HomeMy WebLinkAbout104 Apple Ln (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4't35
RS7 RESDNTI, SING],E FAMILY
0
REPORT STATE SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application Number
Application pin number
Property Address
ASSESSOR PARCEI' NU]T4BER:
Application tlpe descrlption
subdivision Name
Property Use
Property zoning
Application valuation
20-00000168 Date 2/04/2A
519520
104 APPLE LN
06 30 15 - 2 - 2 - 0 2 5 0 - 0 0 0 0 -
ELECTRICAL ONLY
Applicatr...ie-"c
DIIP
GUERRERO ER1'}I M
278 22ND AVE
SAN FRANC]SCO
EXTBA MILE TECH & EI.ECT., LLC
418 N. RACE ST.
PORT ANGELES WA 983 62
136A) 45 / -5222
ca 94121
68.00
2/A4/2A
8/A2/2A
ELECTRICAL ALTER RESIDENTIAI-
00
0
oty Unit Charge Per
1.00 5.0000 ECH
1.00 63 .0000 ECH
EL-ECH ADDNT BFAIiCH CIRCUIT
EL'R. BF}NCH CIR 'Y\'Ol SER FEED
Extsension
5.00
53 .00
Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
68 .00
.00
68.00
68.00
. o0
68_00
00
00
00
00
00
00
PERMII WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN z|,l/za -N7 g
FINAL z{+lzn #\$.D
COMMENTS:
Signature ofowner or Electdcal Contractor X Date
Permit
Additional desc
Permac t'e€
Issue Date
Expiratior Date
Plan Check Fee
Valuation
ll-l
Be
rt/J-
C€r166
sui
ELECTR ICA,I- PERfdINT'APP ICATION
Putrlic Works and lltilities Departrnent
321 E. 5th Streer. PodAngeles, WA 98362
360.41 7.473 5 | wwrv.citlofpa.us I electricalpermis@cib,ofta.us
Lt*-e
T
3*
B
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00
Proiect Address C
Ptoject Oescripto
d Singe-ramity
n, Ajej €:S A+
Residential n Duplex /ARU Building Sguare footage:
Name:
Mailino Addlgsc 0./
Name; 5{lr.
Phone st} - {{7 -8t s,l
Ucerse: €{I€4 r4f ?73 R b
Expiraton Da';
Phone: 360-'{Ul-r33,A
i< lt1tt€Email:
c
lrailing Addiess o. B., 3,.2-B PA q93bz
Email €-/2 ^ 9).- - 1 ^ , o
lbm
SelieeiFeeCer 200 Amp.
ServicelFeeder 201-40C Arnp-
Servi.e/Feeder 40l€00 Amp
Servic8/Feeder 601-1000 Amp-
Sen ierFeeder over 1000 AmXr.
Brandr grcuit \r1rl Service F@der
Br3nct Orcuit WO Sewice Feeder
Each Additional BrEncil Circuit
Branch Cirorlts 1+
Te{rlp. S€rvioer'F€eder 200 Arnp,
Temp Seruice./i€ede. 201-400 Amp.
Ternp- Se.rice,Feeder 401.600 Arap-
Temp. Serirics/i:eq1€r €01-1@0 Arnp.
Portal to Padal t{ourly
Sitnal Cir. itllirnited EneIgy - 1&2 DU.
Manubclured Hsj]1e Con.ledion
Rene\ri€ble Elec. Ene8y: s'<VA Systam or less
Th6rmastat {,\lote: $5 tDr eash additional)
Flr6l 1300 Sqr.Bre Feat
E ch ACCilional 5OO squarc t d"
rc.t OuIlJddlrE , Debctred GBrsSe
lach Si,!'!f,i ing Pool, Hot?ub
Unit Charqe
$120.00
s146.C0
$205.00
@6z00
$373.t8
$5-00
$63.00
E5_00
$75.00
s93 00
$r10.00
$149-00
o r$o.vu
$120.00
$56.O0
9120.00
$40.00
q/4-00
$110,00
Qsar$tv ,&hl (Qua&{i{y x Unit Charge}
$
$
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$
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Owner as definei iry RCBI19-28-261: (1) Ov{,rle.will occupy ?ne strudlre fortwo yeaE after thrs ele.t ical pe.rnB is finalized. t2} Owner ls
=:j::l |] li.: 1r .ba.-l a:.!:.t4r it ,bove said property ts ior satre. rerit o. lease, Permtt e&iaes afier sk monltls af last insOect{rn.
Afi6r readi.g the above rtatemenl, t herqby cediry that I
am maki$! tire e:ecltical :nstallatian or alteratign ir cornglianca wilh the eleeiiiir.i i.-., i{.I.C., ;i;;r, ii.q,;, ie.A,;.;.a. -,-p;. ;-
468, The City tli Pci Angeles Munic:pal Code. and Utility SFecjfications and PAMC 14.05.050 Ega.ding Electicd PermitAppfcations.
i *)3 -;1c _Sa"-L*- 5*-1 ,4ffd/-
Date Fiint Name Signature (D Owner FlaFrri^al aAdlE^i^, I AABincrrt ^A
[Eleclrical Psfiit Applications may be submitted to City Hall sr eiectricaipermits@cityoDa us or taxed lo 360-417.47111
1 - 2 SIhIG'-E.FAMILY
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