HomeMy WebLinkAbout914 Milwaukee DrApplication Nunber
Appfication pin nu ber
Property Address
ASSESSOR PARCEL NUMBER:
Appf ication, type descripEion
Subdivision Name .
Property Use
Property zoning
Appfication valuation . .
ELECTRICALPERMM
CITY OF PORT ANGELES
360-4174715
RS9 RESDNTL SINGLE FAMII,Y
0
19- 000003 87 DaEe 3/19/a9
4212AO
91{ MILWATJKEE DR
06- 30 - 00 - 9 - ?- 0050 - 0000 -
EI-EC'IRICAI ONLY
REPORT STATE SAIES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
5
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applicat.ion desc
GeneraEor
ContracLor
DOUGI.ASS E AND GINGER F .fOHNSO
PO BOX 2561
sEoulr'! riA 98382
EXTRA II'ILE TECI]
418 N. RACE ST.
PORT ANGEI,ES
13501 45't -5222
& EIJEC"., IJIJC
wA 98362
Permi ts
Additional desc
Issue Date ..
Expiration Date
ELECTRICAL A],TER RESIDENTIAI
102. 00
3/a9/).99/ts/t9
Plan Check Fee
ValuaEion
00
0
oty Units Charge Per
1.OO 1O2.OOOO ECH EL-RENEWABLE s-KVA OR LESS
Exten6ion
102.00
Fee summary Charged Paid C!edrted Due
PermiE Fee Total
PIan check Total
Grand Total,
lo2
to2
.00
.00
.00
102
102
00
00
00
00
00
00
- 00
.00
.00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T1?E DATE:RESULTS:INSPECTOR:
DITCH
SERVTCE
ROUGH.IN z lzolt?+V -eP
FINAL <)zp ln ArQ Y,-
COMMENTS
Signature of owner or Electrical Contractor X Date;
1 - 2 SINGLE-FAMILY
P APPLI
Public Works and Utilities Department
321 E.sth Street, Port Angeles, WA 98362
360.417.473 5 | www.cityofpa.us j clectricalpermits@cityofpa.us
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Project Address:
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9o Email:
Phone:){> -2i{ -
Lt(x]n*.ExTR4qr?73 R b3IL8 PA q97bL Expi ,arci oa.n. 7a-e6 - zon
Phone ?co-4t l -t 33€
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Name:
Mailing Address'
Name:EX4
Email:
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Malling Address o. Box
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Itlrr
ServicdFeeder m Amp-
SeniceJFeeder 201-a@ Anp.
ServicdFeeder 401400 Amp
ServicslFeeder 601-1m0 Arnp.
Se.vice/Feeder aver 1000 Anp-
Branch Cirruit l/V Sewiae Her
Erandr Cirurit l4fo Service Feeder
Eacfi Addfional Branch Ciro.,it
Branch OrqJiE 14
Temp. SlerviceJFeeder 200 A,Ip.
Temp Serube'lFeeder 201400 Amp.
Temp- Servire/Feeder 401600 Amp.
Temp. Sewice,/Feeder 6011000 Amp
Portal to Portal l-lourly
Signal Cirqfulimited Ene€y - ,&2 DU-
Manutactired Home Connection
Rene$Ebb Elec- Eneruy: SKVA Syrtem or less
Thetmoslat (Note: 95 tur each sddfional)
First 13m Squae Feet
E8dl Add'tiolsl 500 squaG &€t'.
. Eadr Onbuidng , Detactted Garsge
Es{rl $vinming Pool , Ha[ Tub
Unlt Cha.qe
$120.@
9'146.00
$a05.00
$262.00
$373.00
s5-00
$63 00
95.00
s75 00
$93 00
sl10.00
$r49.00
s168.00
$s6.00
$64.00
s120.00
9102.00
s56.00
$r20.00
s40.00
E,,4.@
sfi0.00
Ouantltv
----..-
TOTAL
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Owler as de{ned by RCW 1 9.28-261 : (1 ) owner will occlpy the stucture for two years at6r this etedricel permit is finarized. (2) own6r is
reguired to hire ao eledrii;al oontractor if above said property is for sale, rert or lease- Permit expires afrei six months of last inspeci,oo.
Afrer rcading the above statement, I hereby cedit that I am the owner oftlE above named property or a licensed elecfical cont actor I
em making the el€ctrical iBsbllation or alterBtion in coopliance with the electicat taws, N-E.d-, R61ri. Ctragter 1S.ZA, U,AC. ChapEr 296-
468, The City of Port Arydes Muniqipal Code. ard and PAMC 14.05.t80 regarding Eedical PermitApplicafi ons_q a..r,/ L-
Date Print Name Signahrre (E Owner Bectical Contraslor / Administrabr)
lElectrical PermitApplicadons may be submitt€d to City Hall or electricalpermits@cityoFa us or faxe d lo 360-41IT.47111
D Duplex / ARU Bualdlng Square botage: _