HomeMy WebLinkAbout2140 W 4th StApplication Nunber
Application pin number
Property Address
ASSESSOR PARCEL NI]MBER.
Application lype descripEion
subdivision Name
Property Use
Property Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANCELES
360-41'1-4735
RS7 RESDNTL SINGLE AA},IIIJY
0
18- OOOO1495 Dare 9/26/t8
060460
214 0 W 4T!r ST
06 30 00 9-4 0030 0000-
ELECTR]CAL ONLY
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
6$
t
E.ISq
Appl.ication desc
GARAGE HEATER AND MOTION LIGHT
ConEractor
BOERNER, MARII,YN XAY
2140 W 4TH ST
PORT ANGEI,ES WA 983 62
KIRSCH EI,ECTRIC INC
P. O. BOX 3396
SEQUII'1
(350 ) 583-5819
wA 98382
PermiE
Additional desc
Permit Eee
l ssue Date
EI,ECTRICAL AITER RESIDEN?IAL
1-4 CIRCUITS
75.00 Plan Check Fee
e / 26/78 valua t ion
3/2s/aeExpiration Date
Qty unit Charge
00
0
BASE FEE
Extension
75.00
Fee summary Char:ged Paid Crediled Due
Pernil Fee Total
Plan check ToEal
crand Total
75.00
.00
75. 00
00
00
00
75.00
.00
75. 00
PERMM WILL EXPIRE SD( (6) MONTHS FROM LAST INSPECTION
INSPECNONTYPE DATE:RESWTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN qlz-zka JP 'BaR
FINAL s|xiie N -j+#.,
COMMENTS:
I
Signature of owrrer or Electrical Contraator x Date
.00
.00
.00
1 - 2 STNGLE-FAM|tY
ELECTRICAL PER MITAPPL CATI ON
Public \Yurks aild Utiiirjci l)rpartr:rcnr
3i i li. irh Stregt, P*x Ar)g*ics. \\i\ 9t136?
160.+ l;.{7i5 , \,.nr,yw.( irr r;ipu.us I cdcr irio;ltir,:rnr ir sili,r i1},1lixi. us
^aF+o t^) l"++h S+
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ProJecl Description:
Single-Family Residential I Duptex / ARU Br.lildlng Square ,ootage
Nafte -c-v- l.\-q--v-
ilailing Address
Name
Mailing Address-
Email
qll!$h
Email
Phon
Licensei
Expirdtion Date
enone}[3fl
ServlEa/F6GdBr 200 Amp.
Servi oer'Feeder 201 *400 Amp.
Servic€/Feeder 401€00 Arnp.
Service/Feedcr 601-1 000 AmF.
Service/Fesder ovel 1 000Amp.
Bmnch Circoit W ServicE Feader
Braoch Circuit WIO Service Feeder
lach Additional Branch Circuit
Brsnch Cirouit8 1-4
Tomp Service/Feeder 200 Amp.
Tsmp Serv lce/Feeder ?01-400Amp.
"l'ernp. Servioa/Feeder 401600 Amp.
TemF,. Seryice/Feeder 60r-1 000 Amp.
Po.ial to Portel Hourly
Signal Circuitllimited Ehergy - 1&2 DU
Manu factur8d Home Connec{ion
Refewatle EIec. Energy: SKVA Systetn 0r l€ss
Thermastat (Nstet 55 fot eEch additiorl8
Date Print Name
lElect.icEl Permit Applic€tions rnay
Iqal {Quantity x Unit ch5rge)
$_
$ _**
$_
$ =_---$...'..-...-._*s_
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Own6r aE defined by RCW 1s.28.261i {l ) Owner willoccuoy the srruetlrre {or &1,o years etter thrc etecrrical perrnil is finaiizea- (2j ownsr rsraqlired to hire an electrical contraciot it ebo!€ sgiC prope,ly iE for eate, rert or ieasE permit expires aftei six rnonths of )ssi rospecticn
After reading lhe abo!6 stalsflent, I hereby certify that I sm the owner of tne ahove named property or a licenEed electracel mfttraclot. i
afl'r ftruking the electrical inslrllation or atteretion in compliance with the e laws, N,E,C., RCw. Ch r 19 28, U/AC tnat)le,206"
468, The City of Fon Angeles Muhjoipat Code. and Utility Specifications and 14 05.05 regerdinq ctriaal it App,ica:,
1d>- I
SigrIatu O[rrrer E onfactor I A,lministrstot)
be submitted to City H all or electricaJperrnjts@cityo{pa.us or faxed to 3AA.417.4711j
Project Address
$--
$J20.00
s148.00
$205.00
$262.00
$5.00
$63_00
s5.u0
$7s.00
$93 00
$110 00
$149,00
$168:00
seo,00
$64.00
$120 00
$10?.00
$56.00
s
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