HomeMy WebLinkAbout526 E 11th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS? RESDNTL SINGIJE FA},ILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
-D
s
-_-o
Application Nwdber
Applicatj.on pln [umber
Property Address
ASSESSOR PARCEL NUMBBR :
ApplicaEion type description
Su.bdivision Name
Property Use
Property Zoning
ApplicaEion valuation
19-0o0002s9 Date 2 /2s /r9
35r949
525 E 1lTH ST
06- 30- 00- 0- 3 -3910 - 0000 -
EI,ECTRICA], OI{LY
ApplicaEion desc
Landscape circuit repair
Owner ContracEor
ROYALTEY III, I{AROLD H
526 E 11TI{ ST
IIORT ANGELES WA 983627935
APS EIJECTRIC
546 BENSON RN.
PORT A}TGELSS
(360) 452-57s3
wa 98353
Permit
Additional desc
Perni.E Fee
Issue Date .
ExpiraEion Dat.e
53 .00
2/2s/t9
8/24/19
EI,ECTRICAI AITER RESIDENTIAL
Plan Check Fee
valuation
.00
0
QEy unit Charge per
1.OO 63.0000 EcH EL-R- BRANCII cIR wo/ sER FEED
Bxterlgion
63 .00
Charged Credited Due
Permit Fee Total
Plan Check Tolal
Grand Total
63 .00
.00
63.00
53.00
.00
63-00
00
00
00
.00
.00
.00
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI sh /iq .4P
COMMENTS
II
T
PERMIT wlLL EXPTRE SIX (6) MONIHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
AA
1-2SING E.FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and l.ltilities Departmenr
32I E. 5rh Street. Pon Angeles, \\h 98362
360.4 I 7.47-1-s i rt*.ci1vofoa.us i eleetricalperrnits@cityofpa.usq Sh.fb E. t!
RECEIVED
FEB 22 tlts
,e^A.d,
J-if
^9
FJ
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--DProject Address
Pro.iecl Description
Singla-Family Residential E Duplex /ARU Building Squa.e botagel
Name:
ti
:d
Mailiflg Address
Name
Mailing Address:
Emaill
Emaii:
Phone 3 t ).45J- .55Te
cense:
Expiration Date t5'ao
Phone 3r...)'*r5 -L,? 53
C,R
&E
S6rvi€e/F€ede. 200 Arn9.
Ssrvlc€rFec@r 20i 400 Amp.
ServbdFaeder 401600 Arrp
S€rdc8r'F€6der 601 -10@ tunp.
S€rvicalFssder oi,ar .l 000 Arnp.
Branch Cirqiit Wi S€wb€ Fc€dar
Braftri Cirouit y![O Ssrvhr Fseder
Each Additional Br8ncfi Circuit
graoci Ci.clJits l-4
Ternp. ServicerFs€der 2OO Anp.
Temp Servic!'/Fccdcr 2O1-4OO Arnp.
T6mp- ServiE/Fffdo. it0l-600 turp.
Tsmp. Servica/Fe€def 601-lO0OAmp.
Portal to Porlst Flolrly
Signal CiroiUllnited Er€rgy - i&2 DU.
MEnuftca/Gd Horce Conn€ctixl
Rene,,rabl€ Elec. Eneqy: 5rOlA Sys6m or tsss
f h€mostat (ttote: 95 br each additio.ral)
Frd r3oosqus,a F€d
Erdr AdditiJlsl SOO sqsarB her.'
. Eadt Oerridng l Datadrcd Gsrlge
Eedr $**runinEftd I fkrt Tub
SrErSi( flEl (Qurntty x Untt Ch.rgc)Unlt CharEa
$r20.00
t148.00
e05.00
$262_00
9373.00
s5.00
$63.00
35m
$75-00
s9300
sr10.00
$149.00
815E.00
$96.@
s81.00
s120.00
$102.00
s58.00
3120.00
940.00
g'4.m
$11o.OO
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o$ncr as dcrlred by Rcv{19'28.251; (1) o ner nill occupy thc slrudure tortwo ycars rn r this et€cficel p€rmit iE finali.ed. (2) O^r€r isequircd t'o hire an eledtaal contraclor it above 3aid popirty is br sah. reflt or lease. permn expirB aflei sh monlis of last impe€don.
Atsr rBading rle abovc statfllorn Ihereby cert'fy tiat I im he orrner ofihe above namea propstty or a lican3€d gEdrical contfacior. Iarn making lh€ electrical instellstior or ateration in coo[*ance tvih tne ebclricsl lalvs, N_E C-. RCaV. Chapler 19.28, WAC. Crrapter 2$-468, The City oi Angel€s Code,4.05.050 regad ing"Ehct ical Perm it Appticstioos.9;"t l<-1 el
Date Pri Signature (E E Elecficat Cffitractor / Administrator)
lEleclrical Permit Applications mey be submitted to City Hr[ or electricatpermts@cityofpa us or faxod to 360.417.47.ti]
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