HomeMy WebLinkAbout1618 W 8th StELECTRI ., PERMIT
CITY OF PO
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$AppLication Nunber
ApplicaEion pin numbe!
Properly Address
ASSESSOR PARCEL NT'IIIBER I
Appl ication. type description
Subdivision Name .
Proper!y Use
Property zoning
Appficatlon valuation .
360-41
19-00000392
419 584
1618 W 8TH ST
06 - I O - O0 - O - 2 - 5225 - 00 00 -
ELECTRICAL ONLY
RS? RESD1\rII- SINCLE FAI'4ILY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
ate 3/20/19
Applicacion desc
Service and shop lriring
ContracEor
DEANA WOI,FI,EY
1618 W 8TI{ ST
PORT ANGEI,ES PORT ANGELES
136O) 452-9264
wA 983 53 wA 98352
Per'mit
AddiEional desc
Permit Fee
Issue Date
Expj.ra!iolr Date
183 .00
3 /20 /199/L6/t9
ELECTRICA! ALTER RESIDENTIAL
Plan Check Fee
valuati,on
EL.O 2OO SRV FEEDER
E],-R- BRANCIT CIR WO/ SER FEED
00
0
QEy Unit Charge Per1.00 120.0000 EcH
t .00 63 .0000 EcH
Extensi.on
120. 00
53. 00
Fee summary Charged Paid credited Due
PerrnrE !'ee l'oca1
Plan Check Totsaf
Grand Totsa1
193 .00
.00
183 .00
183 .00
.00
183 - 00
00
00
00
.00
.00
.00
D6,n 1,, I oL-? p s , Co l<
PERMTT wlLL E (PIRE StX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE slz tlfi N s
ROUGH.IN >,/"r/n 43 1N
FINAL it"slfi 4€-aeF
COMMENTS:
Signature of owner or Electrical Contractor X Date:
ANGELES
735
03./18./2019 15:05 FAx 360 452 9265
ProjectAddress:
Name:
Mailing Address:
Mailing Address
Email:
ItrE
Service/Feeder 200 AmP.
Service/Feeder 20t-400AmP.
ServicelF€eder 401-600 AmP.
ServicelFeeder 601-l 000 Amp.
SBrvic€/Feeder ovgr I 000 AmP.
Branch Circuit W Service Foeder
Branch CirqJit WO SeMce Feeder
Each Addidonal BEnch Citcuit
Ersndr CitEuits 1-4
Temp. Servico/F ddet200AmP.
Temp. SeMc€/Feeder 201 -400 AmP.
Temp. ServicdF
Temp. ServicdFe
Portal to Portal Houdy
Signal Circu lvLimited
Man ufactursd HomE
1-2 INGLE-ILY
ELECTRICAL PERM IT APPLICATION
hrblic Works aad Utilities Departroent
331 E. Sth Steet, Port Angeles, WA 98362
360.417.4735 | wwrv.cityofpa.us I electricalpermits@cityofpa"us
tiL
ntial E Duplex /ARU Building Square foobge:
Email:
Phon6:
@ 0001/0001
FEcEtyr^
uAn t s 2i;
Licans6:ANr-tt--t= 7.4t/"OP <
Expiration Oate:
Phone:0-
Charg.)
AnSeles Electric
t
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7
Unll Qh.Jo.
s120.00
sr46.00
$205.00
$2M:qO
,3373.00
i5.00 .
s63.OO
, $5,00
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NOTAL
owner 8s defined by RCrr'V.19.2E,261 : (1) Otvnsf rdl occupy tho rtructur. bf trrc y.!I! aftef thls ol€ofrio.l p3rm[ h nt8[zod. (2] oYvnor b
,"qrir"a to r,i-
"n
iecucat contraao: if auove eaio propiity ir for rale, rent or leaag. Pormlt arplrrr alt t slx tnonlha of llat lnag'cdon:
Afrer r€ading the above statament, I hercby cartfy $at I am th€ ownef of tha aboa named propelty or a lioenlod obctrlcal contraclor' I
am making thc 6lacbical installation or alteralion ln complianca vrlth ths .lsctical hv{t, N.E.C.. RCW. ChEp!6r I 92E WAC. Chaptar 296-
468, Ths ol Angstes M Utillty ahd PAMC 1 Applbetiofi...
Date Name Signalurc ([ O*ner / Adminhtrsto.)
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Amp.
lEtecricat permit Applications may be submifred b City Hall or el€ctlcelpermih@cityosa.us or faxsd to 360,417'47111
Nam€:
$.l,,oo
:t?*99
' $'l1o:oo
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