 11/13/t 9
L193'76
804 E 3RD ST
06 -3 0 - 00- 7- ? - 040s - 0000-
ELECTRICAI ONLY
Application desc
DHP
ConE!actor
TRACY DEI.ACRUZ
804 E 3RD ST
PORT AIIGELES
EXTRA MILE IECII & ELECT., I,I]C
418 N. RACE S?.
PORT ANGELES WA 983 62
1360) 45'7 -5222
wA 983523824
Permil
Addi t. ional
Permi-E Eee
Issue Date
Expiration
desc
oat"
58 .00lt/t3 /L95/t7/20
EI]ECTRTCAL A],TER RESIDENTIAL
PIan Check Fee
valuaEion
00
0
Qry Unit Charge
ECH
ECH
EL-ECH A'DNT BTIANCH CIRCI'TT
E!-R- BRANCH CIR WO/ SER FEED
Extensi,on
5.00
63 .00
1. 00
1. 00
5 .0000
63 .0000
Cha!ged Paid Creditsed Due
Permit Fee Total
Plan Check Total
Grand ToEal
68.00
.00
68.00
58.00
.o0
68 .00
.00
.00
.00
.00
. o0
.00
INSPECTION T}?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN n/e ln +tr -BbA
FINAL ite.ltQ .Atr
COMMENTS t
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature of owner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Dcpartonent
321 E.5th Street, PortAngeles, WA 98362
360.41 7.473 5 | www.cityofpa.us I elecrricalpermits(@cityofpa.us
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Mailing Address 74,cr €Hf
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Name:
Name: 6X LE f-g
Mailing Address:.O. Bor( 312-8
Enail: €X ol
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SorYicerFelde. e) Aflp-
ServirFeeder 2Ol-(X) Arnp.
Servicr/F€eder /l{)1.600 Afirp
Servic€rFes&r 601-1000 Amp-
ServicerFeeder o!,€r 1000 Amp.
Brand! Cirorit lM Servi)e Feeder
Brardr Cirqiit W,o Se|ice Feeder
Eacfi Addi[onal Brandr Cirurit
Brancr, Ctwits l-4
Temp. Ssrvice./Feadar 200 Afip.
Temp. Servic€y'Feeder 201-400 Arp.
Temp. Sefliey'Feedq 401500 Amp.
Temp. Servi>,/Fder 6011000 Amp
Portal io Porlal tlourly
Signal Cirtrliulimttsd Eneqy - lt DU.
n anuEctured Home ConrEcdo.t
Renqvabb Elec. Energy: 5t(VA SJllirm or b6s
Ttlermo6tat (NotE: g5 tur eadt addilboat)
Frrlt 13@ SqJ@ Feet
. hr Addtional 5OO s4rare Eea"
, Esdr OdbuUing / D3d€d cE{E
E.iSdrmeEP6t/ldTub
t-iff',re:FxfRt+dr?73 P bbzExpirattonj"p,, t2 -c.a - zot 1
Phone:zco -.lbl - t 338
Ouantitv trgbl {(hrrdty , Un[ Ch.rfc)
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Unit Charo€
0120.00
$1.15.00
Q05.00
862.00
1373.m
$5-00
$63.00
$5.00
$'/5.q)
$93 00
slr0-(x,
t149-00
s168.m
$6.00
s64-OO
t120.m
9102.00
$56.(x)
$20-m
t10.00
sr4.m
$ r0.o0
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Oviner as d€frEd by ROr119.28261: (1) O{,nBrwI @Dy the sfirc&,rc for trE yeaE alterthis etscai:al permit iB tualized (2) OflIrer brtquirld lo hire an clectical conf€cior it aloye sail property b br sah, lEot or base. klmit c,ples.roi si. nmr{lra of fr"iiispoaion-
Aflsr reading lhe alovc ataterEnt, I hcreby cert ry that I am lhe owner oft re 6ove narlEd pllFrty or a Ecan6ed electical conlrador. I
am rnsldng the elec,trical irEtallation or atera(pn in cornptance with the eleqthat laurs, N-E.C., RCW. Chapter 19.2E, I JAC. Chapter 296-
468, The City of Port Angeles Municipat Code, and lJlifty Specificalions and PAMC ,t4,05.0S0 rcgarding Eleciical Permit Applicatioris.
/a 9el€"-*-*/
Oate Print Name Sigmahrre (E Ovner Ele€tical Contracbr / Administrator)
[Elecfical Permit ApPlicatims may be submitFd to City HaB or electricabermib@cityoha us or faxed b 360-417.421r]
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