HomeMy WebLinkAbout202 W 10th StRS7 RESDNTL SINGLE FAIVI]I]Y
0
REPORT STATE SATES TAX
on your excise tax form
to the City of PorI Angeles
(Location Code 0502)
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f,N
Application Nurnber
AppLlcaEion pin nulrlber
Property Address
ASSESSOR PARCEL NUMBER:
Applicatior! E)?e descriptioa
Subdivision Name
Property Use
Property Zoning
Appllcatioo valuation
18 -00001?25 Date 1Ll13/18
9161sO
202 W 10TH ST
05 - 3 0 - 00- 0 - 3 -2500- 0000-
EI,ECTRICAL ONLY
Application desc
Rewire knob and tube and service
O$ner contractor
BIiANDON D AND BARBARA P .}OHNSO
524 W 4TH ST
PORT ANGELES WA 983 52
EIECTRIC SERVICE
503 RHODES RD
PORT ANGELES
l35O) 452- 6424
lIA 98352
Permit
Additional desc
Permits Eee
Issue DaEe
ExpiraEion Date
150.00
:Lt/t3/tB
s/t2/19
ELECIRICAL ALTER RESIDENTIAI
Plan Check Fee
Valuatlon
00
0
Qtsy Uoits Charge Per
6.00 5. 0000 EcH
1.00 120. 0000 EcH
EL-BRANCH CIRCUIT W/FEEDER
EIJ' O' 2OO SRV FEEDER
Extersion
30.00
1.20 .00
Fee sunfirary charged Credited Due
Permits Fee Totsa1
Plan Check Total
Grand ToEal
150 .00
- 00
150.00
150
150
.00
.00
.00
.00
.00
.00
.00
.00
. o0
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TI?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE llsl rq cP 6,
ROUGH.IN R
FINAL 2'l,s'Iq F rtr
COMMENTS
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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FROI,]FAX NO.Nov. ? 2A1E 7:5EAI,1 Pl
ELl-2 sF
._ti:r'I']j.-i1.1=.r'llQil,l>j
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Proied AddrBSs:5I?
Project Description:
SingteFamily Resldenrial D Duplex /ARU Building Squarc botage;
ELECTRTCAL PERM tT APPLICAT|ONT
Public Works and Urilities Department
321 E. 5th Stree! Port Angeleq WA 98362
360.417.4735 i www.cityofta.us J elecdcalpermits@cityofpa.us
I
Email;
,{H#E$ri'tr#
EIECIRIOAI
INSPECI]ONS
prrone; -? 6O- ?71 - 373$ .-
License: FLEq7. St rLZSrl
Erciration Date; Io-21 -Iat
Pno.,., }(.o-'/6Z. iEf-
't
It
t
-J
Mailing Addresa:as2. w NoD,'atzu
Name:
Mailing
Email:
Date
Address:
8
o
SrrD
Service/Fe€der 2OO AInp.
SeMcer'Feeder 2O14OO Arnp-
Service/F6eder 401€OO Amp,
Service/Feeder 60l-{000 Amp-
SeMcdFFsd€r o\,€. 1000 &np,
Brandl CirEuit w/ Sen lce Fa€der
Brandr Circuit WrO S€rvice Feeder
Esch lddit onal Brandr Cirruit
Brand Cirorits l-4
Temp. Servica/Feedef 2OO Am.
Temp- Servica/Faeder 201 40o Atnp.
Tefip- Servie,/Fe€der 4t t.6OOAInp.
Tefirp. Se cer'Feeder 601-1000 AInp.
Portalb PortEl Hourly
Sgnal Cir&iuLimlF-d Energ - 18.:l DU.
Manufa@rEd Horne Conrledioll
Rensisqble Elec. Ene€y: slG/ASysEm or lees
l I
CXEndfi,r Unlt Charlc)
l2o-6 6
The[nGtar (Note: $5 fcr eacfi addilio.]al
TOTAL
ol,rner ar dcfhed by RGWr 3,2&261: (1) OtyrEr will ootupy tfE sauctule tor iro years frerrhis elecrriodl permit is finallzed. (2) O$/her is
rsquired b hire an elec*rical cofllractor if abo\re €aid prop€rty b for Eql€, i€nt gr lea€s. Paamit €cAirE after six mooths of last inspadion.
After Eading the above staiemenl I heGby ertiry lhat | 3m tlrs o\,YrEr of thE abow nerned prop€rty qr a licens€d eledrical contrador I
am matlhs th6 6l6cu'ical installalion oralterstion in co Efianc€ with fiG elcaddcal btys, N,E.C-, RCt\r. Chaptar 19.24, \rrAC. Chapt6a 296-
468, The of PortAngeles Munldpal Cede, and utility Spacifications and PAMC 14,05-05{)regarding Elecfical Permit ApplicEtions.
sl20.oo
s146.m
$205.00
t262.00
$373.00
s5.00
$43.00
$5.00
s75_00
$93-00
$110.00
s149,00
s164.@
596.@
$54.00
$120.00
$102.OO
$56.00
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$
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$
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'ac va6
Print Name Signature (E Oryner E Elestrical Conracbr / Administratof)
OWNER INFORIVIATION
lEledrical P€rmitAppticalions may be submited to City Hall or epermits@cityofra.us or faxed to 360 417 .47111
1 - 2 S|NGIE-FAM|LY
Name;
EI FCTRICAL CONTRACTOR INFORIVIATION
PROJECT DETAILS
