HomeMy WebLinkAbout4316 Old Mill RdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDNTL STNGLE TAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appficatsion Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsion type descripEion
Subdivision Name .
Property use
Property Zoning
ApplicaEion valuation
19 - 000 01141 Date 7/3t/r9
s98951
4315 OI,D MTI]IJ RD
06 -3 0 - 22 - 2 -2 - 9030 - 0000 -
EI,ECTRICAL ONtY
Appfication desc
Ductless heat pump
Dean & werdy ButteruorEh
4316 Old Mill Road
POR? ANGELES WA 983621908
(350 ) 808-9921
EXTRA MII]E TECH & ELECT., LI,C
418 N. RACE ST.
PORT ANGELES WA 9A]62
1350) 457 5222
Permit
Additional desc
Permit Eee
Issue Datse
Expiratsion Date
58 .00
7 /3r/re
7/27 /2a
ELECTRICAL ALTER RESTDENTIA!
Plan Check Fee
Valuatsion 0
oty Unit Charge Per
1. 00 5 .0000 ECH EL
1 00 53 .0000 ECH EII
ECH ADDNT BFANCH CIRCUTT
R- BRANCH CIR WO/ SER I'EED
Extension
5-00
63 .00
Fee summary Charged Pa id CrediLed Due
PermiE Fee Total
Plan Check Total
Grand Total
68. 00
_ 00
58-00
68 .00
.00
58 .00
o0
00
00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM I.\ST INSPECTION
INSPECTION TYPE RESULTS:
DITCH
SERVICE
ROUGH.IN ahht #w
FINAL e:h n +e/HP
COMMENTS:
?'t
Signature of owuer or Electrical Contractor X Date:
. o0
DATE:INSPECTOR:
1-2SING LE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works aad Utilities Department
321 E.5fr Street, Port Angeles! WA98362
360.4 I 7.473 5 | wwrv.cigrofra-us I electricalpermits@cityofpaus
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Owler 6 d€fiied by Rclrtl 19.28-251 : (1 ) Ownirwill ocqrpy tfie sbJctrre for ttdo lleal3 aiarlhis €tedical tcrr*t i.s fn8liad, (2) otmer is
rEqdred to hite an ebdical contrador if above said propedy is br sab, lBrt or l€sse- Farmit epires aflBr six months of l& h$€clioll.
Afur rBding
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SDoYe staEnert I h€teby c€tfry tM I em ltE olner of ttle above named p{opsrty or a [can.d electriel cantEclor- I
8tn mddtrg the electical irutellelioD or alteralim in corpDrnco wiih tic eHic.l laJrl3, N-EC-, RCW. Ci4tsr 1918, WAC. Ctapbr 29&
4€8,ctv Po,t and PAMC rEgardng Electicd PermitAppli6dons-
Pn:rlt Name Si$atue ([ Orner Cont'acbr / Admit*stabr)
Municipd Code. ard t trittr Spegfications&/4
lEecrical Permit App6catims may be submilted b City Ha[ or electtcahermits@dwa us or lb(ed to 360.4 17.471 1]