HomeMy WebLinkAbout1157 Campbell AveRS9 RESDNTL SINGLE FA}41],Y
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application Number
Application pin nurnber
Property Address
ASSESSOR PARCEL NUI{BER I
Application ty?e descript.ion
Subdivision Name
Propertsy use
Property zoning
Application valuation
20 - oooool4o Dare 1/30/20
306800
1157 CAMPBELIJ AVE
05-30-14-5-4-0484-0000-
EI,ECTRICAL ONLY
Applrcatron desc
Service change
r.EIL DUINE R
PO BOX 3696
SEWARD AK 995543595
ANGELES ELECTRIC
PORT ANGELES
13 6O) 452 9264
Permit
Additional desc
Permit Fee
Issue Date
Er.piration Datse
120.00
a/3a/2a
't /28 / 2a
E!ECTRICA! ALTER RESfDENTIAL
Plan Check Fee
valuation
00
0
Qty Unit Charge ?er
1.OO 12O,OOOO ECH E!-O-2OO SRV EEEDER
Extsension
120.00
Fee summary Charged Due
Permit Eee ?ota1
Plan Check Total
Grand Total
!2A
t20
00
00
00
00
00
00
PERMIT WILL EXPIRE SLr( (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE tln lqo N €v
ROUGH-IN
FINAL t lst l^\N s
COMMENTS:
Signature of owner or Electrical Contractor X Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
wA 98352
Paid Creditsed
120 _ 00
.00
120.00
.00
.00
.00
Angeles E lectric A ooo1/ooo1
EL
,,f.1"{{l
1 - 2 SINGLE.FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Deparhnent
321 E. 5th Street, Port Angeles, WA 98362
360.4 I 7.47 3 5 | www.cityofua.us I electricalpermits@cityofpa.us
idential Duplex / ARU Building Square footage:
Email:
Phons:
Liconso:ANGELEI46ORS
if::,,*. .t tLA)
'1'o
j
*
Project Address:
Name:
Mailing Address:
Name:Anqeles Electric, lnc.
Mailing Address:524 E. First Street, Port Angeles, WA 98362 Expiration Date:2hn0
Email:ksimpson@olympus,net Phona:360-4 52-92e/-
llcn
seMce/Feeder 200 Amp,
Servic€rFeeder 201400 Amp.
SeMce/Feeder 401{00 Amp.
Servlce/Feeder 601-1 000 Amp.
ServicerFeeder orrer 1000 Amp,
Bran€h Cirsrit w/ Seryice Feeder
Branch Ciru.rit WO Servica Feeder
Each Additional Bran€fi circuit
Branch Cir. its l{
Tamp. SeMce/FeedEr 200 Amp.
T6mp. Servlcs/Feed er 201-400 AmP.
Temp. ServicdFee@.40 t€00 Amp.
Temp. Sewice/Feeder.601-1 000 Arnp.
Portal to Portal Hourly
Signal CirsriuLimited Ener€y - rEA OU.
Manufadqred Home Connection
Ronewabte Elec" Energlr: 5Kr'A Systtm'or less
Ouantltv Itlnl (Ouanttty x Unlt Chsrgrl
] ,1nQ3-t-I.J3-
t-3-t-E-3-0-$.--+
+
The,mostat S5 for each addi
TOTAL
After rsading lhe abovo statoment, I h€reby cer{fy lhat I am the owner of $a above narmd Pmp€ y or a lio.nsed olactlcal confactor. I
am making the etoctrical installa0on or all8rEtion in compliancg wilh thB ele€&lcal law8, N.E.C., RCW.Chapter 1s.2E, WAc. Chapbr 29e
The of PortAngol$ MunlclPal &de, and Utiltty and PAMC 14.05 ragarding Elrctrlcel Psnnlt APPllca{on8.
Ken Sim son
te Print Name Signature (E Orvn v Electrical Contractor lAdministrator)
U!LCi lgr
8120.00
$146.00
$205.00
8262.00
*i73.00
s5.00
$63.00
35.00
E75.00
is3.00
$r10.00
.914940,
.,$iibiqq,.
I
owner as defined by RCw.1g.28.261: (1) o n6r wlll occupy th6 stuclura for twq yaer3 afior thls €l€ctioal Permit E tnallzod. (2) orwor 18
requirsd to hire an etectdcat contracio; iiauove aaio propeity is fur sal6, rsm or 6aso. Pottnit stQil€s efi3r th moolhs d hst lnspc6'{on'
lEtecgical permit App carions may bs submltted to Ctty Hall or electicalp€rmiE@clt)/ots5'us or fa:<ed b 3O0.4't71711I
0r/29/2020 06:07 FAI 360 452 9265
DETAILS
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