HomeMy WebLinkAbout812 W 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
RS7 RESDNTL SINGI.E FAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nunber . .
Application pin number
Property Address
ASSESSOR PARCE], NTJMBER:
Applicatiol E]-pe description
Subdivision Name . .
Property Use
Prope!tsy zoning
Application vafuation
19-00000 974 Datse 6/26/L9
139012
812 W 4TH ST
06 -30 -00-o- 1-0205- 0000-
EI,ECTRICAL ONLY
Applicatlolr desc
Kitchen and bathroom updatse
Ol^lner ConEractor
Iris Finch Heston
812 W 4TH ST
PORT ANGELES
1360l 460-7229
AITASKAN EIJECTRIC
237 ROBERSON R.D
PORT ANGELES
(3 6o) s82-3874
wA 983532107 wA 98362
Permit
Additional desc
Pernits Fee
Issue Date -
Expiration Date
ELECTRICAL A],TER RESIDENTIAL
1-4 CIRCUITS
85.00 Pfan Check Fee
6/25/L9 valua! ion
. o0
0
BASE FEE
EI,.ECH A.DDNI BRANCII CIRCUIT
Exteasion
75. O0
10.00
otsy Unit
2. O0
Charge
5 .0000
Per
ECTl
Fee summary Charged Paid Credited E\re
Permit Fee Total
Plan Check ?otal
Grand Total
85 .00
.00
85 .00
85.00
.00
85. 00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN t /zo/tz +\EP
FINAL ,i ],il n 4,V N
COMMENTS:
't
Signatrue ofowner or Electrical Conaactor X Date:
1-2SING E-FAMILY
ELECTRICAL PERMIT APPLICATION
Pnblic Works and l-Jtilities L)epartrnent
i2 I H- 5th Street. Porl Angeles, WA 98i62
i60.4 I 7.47i.5 I www.cit-vofpa.us I electricalpermitsiiiicityotpa.us
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POect Address.
Proiect Description:Kr-[cplo^-)) $y'748rcq qPD44{
Single-Family Residential E Duplex I ARU Building Square tootage
Mailing Address:
Name:
Mailing
Email;
EL.A--a 6ca174144o
Addres6:
Ite.m
SeMce,/F€Eder 20O Amp,,
Sarvice/Feed€r 201-4OO Amp.
ServicsiFe€de, 401 ,6@ Amp.
SeMce/Feeder€01 -100O Amp.
Service/Fee@r ovqr 1 00Q Amp.
Branch CiroJit W SBrvice Feedar
Branctl ciro.jit WO Service Fe€der
Each Additionat Brandt Cirdrit
Branch Cirqjits 1-4
Te.np. Servic8/Feeder ZOp Anp.
Temp, Service/F€eder 20 1-4OO Arnp,
Temp, ServicEr'Fseder 4O1€OO Aflp.
Temp. Servica/Feeder FO,-1000 Amp.
Portal to Portal Hourly
Slgnai CiroriuLimited En€Ey - IA2.DU..
Ma nuiacfiJrBd Home Connettipn
RerEwable Elec. Energy r sKVA Systsm or less
Thehostat Noter $5 for each
FF,c.d.,JcT
Phone:
Lacanse:<a51./7DO
Expiration Date:-zo - "-qaphone: 5b -rb".-3*7 4
Charge)
s120.oo
$1/16:00
s.2O5.00
szEZ90
$373,00
$5.00
w.00
$5-00
$75.@
99p.oo
$110.00
Z.
I
. $149.00
$188.00
s96.Oo
,,$64.00 .
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Owlrer as defin€d by RCW.i9-28.261:(1) Owner wilt occupy the sfudure for two years aftet lhis electlical psnnlt is finallzgd.(2) Owne, isreguired to hire an alectical contE(lor if above said property js for sals, rent or lease. permit expires afler six months of last insp€dionAftBr reading the above sbtemsnt I hgreby c€dify that I am the owner ofth€above named property or a lic8nsed electrical contractor Iam ftaking the electrical instal latiqn or alteratiofl in mmpliance vrith the eledricat laws, N.E-C., RCt l Chapter 19.28. tiAC. Chapter 2S6468, The City of Port turge,es Municipal Code, and Utitity Specificatiors and PAMC 14 05.050 Eleckical Permit Appicatlons,6-zl- t?14,f,u| I L+CkBqe),l
ELECTRICAT CON:TRACTOR INFORMATION
Da'te Print Name Signature (f] Ownerp Electrical Contfactor /Administrator)
[Electioat PeffiitApptications may be submitt6d to City Hall or eEctricalp€rmits@cityoFa.us ot lar<Bd to 360.412.41111
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Name: - . - Email: _
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
"U'lm)n n-114 NSPECTOE-1W
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ADORESS3tz- ) 4 a-
APPROVED
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NOT APPROVED
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NOTIFY INSPECTOB WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE -
coBREcnoNsNEEDro,6fC( ?E'o.rr1c-\t- La.vr+,E{.
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DTTCH - .
ROUGH IN/COVEH tr
tr
APPROVED
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tr
tr
D FINAL
COBRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
_ DO NOT REMOVE -
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ADDFESS
NOT APPROVED
. . . SERVICE
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