HomeMy WebLinkAbout510 S Chase StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-4174735
18-00001.430 Dare 9/25/\A
870150
510 S CHASE ST
05-30- 00-0-2-0000 0000 -
EI,EClRICAL ONLY
COMMUNI?Y SHOPPING DISTR
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
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Application Nudber
Applicalion pro Bu$ber
ProperEy Address
ASSESSOR PARCEI] NUI'IBER:
Application tlrpe descripti.on
Subdivision Name .
Proper!y Use
Property zoning
Applicat.ion valuation
ContracEor
AXTHONY AND SA.RAH E SHAW
510 S CHASE ST
PORT ANGELES WA 983625118
ELECTRIC SERVICE
503 RHODES RD
PORT ANGELES
135A) 4s2-5424
wA 98352
Permit
Addi!ional desc
Permi! Fee
I ssue Dale .
Expiration Date
ELECTRICAL AIJTER RESTDENTIAI'
GARAGE ].-4 CIR
75.00 Plan Check Fee
9/25/tB Valuat i on
3 /24 /te
00
C
QLy Uni! Charge Per
BASE FEE ,5.00
Fee summary Char:ged Pa id Credited
PermrE L'ee 'totar
PLan Check TotaI
Grand TotaI
75.00
.00
75. 00
'75 ,00
,00
75. 00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN q lzoilte d>r#P
FINAI -qt)zdn r=
COMMENTS:
PERMN WILL E)(PIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Elecaical Contractor X Date:
Due
ATI
Public Works and Utiliries Department
321 E. 5th Street, Port Angeles. \\'n 9E362
360.4\7.4735 i \,vww.cityo&a.us I clectricalpermirsq@cityofira-us
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Mailing Address;6I .a S. -f)-diL
Namei
Maili^g Addrcas:
Email:
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Ovmer as (lc'ined by RCt rl E2a2&: (1) O$rnerrr{t o€rpy rhe stn dre fo{ tflo }c.rE #r{hi6 €lGaicd penrrt rs finslized. (2) Owncr isreQui.ed tu hlre ah eleddcal.oBb!cb. it ab$r€ Eai! glugitj' O Ot seC, rent of l6t.Be- F6firit c,(pi*= "ftJsi* rnontre of f"glf'"p.Aiorl-
AlEr readi fg tlE sbgve sa8tsrrlE ( t hsrgbt car{fr diat I Ern the oly'l€r ofthe aboye rr8 rled pasErty qr 8 lbeG€d elo.trtsl corrt adaa- Iarn making tlre ele{*rhal in€ldtatbfi or ahGrdio.t in corrpliaDce wi$ the ehcfical lsvrq N.EC., RC1,V. ChEple.19.28, WAC. Ch4gr29€-4eB,olPortADgde$ unicirel Code. rnd lrfiky Speclfr€atlofts Erd PAMC 14 05-050 rogerding Ete.ficel Psrmit AppticatignE,
DatB Pn-nt Name Signature (**'F E ecbic€l Contr€ctor / Admini
[Elect icat Permil AppHiJr}s may b€ submittrd to city HEI or eleetfic"lperrniE@cityofpa,ss o. lax€d lo 360 .417 ,47 11.!
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