HomeMy WebLinkAbout615 Milwaukee Dr (2)Application Nunber
Application pin nunber
Propertsy Address
ASSESSOR PARCEL NT]}4BER :
Application, ty.pe descriptsion
Subdivision Name
Property Use
ProperEy Zoning
ApplicaEion vafuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS9 RESDNTL SINGLE EAMILY
0
18 - 00001829 DaEe J-2/O4/1A
99987 9
615 MII,WAUKEE DR
05-30-00-4 - 8 -0020- 0000 -
EIECTRICAL ON]JY
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
Os'
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N--O
Applj.cacion desc
Temp power
Owner ContracEor
wA 98382
Permil
Additional desc
Permit Fee
Issue Date
Expiratsion Date
93 .00
t2/a4/18
6/02/re
ELECTRICAL TEMPORARY SERVICE
00
0
oty Unit Charge Per1.OO 93.OOOO ECH EL TEMP SRV O-2OO SRV EDR
Extension
93.00
Per.miE Eee ToEal
Plan Check Total
Grand Total
93.00
.00
93.00
93 .00
.00
93 .00
00
00
00
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:€4r) e6lr-*fv r,lif Dota+L VoV
PERMM WILL EXPIRE SIX (6) MONTHS FROM L-AST INSPECTION
Signature of owner or Electrical Contractor X Date
WAITER AND MARGARET BARSZCZ
2052 HOLMBY COTTRT
CASTLE ROCK CO 80104
ELECTRIC AMERICA
PO BOX 3 523
SEOUIM
(350) 912-ss5O
Pfan Check Fee
ValuaEion
.00
.00
.00
:ii:Ti - :iI ::::t::: -T:
ELECTRICAL P ERMITAPPLICATI
Public Works and Utilities Ddpartment
i21 E.5th Streel, Port Angeles, WA98362
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360.417.47 35 | www.cityolpa.us I electricalpermits@cityofpa.usf[ffp64,
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Project Address: €+SfuilwarkFc Dr Port Angples, WA g8j82
E Single-Family Residential E Duptex / ARU Buitding Square footage Unknow at this ti me
Name: Walter Bars Email:
Mailing Address:Same r s ahorrc Phone:
Name: Fler:tric menna Usgnsq ELEC AL856QQ
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Phone
Mailing Address P.O. Bo x 3523 Seouim-wA.98382 Expiration Date
Email infoO lectricamerica .us
Item
Service/Feeder 200Amp.
Servic€/Feeder 201 -400 Amp.
Service/Feeder 401$00 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp_
Branch Circuit w/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 2OO Amp.
Temp. SeNice/Feeder 20r4OO Amp.
Temp. ServicelFeeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 OU
Manufactured Home Connection
Renewable Etec. Energyi sKVA System or less
Thermostat (Note: $5 for each addilional
Ouantitv Tgbl (Ouantity x Unit Charge)
$
$
$
$
$
$
$
$
$
o
$
$
s
$
$
$
$
$
.0093
owner as defined by RcW 19.28 261: (1) owner will occupy the structure for two years after this electrical permit is finalized. (2) owner isrequired to hire an eleclaical contractor if above said property is for sale, rent or lease. permit expires aftei six months of last inspection.
TOTAL
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contraclo. Iam making the electrical installation or alteration in compliance with the eleci.ical laws. N E .C ,, RCW. Qha+rer 1.9 28-, l rAC . ChaQrer 296-468, The City of
12t1t18
Port Angeles Mun cipal Code, and Utility Specifications and PAMC 14.05 O50 regarding Electrical
Stuart D ft
Date Signature ( E Owner Contractor /Adminia
1 - 2 SINGLE-FAMILY
Project Description: New construction temp pole
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
. $120.00
..$4o.oo
i- $74.00..
$110:00
$--_
9. :
$ 93.00
Print Name
IElectrical Permit Applications may be submitted to City Hall or electrica]pern, its@cityofpa. us or faxed to 360.417 .47 j j)
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ELECTRICAL INSPECTION
WIRING REPORT
417-473E
NOT APPROVED
DITCH
ROUGH IN/COVER .,.. o
APPROVED
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SERVICE q*
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COBRECTIONS NEEDEDI S*szu tc--g y'brr r\c-\-DL
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NOTIFY IT{SPECTOR TVHEH CORRECTIONS
ARE GOUPLETED W]THIN 15 DAYS
-DO NOT REMOVE-
DATE:PEBMIT i
tB-021
INSPECTOB
OWNEH
CONTRACTOB
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ADDRESS
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