HomeMy WebLinkAbout1837 Woodhaven LnELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
RS9 RESDNTL SINGLE FAI4]LY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\
tJotr
Application Nurnlcer
Application pin nudcer
Propertsy Address
ASSESSOR PARCE], NUIVIBER:
Application ty?e description
subdivision Name
Propertsy Use
Pr:opertsy zoning
ApplicaEion valuation
19 - 00000705 Date 5/\7 /L9
071334
1837 WOODIIALEN LN
05 - 3 0 -14 - 1-4 - 9020- 0000-
ETECTRICAL ONtY
Application desc
New septic controls
Owner Contractor
SEILON, DOUGI,AS O
& SUSAN SPARKS SMITH
183 7 E WOODIIAI.EN r-N
PORT ANGELES
.,EFF NEI,SON ELECTRIC
7062 OLD OIYMPIC HWY.
PORT ANGELES WA
\369) 460 -429!
94352
wA 94352
Permit
Additsional desc
Perm.rE f'ee -
Issue Date
Expiration Date
63 .00
s / 1-'7 /1-9
t1-/13/re
ELECTRICAL AI,TER RES]DENAIAI
Plan Check Fee
Vafuation
.00
0
otsy Unit Charge1.00 63.0000
Per
ECH EL.R BRANCII CIR wo/ sER FEED
Extension
63.00
Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
53 .00
.00
63 .00
63 .00
.00
63 .00
00
00
o0
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM L{ST INSPECTTON
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN fl 'zol ll P a
FINAI s )z=)fi .P -@
COMMENTS:
Signature of owner or Electrical Contractor X Date:
FAX NO. :6814254 I'1a,j. 15 2479 L@t Z@en P7
1-2SING E-FAMILY
ELECTRICAL PER MIT APPLICATION
Publie Works and Lltilities Deportment
12 I ti. 5t1t Strcet, Poir {ng,eLrs, \\,A 9t136?
-160.117..+?35 | * ww.crryofira. tis I clectricalp\rnnits({ijcityoha. us
1837E Woodhaven Lane
uo
l
+
RECI.ir:n
flAY 1 5 l01e
--o
t
d
anProject Address
Project Descript ;6n. hew circuit to septic controls
Name: D S u llon
Mailing Address:se6 above
1r13ms; Jeff Nelson Elec
Mailing Address:uim,wa 98382
p6s1 doork
Item
Servlce/Feeder
SeMc€,tre€d
ServicelFeeder
Sery|cdFeed
t,erl'lCe/l-
Branch Ci.cuit
Branch Circuit
Feeder
Fseder
3604615864
Er1984RP
Expiration
P[6n6' 3604604291
Charge)
EEch AdditionatEr€qtfEclrcult
Branch CircuiS tt-it::r.,tL,
Temp SeMce/FdH #,mS,#nn
Temp. Servicer'Feeddr 20l-a0S Amp.1'lUr001
Temp. Sorvice/Feedm[Ot{6oB'AnE
Temp, Servic€,/F
Portal to Portal Hourly
Signal Circ{iVLimited
Manu"factured Homs Con
Renewable Elec. Energy. 5
Thermostat Noto: $5 for each
TOTAL
After rgading the above statoment. I hereby certify that I am the owner of the above named property or a lican8ed elecirical confactor. Iam making th6 elecuicar installauon or arteration in compriance with the crecficalraws. N.E C., RCW. Chapter 19.28. WAC. Chapter 29&468, The City of PonAngeles Municipat Code, and Utility Sp and '14.regarding Electrical Permit Applicatons.5t15t1e Jeff Nelson
Date Print Name re(D Ownerp..Contrsclor / Adminigtrator)
owner as defined by Rcw.19 28.261: (1) owtler will occupy the structure for t'/vo years after this electrical permtt rs finalized. (2) owner igrequired to hlre an elaclrical comractor if ahave said propeny is for Bale, rent or lease- Permit explres aftei six months of last insDecflon
OWNER INFORft/ATION
ELECTRI CAL CONTRACTOR I NFORMATI ON
[Eleclric€l Permit Applications may be submitted to city Hall or electic€tpermits@cityofpa.us or faxed to 960.4.17.4711]
FRDI.I :
Z)Single.FamilyResidentialEDuf,ex/ARUBuildingSquarefootage:-
s21a-. 1?l2A2O
,IM