HomeMy WebLinkAbout1825 W 7th StELECTRICAL PERMIT
CITY OF PORTANGELES
360-4t7-4735
18-00000440 Date 3/29/1a
138200
18 25 W 7TH ST
05 30 00 0 1 4850 0000-
ELECTRICAL ONLY
RS7 RESDNTI SINGLE EAITIILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Pod Angeles
(Location Code 0502)
&\
CY
Application Nunber
Applicatsion pin nunrber
Property Address
ASSESSOR PARCEL NUMBER:
Application t')?e description
Subdivision Name
Property Use
Pr:operty zoning
Application valua! j.on
ApplieaEion desc
Exter:ior lights
Ooner Contractor
HAYDEN LARRY !/KATHI A
1825 W 7TH ST
PORT ANGELES WA 98]535205
KIRSCH EI,ECTRIC INC.
P. O. BOX 3396
SEQUIM
(360) 583 5e19
wA 983 82
Per:mil
Addit ional
Permit Fee
Issue DaEe
Expiration
E],ECTRICAI, AI,TER RESIDENTIAI,
1-4 C]RCUITS
75.00 Plan Check Eee
3/29/tB valuat ion
9 /2s/tB
a" ".
,.a.
00
C
Qty Unit Charge Per
BASE EEE
Extens ion
75.00
charged Paid credited Due
Permit Fee Total
Plan Check Total
Grand Total
75.00
.00
75.00
75. 00
.00
75. 00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
ROUGH.IN
FINAL
COMMENTS:fr*
PERMIT WILL EXPIRE StX (6) MONTHS FROM I-AST INSPECTION
Signature of owner or Electrical Contractor X Date
SER\'ICE
1 ,- 2 Slt{gLH,EAMlLy frrcEfy 6E {".
t" EfPI.,IAfr
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Publii: Wurks ancl t-lrilities l)ipattrnent
321 F., Jth Slrcet, Port A ge les,.WA 98]6?
lf'0.4 I 7.47 i 5 rvwrv. ci tyo {pa. us I c}cctri calpcrn: i tsi.g}c it1'.o ljra. us
Email:
Phone:
Date:
Phone
Ettcl80il,
,r',SPtm,ils
Ptoject,qddress
Projecl Descriptrqn:
Single-Family Res{dential n Duplex / ARU Building Square footage
Name
,ivlailing Address
Name
ddress.
Email:
3
,
fiao
Servica/Fssder 200 AmP.
Setuice/Fsqder 261 40tI ffnp.
Seft ic€/Feeder 4O1 600 AnP.
Servics:/Feeder 601-1 000 ArnP.
Sorvic8/Feeder o,rar 1000 Amp.
Erendr CirflJil W Ssrvice Feeder
BrE,ro+r Cieuit W1C Servic€ F€eder
EaEh Additioral 8.anch Circrnt
6r6nch CrcuitE 1.4
Temp. ServiEElFeeder 200 Am.P
Temp, Servlce/Feedar 2o1400 Afirp.
Temp. S€Nica/Fee&r 401-600 Amp-
Temp- Sen ice/Feader 801-1OOO Arnp.
Por,3l to Pqnal Hourly
Srgnal Sircuit/Llrnried Energy - 1&2 OU.
Man ufu clu.ed Ho.ne C4nnec{on
Renewable Elec Energti 5KVA Syst€m or less
lhenr6stat (Not€: $5 for eactr soditioffl
$128.{o
$r46.00
$205.rx1
9262.00
$373;00
$5.00
$63.OO
$5.00
$75.00
$s3.oo
$ 1.l0.00
$149.t0
s:198.00
.oso.oo
m+-oo
s1?0.00
$102.'00
?S,-E-o
s
I
$
$
$
$
$
$
u
$
i!
!
I
$
$
Owner as defifiBd by RCW.19.28.261; (1) qwner lt'ill ocorpy the structure fortwo yeers affer this ol€ctricel Peffiit is tinalized. (2J C\nner is
r6quired to hire an Eiectrical Eontaclor ii above sad property is fur sals, r6ot or l€asB. Permit 6xPir6s aftEr 8ix motlths of iasr inspectron.
Att€r Eadinu ths above stalemant, t hersby certlfy that I am he gr.rne. oi ttle above, named property qr a li{enEad elestricsl confacror I
am making iie eleckical inst€tlation or atte;ation i; cofiFllance vyith the electricEl lalt s. N-E-c., RCw. ChapEr 19.28, WAG Chapter 296'
TOTAL
and PAI(C 0 0 regardiog Eleclrical Fermit Applicglion$.B, The city of Polt Anodes Municipa{Coda, and lrlility
v
Date signature (B Onrner ElecHcai Contractor 1 Adminiskatorl
lElectrical Psrmit Appiications rnay be submitted to City HaIl or electricalpel-mit3@cityofpa.us or taxed to 360,417 4711.1
-T-*
Print Name
ELECTRICAL INSPECTION
WIRING REPOBT
417-4735
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APPROVED
. , DITCH
ROUGH IN/COVER
SERVICE
FINAL
CORRECTIONS NEEDED:Zc-?xsz- LJl z-);a-a!
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED W]THIN 15 DAYS
_ DO NOT REMQVE-
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DATE:
1?2'tt 7\U
CONTRACTOF
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