HomeMy WebLinkAbout415 E Park AveELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS? R.ESDIfTL SINGI.E I'AMTIY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
=$
-\\JsApplication Number
Application pin audcer
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
subdiwision Name
Property Use
Property zoning
Application valuation
19- 00001355 Date 9/o6/L9
890358
415 E PARK A\IE
06- 30- 10-5- 0- 0252 - 0000-
EIJCTRICA], ONI,Y
Application desc
Eurnace replacement
Onner
BE\,ERLY A FRISK MESSENGER TTE
415 E PARX AVE
PORT ANGEIES WA 98362
CASCA'E EI]ECTRIC & VAC INC
PO BOX 359
PORT I{ADLOCK WA 98339
136Ol 379-5147
Permit
Addltsional desc
PermiE Fee
lssue DaEe
ELECTRICA], AI,IER RESIDENAIA],
1-4 CIRCUITS
75.00 Plan Check lee
9/06/19 valuation
3/04/20Expiratsion Datse
Qty Unit charge
00
0
Per
BASE EAE
Excension
75 .00
Fee summary Charged Paid Creditsed
Pe.mits Fee Totsal
Plan Check Totsa1
Grand ToEal
75-00
.00
75-00
75 .00
.00
75 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN ?/ro /, o 4P *^)
FINAL 'q/,[ /ir 4p .,il)
Signature of owner or Electrical Contmctor X Date:
Due
COMMENTS:
Sep 04 19, 02:29p p.1
,?6^
ttpll'rta
t ?0/!SI MILY
ELECTRICAL PER MIT APPLIC ATION
Public \&brks and Utilities Departmcnt
321 E.5th Sreer, porr Angeles, Wr\ 98362
360,417.4735 | wwrv,ciryofpa-us electricalpermits@cityofpa.us
!olr
-_D\
\N(R
s--Project Address:4tf E Parr Av {
ELr-z sF
aL f r {
ertial E Ouplex /ARU Buildjng Sq uare footage:
Namei
Mailjng
Email:
s Email:
Mailing Address:e Pq"t<v Phone 3/o ,/57 g/L g
sc4
Eech Additional5OO squrre Eet". :
Each Oubrrlding / DetaArea Garege
Each SwimmirE Pool I Hot Tub
License:J L1€.J l
Expiration Date ZL
Phone
Qranlttv fCtslI puantity r UnitChargel
G-
c
TOIAL 1<"oo
tL i(-
llEn
Servic€r'Feeder 200 AInp.
Serrice/Faeder 201-400 Amp.
SeMcer'Feeder 40 1S00 Amp.
Service/Feeder 601-1 000 Amp.
SeMce/Fee@r olrer l0O0 Amp.
B.anch Ci,qJit l^, Se.irice Feeder
Brarrch Crrqrit 1,,\rO Servica Feeder
Each Additional BEnch Circuit
Branch Cirqrib 1-4
Temp. Service.rFeeder Z0O Amp.
Terp. Servic€'/Feeder 20 l{00 Amp.
Temp. Sorvioey'FeEder 40 1 -600 4!np.
Temp. Servioe/Feeder 60 1n 000 Am p-
Porial to Portal Hourly
Signal Circuiylimiled Energy - 182 OU-
lranubstuled Hqne CgntEli]n
RenewEbb Ehe Ene.gy: st(VA System of tess
Thermostat (ttote: g5 for each additoflat)
FlrBt l3OO Square Feet .
a
Unh Chame
s120.00
$146-00
$205-00
$26200
$373-00
35-m
$63.00
$s.fii
97s.00
$93.00
$110.00
$r49,00
$158.00
ss6.00
064.00
$120.00
$102_00
q56.00
&m.00
$40.00
s.l4-m
sl10-oo
1f'ooI
5
$
$
3
$
$
U
$
$
$
$
$
$
s
it
s
I
t
Owher as defined by RCW 19.29.26.!: (1) Ownerwin occupy the structure tor two years afler thig electrical permit is finalized. (2) Orvner isrequired to hire 6n ebctrical cont acilor if above said prope y rs |br sale. rent or tease. pemit exples after six monlhs of lagt insgectign.
Afbr .Eadang the &ve statEment I herBby certit that I am the c!cn€. oa th€ sbove named prDperty or a Ibensed electrical coofador. Iam making lhe ebdrical latalletion or altetetton tn conpliance lyith the electical hu6, N.E.C., RCW. Chaptertg.28, trrJdc. Chapter 296'458,City of PortAngel Muhidpal Cooe. and Lrlil ity Spe€ifications and PAMC 14.05.05{, regarding Elecirjcsl pe.mit Apptications-
o kr+ot
Da Print Name Signatu.e (E Owner Ebctical Contractor /Administrator)
VQr
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Name:
[Electrical Permit Applications may be submitted b City Hall or electicaipermits@crtyofpa.us or fared b 360.417.4711]