HomeMy WebLinkAbout920 I StELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SALES 7AX
on your excise tax form
to the CW of Pott Angeles
(Location Code0il2)
:s
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Application Nufirber
ApplicaEion pin nufliber
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsion type descriptsion
Subdivision Name
ProperEy use
ProperEy zoning
Applieation valuation
ApplicaEion desc
Meter repairs
Owner ConEractor
ANGELES ELECTRIC
PORT ANGELES
l36O) 452-9264
wa 98352
Permit
Additsionaf desc
Permit Fee
Issue Datse
Expiration Date
120.00
4/lr/19
to/oB/te
ELECTRICAI AITER RESIDENTIAI,
Plan Check Fee
Valuation
00
0
oty Unit Charge Per
1. 00 120.0 000 ECH EL O 2OO SRV EEEDER
Extension
120. O0
charged Paid Cr:edited
Permit Fee Total
Plan Check Totsal
Grand'fotal
00
o0
00
120.00
.00
120 .00
120
120
o0
00
00
00
00
00
IMPECT()I{TYPE DAIB RESULTS:
DITCS
SRVICE t)to )P v (s
ROIJffi{I.{
FID{AI t lpliq w T&)..
Q0mdm{TS:
[&Dfi[n0![n"EnnEM(6r[(n{rE Ff,(I{r.A5rE{SEC[[D{
$iugFsdrwlE o{ om qrEbotinal OonerrcerX Dde:
19- 00000528 Date 4 /tr/1-9
'703456
920 r sT
06- 30 -00 -0 - 3 - 0790- 0000-
EI,ECTRICAI, ONI,Y
CUMMINGS BARBAXA KUHNS
153 ? W 10ft{ ST
PORT ANGELES WA 983535505
Due
INSPECTOK
O4/10/2019 08:07 F..l,I 360 452 9265 Angeles Electrlc
,I - 2 SING E-FAMILY
@ 000r/0001
ICATION RECE/YED
E
E
3
!FELECTRICAL PERMITAPP
hrblic Wbrks and Utilities Dcpartrrent
321 E. 5th Street, Port Angeles, WA 98362
36A A 7.47 35 | w*rr'.cityofpa.us I electricalpemrits@cityofua.us
4{
ly Residantial Duplex /ARU Building Square botag6:
Email
Phone
FI
Nd
Pro.iect Address:
Proiect Oescript
y'singte-Fami
ron:
Name:
Mailing Address:
Name
Mailing Address:
Email:
It6m
Se.viqe/Feeder 200 AmP.
Service/Feader 201-400 AmP-
SEMce/Faeder 401-600 AmP.
Service/Feeder 60'l-1 000 AmP.
Service/Feeder over 1000 AmP,
Branch Circlit W Servica Fseder
Branch Circuit WO Servic€ Feedsr
Each Additional Branch CirqJit
B.anch CiroriB 14
Temp. SeMcdFEoder 200 AtnP.
Temp. SeMce/Foeder 201-400 AmP.
ExDiration Oalat ag -O , - 2) 2-O
enone:3tro' +bH2J.e *
Lic€nse:.4 t F a4hD
(qurntlty r chrr93l
s
$120.00
s146.00
s205.00
$262:0O
s373.00
s5.00
t63.00
t5.00
8i,oP
s9:|.00
$1,10:00
lfl $
s
$
$
s
$
s
$
s
$
Temp. SeMce/F
Tsmp.
Portal to Ponal Hourly
Signal Circuiuumited
ManufactsGd Home
TOTAL
Owner as defin8d bY RCW.1928261 : (1)O,vrrr will occupy the cElJct/re ior ttYo yoarg aftsr lhE eloctrlcal P.rmlt b fin llzad. (2) Owner is
r€quiaed to hire an elestical conrador if abovq 8aid pop€rty i3 fof sale, rar or l€454.Psmlt explrrs ali.r alx months ol larl insp.c'tlon.
After raading ths abovs statament, I het€by cadtt that I am lhe oryner of tha abore namod p.oFrty or e li:ensed .locbicel conuactor. I
sm maklng tho electical imtEtlation qr alicration in compllanc. yyilh lha €lrctical ls!rv8, N.EC-, RCW'cheptsr 19.28, WAC. ChaPt r 29e
Port Angeles Mun , and utlllty Speciflca{ons and 14.05.050 Pormlt Applicatlons'
468,
nt Name Slgnaturs (fl Owner-Electrbal / Ad minietator)
Date
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Amp.
lElectricat Permit Applications may be submitted to city Hall or eloctlicalp€rmlts@civofua us or f6xed to 380 '41? '4?111
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