HomeMy WebLinkAbout432 W 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'.7 -4735
RS7 RESDNTL SINGIE E]ll"lILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
GS
Io\,r
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Application Nu ber
Application pin numlcer
Property Aaldress
ASSESSOR PARCEI] NUMBER:
Applj-cation twe descripLion
subdivision Name
Property use
Property zoning
Appl j.cation valuation
18-00000034 Date 1/a2/r8
418 696
.13 2 W 4TH ST
06 30 00 0 0 8525 0000-
El,ECTRICAL ONLY
ApplicaEion desc
T-stat
Contractor
ASTRA SESTRAP AND LARS STEINBE
26]0 GRANT ST
BELIINGHA}{ WA 9822 5
PENINSULA HEAT INC
782 KITCHEN D]C( RD
SEQU]M
(360) 581 3333
wA 983 82
Permit
Additsional desc
Permit Fee
Issue Date
Expiraaion Date
55_00
1/72 / a8
7 /11/t8
EI]ECTRICAL ALTER RESIDENTIAL
Plan Check Fee
valuation
00
0
Qty Unit Charge Per
1 , OO 56. OOOO ECII EIJ - IJYI -TI{ERIIOSTAT
Extension
56.00
Charged Paid Credited Due
Permit Fee Tot.al
Plan Check ToLal
Grand Total
56. 00
.00
55.00
55.00
.00
56.00
00
00
00
00
00
00
INSPECTION TYPE RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:w
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
DATE:
Date:
,tf u riltr:toR
&
5
\).1t-{-CITY oF PORT A.\GELES PERi\,flT APPLICATIoN
Buildilg Division/ElectricEl Inspections
321 East Fifth Street- P.O. Box ll50 / Port Atrgeles Wsshington, 9E362
Ph: (360) 417-4735 Fax; (360) 417-4711
0ate:)7 .(,Single Family Dwellingtlul
' Plan Review May Be
Job AddGss:
ired, Please Co Plan Review lnformation Sheet
Suilding Eusre FooEge:
r1
r2f, S
oescridion of above
0wner lnformation
Name:,e"\
Addesr: rl
CilI Slaii:zip:
Item
Sdvk Feeder 200 tup.
S€rYiFJFeeder 20r-4m Amp.
Sewice/Feeda 10150 Arnp
S€.\,bofFeeder m1-'1000 Arnp,
SsvAelFs€der q,er lm A.Ip.
Brard Cirqrit W Se.r/he Fs€ds
Brandt Cimrt WIO S€ryice fucder
Each Addfiofld Eradr OIfiit
Brarcn Ciuft 14
Temp Seruice/ Feed€, 200 AtIp.
T€rnp. Sedcei& 201 -4m Anp.
Tanp. Senice/Feedr 101 6@.Anq
Temp- Seni;elFeeda 60!'1000 Anp .
PolH to Po,tal Hou.ly
Sgnd Cilqriu Limiled El€Ery - 1 & 2 Faniy OrdeE
Mandadued ibrts C{rmecliqt
Renerable Elettical Erergy - SKVA Syslern a Lrss
lle{rnostd
Nob: $5.00 for eadr addilixd Tstal
flEW CONSTRUCTOI{ ONLY:
Filst 1300 Squ.rB R
Edr A{eI[mal 500 S$ae Ft or Podon of
Eadr OultuiHirE o( D*cn€d cardga
Each 9drming tod o lhl Tub
d^
lnformation
Nalnei €r,r "'*
-!rL zip:
Ljconse f I Exo
. ttt-).L'
Unit Charue
5 ra.00
$ 116.00
s 205.m
s 262.00
$ 373.00$ 5.00
$ 63.00$ 5.00
s 75.00
$ 93.00
s 110.m
$ 149.m
$ 168.m
$ $.m
$ 64.00
$ 14.00
$ 10200
$ 56.00
s
s
s 120.00
s 4{).00
$ 74.00
$ 110.00
E Cr.dit Card t
--
s
o$,ner as defined by RCW.19.2E.261: (1) otner willocc{py tE sfucture for t$o yeals after his eleciicat pe.mit is finatized. (2) Owner is required
to hire an electical contractor if above said pmperty is for sale, rent or lease. Pemit expires afler six morths of hsl inspeclion.
After.reading llre above statement, I hereby certily lhat I am lhe owner of lhe above named property or a licensed eledrhal conhactor I am mai<ing
the elecbjcal installation or alteration in compliance $ih $e el€cttual lalys, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.408, Ihe City of port
Angeles Municipal Code, and Utility Speclfications ad PAMC 14.05.050 regarding Elecuical pennit Applications,
Signatureofow e( alectical contractor or electtical administrator: tr ca$ E fbed(
$tu1Da17
*-
-
-
"---T--'-
Total (QW Multiplied bv Unit Charqe)
3- Tohl
..#5s*"ftErY
%E=6s
ELECTRICAL INSPECTION
WIRING REPORT
4r7-47*
DITCH
SERVICE tr
APPROVED
D
D
tr
n
n
Nz-G e\,d.76 * s
NOTIFY INSPECTOR WHEIT CORBECTIOHS
ARE GOMPLETEDwlTHIN 15 DAYS
-DO NOT REMOVE-
DATE:
-9*
INSPECIOR
OWNEF
CONTFACTOF
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ADDRESS
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