HomeMy WebLinkAbout316 E 12th StAppli.cation Nuriber
Applicatior pin numb€r
Property Address
ASSESSOR PARCEL NWBER:
Application t)'pe descrlpL j.on
Subdivision Name
Prope!!y Use
Property Zoning
Applicatsionvaluation, . .
19- 00002 043 Date l/O3/2O
2749A4
316 E 12TII ST
06 - 3 0 - 00- 0 -3 - 8225 - 0000 -
BLECTRICAL ONIJY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4715
RS7 RESDT.ITL SINGIE FAITIILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ApplicaEion desc
I]IJP
MATHIS RIC(EY I)
102 14 FRONT ST
PORT ANGELES
EXTRA MILE TECH
,I18 N. RACE ST-
PORT ANGELES
136A) 451-5222
ELECT-, LLC
wA 983 62wa 94362',7928
Permit
Addi.tional desc
Permit Fee
Issue Date .
Expiration Date
68.00
r/ 03 /20
7 / 0L/20
Plan Check Fee
valuation
ELECTRICAL ALTER RESIDENTIAI
Qty
.00
0
Unit Charge Per
5 .0c00 EcH
53 - 0000 EcH
EL-ECH ADDNT BRANCH CIRCUIT
EI,.R. BRANCH CIR WO/ SER FEED
Ex!ensioI!
5.00
63-00
1.00
r.00
Fee summary Charged Paid Credited Due
PermiE Fee Total
Plan Check Totsa1
Grand Total
68.00
.00
68 .00
58_00
.00
68.00
.00
.00
.00
.00
. o0
.oo
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T1?E DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN tlz lzo AP d
FINAI-JK
COMMENTS:
Signature ofowner or Electrical Contractor X Date
lr'le-lrn Pfl}
1-2S|NGLE-FAMILY ,.)^.
ELECTRTCAL pERMtT AppLtCATtON,rll "€, r*^
32.l E.5th Street, PorrAngeles, WA98362 l0/!
3 60.417.4735 | wwrv.cityofpa.us I electricalpermirs@cityofpa.us
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Project Address:7lG €nsF D-* S*rt<-<-J
Name:
Mailing Address:
+a-LE Te
Address.o.o* 3l r-8
Email:
Name:
Mailing
D Duplex /ARU Bu ding Square footage:
c
Erfiail:
Phone
License:,4 7
bL Expiration Dale: /-lG - 2o ,1
Phore: 360 -'{G I - t3gg
c
&E
SoNice/Fe€der 200 Arp.
ServicelFeed€i 201-400 Amp-
Se.YbdFE€det,lo1{00 Amp
Servic€VFeeder 601-10q) Amp.
Se ice/Feeder oyer 1000&np-
Brddr Circuit !t[ Sewica Her
Braflch Ciredt lrlro S6rha Feeder
Each Addtional Eran& OIurit
Branch Circsits ,-4
Temp. Seflice/Feeer a)0 Arp.
Temp Seflice/Feeder 201-400 Amp.
Ternp. S€rvice/Feedlr 401€{x} Ar!,.
Temp. Sewic€y'Fe-eder 801J 000 Amp
Potal to Portsl Hornly
Signal Ci{uit/Limited Energy - lEa gU.
Manubdured lbne CdrEdirn
Reneweble Ebc Energy: sruA *m or teEs
ltcrnos{al (Note: $5 fur eacfi addiliorE0
Filst t3d, Sq.ErB Fe€{
. Eadl Addfrond 50O sq|ete e€t.'
, Eadr Olbrl(rErffi cr{s
Esd| Swt r*rg Foot,th(Tub
unlt Cha16e
$120-00
s t45.00
e05.00
$a62-00
s373.q)
s5.00
s63.@
g5-00
s-/s 00
s93 BO
$110,00
$'t49-00
$r68.00
$s6.00
$64.00
sl20.m
$102.00
s56.OO
$120.00
84{I00
g'r4.m
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TSTAL
Iehl (Graa6ty r Unit Ctarge)
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$
$
$
$
$
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5
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Owler as defined by RG11r.19.28-261 : ( l ) Owller wirl occupy the struct s f6two years afier this eleddcal Femit is finalizcd. (2) Ovirner iE
required to hi[e an elecbicsl cortractor if above said lroFrty is br ele. rgnt or laase, Permit expkes aier sk months ot Iast insp€cfon_
Afur reading the abo\re sbte'nent, I hereby cenify ttrErt I sm lhe ol^mer ofthe above naflEd propedy or a licansed electical contrastor. I
am irakjog the electrical installation or alterat'on in compliance wilh the electlcal la,vs, N-E C-, RO,V. Chapter 1 9.28, l,,rAC. Ciapbr 29A
{68, The City of Port Arisdes MunicipalCode, and t tility Sp€cificatiorE and PAtrJtC 14.05.050 rcgading Ehciical PermitApplicaliqns.
0 /+L
Date Print Name S'gnature (fl Owner Electical Conlracbr / AdminisFabr)
lElectrical PemitApdications may be submitted io City Ha[ or eleclricalpermtts@cityoFa us ortaxed b 3G0-417.47i1]
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