HomeMy WebLinkAbout601 E Park AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
RS7 RESDNTL SINGLE FAIIILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicalion Number
Applicatio[ pin nuniber
Property Address
ASSESSOR PARCEIJ NUMBER :
Appl j.caEion. c,'pe desc!ipEion
subdivision Name .
ProperEy Use
ProperEy zoning
Applicatj.on valuation .
19- 00000487 Dare 4/O3/L9
0 7? 810
501 B PARK AV8
06- 30- 10- 4 - 3 - 0300 - 0000 -
ELECTRICAL ONI,Y
Applicallon desc
Bathroom KitchenetLe
Contslactor
SCOT1I L AND FRANCES A JAI.IISON
501 E PARK AlE
PORT ANGELES WA 983526756
(360) 460 4359
ANGELES ELECTRIC
PORT ANGELES
\360) 452-9264
wA 98352
Perni t
Additional desc
Permit Fee
Issue Datse
Expiration Date
ELECTRICAL AITER ITESIDEIITIAI
].-4 CIRCUITS
75.00 Plan Check Fee
4/03/L9 valuaEion
9 /30 /19
00
0
Qty Uni! Charge Per
BASE EEE
Extension
75.00
Fee summary Charged Pa id Creditsed Due
Permit. Fee Total
Plan Check Totaf
Grand Totsa1
75 .00
.00
75.00
75 .00
_ 00
75 .00
00
00
00
o0
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN t lzln ffi 5*l
FINAL "ilrc ln N a41*-,
COMMENTS:
yt
Signature of owner or Electrical Contractor X Date
04/OL/2019 10:36 FAX 360 452 9265
ProrectAddress:
Angiel es Electric
1 .2 SINGLE.FAMILY
ELECTRICAL PERMIT APPLICATION
n.'rblic Works and Utilities Departrnent
32 t E. 5th Street, Port Angeles, WA 98362
360.117 .47 35 | www.cityolpa.u"s I electrioalpernrits(@cityofpa.us
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Prcielin66,cdP
E/Single-Fam
tion:
ily Residential E Ouplex /ARU Building Square &ga:?o&
Email:
Phone:
S"*
License: ANGt.tE A.4bD Q-S
ExgirationOal€: t$ -O I - 72?J
enooc:3t'o' +bH?.J-e 4
Name:
Mailing Address:
Nan're:
Mailing Address:
Email
Item
Service/Feede. 200 Amp.
Servlce/Feeder 201 -400 Amp.
Service/Feeder 40 1 600 Amp.
Service/Feeder 601-1 000 Amp.
Ssrvice/Fs€der gver 1000 Amp.
Branch Circuit w/ SerYice Fo€de.
Branch Circuil WO SeMee Feeder
Each Additional Btanch Ci.cuit
Branch Circuits 1.4
Tomp. Servic€/Foeder'2oo AmP.
Temp. Service/Fesd€t 201-4OO Anip.
Temp.
Temp.
Portal
Signal
Servica/F
to Portal Hourly
Circuiulimiled
MEnufacturod Home Con
Ron€wablE Elec, Enargy:
Urlt Chrro.
$120.00
$146.00
s205.00
s262.OO
,$373.00
$qoo
863.00
. $5.00
175:00
rd!.,00
s1l0.00
Olr$i!(
TOTAL
(Qu.nUtY r U harge)
$t
3tt
$
s
3
Itt
Ovnsrasd.finedbyRCW.I9,28.261:(1)Own6rrvilloocupythestuc.rttfuttwoyesttsfiBrthbCcctaicalFrmltbfinaliz.d'(2)OrYneri.
requirsd to hirs an ;eclrbal contractor ii above said property is br salG, tont q lsasc. Psrmit expilt's altor alx mofiUtr ot lrat lmPcc,tlon.
Afier raading the above stabm€r , I hereby cettifo that I am tho ownor of the abovo narB€d Ptopsrty or r llcanrod slacldcrl contrac'tor. I
am making th€elsctrical inatalletion or alteratlm in complianc. wilh tho sloclrical larvt, N.E.C.. RCW.Ch8pt3r 1918, WAC. ChaPter 29&
468, Tho Clty of Port Anecles Cods, and Util[y Spsdficationt ard 'r4.05.050 Eb.rdcd Pstnit A{dicatbns.
rint Name Signatu.6 (I owner /Administratoo
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORI,IATION
T
D
lEtectdcal permtt Applications may b6 submitted b City Hall or elsc&icalpomits@ci$/ofPa.us or faxed to 360,417,47111
@ ooor/oool
/
PROJECT DETAILS
Ha*
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
. DITCHD tr
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NOTIFY II.ISPECTOR WHEN CORRECTIOI{S
ARE COMPLETED WITHIN 15 DAYS
. DO NOT REUOVE-
DATE IN
OWNEB
CONTBACTOR
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ADDRESS
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.... ROUGH IN/COVER
coHREcnoNs NEEDeo, Zar-\n, r2 .Br,r1}€&_tI €-o\
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