HomeMy WebLinkAbout844 Willow Ave (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t't-4735
ss
s-Des
Application Nufirber
Application pin number
Property Address
ASSESSOR PARCEI, NUT'IBER:
ApplicaEion lype descripEion
subdivision Name .
Property Use
Property zoning
ApplicatioD valuaEion
18 - 0000150I Date 10/16118
3 8164 0
844 WII,LOW AVE
05 -30 - 15 -4 - 1- 0050 - 0000 -
ET,ECTRICAI, ONLY
EI,ECTRICAI, TE}'lPORARY SERVlCE
REPORT STATE SAI.ES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Application desc
Temp powe!
Ovner Contrac!or
JEROME AINSCOUGH
1033 W 13Trt ST
PORT ANGELES
(350) 333-5042
/ KERRI COOK
wA 983 53
KIRSCI{ EI,ECTRIC lNCp_ o. Box 33 95
SEOUIM
(350) 683-6819
wA 983 82
Permit
Additional desc
Permit Fee
Issue Date
Expir:ation Dale
93.00
|a/L6/18
4/14/L9
PIan Check Fee
ValuaEion
.-) a
Qty Unit Charge Per
1.00 91.0000 Ecl. EL-rEuP sRv 0-200 sRV FDR
Ex!ension
9t .00
Fee aummary Charged Paid Cred i t ed Due
Plan check Total
crand To!a1
93 .00
.00
93.00
93.00
.00
93.00
00
00
00
.00
.00
.00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE nlzt 116 A_-6D
ROUGH.tN
FINAL nlzElth N =#COMMENTS:
Signature ofowner or Electrical Contractor X Date:
"ffi
?ffiKd
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
APPROVED NOTAPPROVED
DITCH tr
EROUGH IN/COVER
SERVICE. . .
FINAL tr,
?av^
ZDET'9'+L A 5i212aaz- tZliolr r z(r4rEaJT <-
€tx,De:Lt x-\2*> -
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE CIUPLETED wlTHIN 15 DAYS
- DO NOT REMOVE-
tr
tr
tr
n
oATEj PERMIT 4 INSPECTOE
L
CONTBACTOR
ADDAESS
coRHEcIoNS NEEDeo' Yar<? 5H r"r-r _. rZz- roafhu-aN
1 - 2 SINGLE-FAMILY
Puhlic Wr:rks and []tilities l)cpartrncnt
3: I F'. .ilh Strrrt, Porr Axgelss, \\'A q8]62
i60..tr1?.47-i-sir,,iurv.ciltlpa.usir:lortriialpurmitsrra,citlofpa.us
ECEIUED i
OCT 7
ETECTRICIt
INSPECTIOT,IS
co
15-
CDProiact Address:BHEI L^J\l\ou.-)4u -st-
ProJect Description:SF1L AE ql
Sinqle-Family Resjdentiai n Duplex / ARU Building Square footage
Name:
tulailing Address
Name:
M.iling
Emaii:
Email
Phonei
License
qo Phone
ate
liem
Sslvic€/F€eder 20otunp.
Service/Feeder 20t -400 Amp,
SeMcelF6Bder 401600 Amp
Servica/Feeder 601 - 1 000 Amp.
Servrce/Feeder over 1 00O Amp.
Branoh Cirouil W S€ loe Feeder
Branc.ll Circuil wO Servic€ Feeder
Each Additional Br8nch Crcuit
Biaoch Cirarils 1-4
Temp. Servica/Feede. 200 Amp
Temp. Servh€/F€oder 201400 Amp.
Temp. Service/Feeder 401€00 Amp,
Tomr. Service/Feeder 601- 1 000 Amp
Portai to Porlai l-lourly
Sqnal Circuit4-lmlrEd Energy - 1&2 DU.
Mgnufactur€d Home ConBecllon
Ren€wabto Elsc. Eneqy: 5KVA Sysiem of lg€s
Thefiio$ai (Nole: SS lor eadr scjditional)
Jqtal {Qurotity r Unat Charge)
$120 0o
$146 00
s205.o0
$?52.00
rH,73.00
85.00
$63.00
$s.00
$75.00
593.00
$110.00
$14S.00
$168.0o
i96.00
$64"00
$120.00
s102 00
$s6.00
IOTAL
O.rner as delired by RCW 19.28.261 : {1) Owner w,lll occlrpy ore strudure ibr t'rvo yoars aner thi6 electrical permit is finaliu ed. {2) Olvner 15
raquired io hi.e an electricBl oont|.actor ii obove Eaid propedy is lorsale, rBnt o. iease. Psrrnit explre6 after gax rnontis of last insp"ction.
Afier readi g the above statement, I hersby certity thal I am the ownel ofih€ above named Property or a lic€nsed etectricel contracto. j
ant makng the eleckiDal installetrdn or alteratjon in compliaflce with the el€atrlcat laws. N-E,C RCW Chapter 19.28, WAC. Chapler ?96-
468. i'he Cily ot Porl Angeles MlrS icipal Co dekand Utility
)rs
Spac i
h
cahons a 14.05.050 re lectrical Permit A,pplicatronB
L
Prinl Name Signature (OwneI Contractor / Adm inistra!or)
[Eteclricai Pe(mit Applications may be submitled 1o City Hall or electricalpermits@cityofua.us cr fared to 360 417.4711]
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