HomeMy WebLinkAbout1107 E Park AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
RESIDEN?IAI] MEDIUM DENSTY
0
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number . .
Appl j.cation pin nufiibel
ProperEy Address
ASSESSOR PARCEL NUIVIBER:
Application t,'pe description
Sulrdivision Name ,
ProperEy Use
Prope!ty Zoning
Application valuation .
19-00001473 Date 9/24/L9
148525
1107 B PARK AVE
06-30- 11- 5 - 1- 0620- 0000-
ELECTRICAI ONIY
AppficaEion desc
DHP
OwT}er Co tsIactor
SMITII MAR( S
1107 E PARK AVE
PORT A}IGELES
EXTRA MILE TECH & ELECT., TLC
418 N. RACE ST.
PORT ANGEIES WA 98352
136O) 45',7-5222
wA 983622740
Permit
Addit ional desc
verrnl E !'ee
Issue Date
Expiration Dale
68 .00
9/24/t9
3/22/20
ELECTRICAI, ALTER RESIDENTIAL
Pfan Check Fee
Valuation
.00
0
Qty Unit charge per
1.00 s.0000 EcH
1- 00 53 . OO00 ECl{
EI,-ECH A.DDNI BRANCH CIRCUIT
EL-R- BRANCH cTR wo/ SER FEED
ExEension
5.00
63 .00
Fee summary Charged Paid Credited Due
Permit Eee Total
Plao Check Total
Grand Total
58.00
.00
58.00
68 .00
. o0
58.00
.00
.00
.00
00
00
00
PERMIT WILLEXPIRE SIX (6) MONTHS FROM [,A.ST INSPECTION
INSPECTION TYPE DATE:RESUI,TS INSPECTOR:
DITCH
SER\,'ICE
ROUGH-IN llnlfi 4P sp
FINAL o lsolt9 ffi'
Date:
F#J
COMMENTS:
Signature of owner or Electrical Conhactor X
1-2SING LE-FAMILY Pe
ELECTRICAL PERMIT APPLICATTON'I /
Public Works and Utilities Departrnent
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofoa-us
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d,ProFi Address:
Name:
Mailing Address:
Address..O. Bort 3l.r8
El Dudex / ARU Adding Sq€re botage:
24fr'
'.Le Ts
Email:
Phone:Gc,-4e I -6q?3
License:
bL E)qiration DaE:-26 - 20 t7
Phone:160 -.lLl -r??g
Name:
Mailing
Email:
lLts
SeIr,*ralFo.(b Ao Amp.
S€0icerFsoder 20t{00 Arnp.
Selic€/ffir ra1€q)Anp
s€{vic8JFsr&r 60i-1 000 Anp-
Seryice.lFcederolE lo@Anp-
Brandr Circrrit W Seftioe Feeder
Brandr Cirqrit \rlrro S€flae Feeder
EadrAdd iofid Brardr CiruJft
Brand! CirErrlts 14
Temp. ServicerF€e&r 200Arp.
Temp. Servlc€l&r 201-4q) Anp.
Teinp. Sen icll:t€&r4()1€00 &Ip.
Temp- Sen icerFeeder601-10@ Anp
Portal to Ponal Hour|y
Sigrd ciuriltimaEd Energy - t&2 OU.
tlanuf adrcd tlo.rE Connedixr
Rsneslbb EbG. EnergI sKVA qEBn or les8
TlEnno€tat (Note: $5 br cadr addilional)
Frst t300 Sql'e F€at
Eadr Arldlirnd soolqsale ts t"
EBdr Oulilddk€, hdrcd Gr{!
E8dr $filrrtl€ Fod / lH Ttb
Ouantltv &!l (Alldfy x Unit ClElge)t,nit Charqe
3120.m
$146.m
s205.m
@.m
$rc.@
s5.00
$63.00
$s.(x,
f/5.00
sl3 00
$ll0.00
$r49.@
sr68-00
s.00
sc4-oo
3r20.m
$|02ff)
s56.00
9120.(x)
t4o.00
9r4.00
fi10.0{,
s
it
$
3
$
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$
s
s
0
$
$
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$
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s
$
$
st
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tIOTAL
b7."
6r-rz
Or,Iler as defned by RO t 1928261: (1) Orrnerwi! ocanpy the EtruEt r€ lbrtwo t€als atsrthis etectrical perdt i8 fnatrzed. (2) OrYrrer b
.equir€d to hite an sk€ficsl cortracbr if aboye said Eoperty is for sah, 13rlt or lsasg. Pemit sQir!3 afrcr sL montlls of laBt in8petfon.
AfiBr reading ths abgve staEfiEnt, I hereby certt lhal I am fho oilnsr ofthe abore narned FoPerty o. a licensed el€drical oonfaator. I
arn mat<ing tie etscfical i.Lstatblion or alterat on in cofipfiance wih the ebctrkal lswq N,E.C., RCW. GtEfte 19.28, t/VAC. ChaPEr29e
468, The City of PodAngdes Municipd Code, and t lility Spe.if€stbns and PAMC 14.05,G5O regatdittg Eledical PermitApprcalions,
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Pdnt Name Signaturc (D Ouner Contactor / Mmini gltabr)
lElecfical PermitAppli:ations may be submifred to City Hall or ebc'ticalpe.mits@cityoFa us or faxed to 360-417.4711]