HomeMy WebLinkAbout617 E 8th StApplicaEion Number
Applicalion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appl icaE ion. Ey-pe description
Subdivision Name
Property use
Propertsy zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4135
COMMERCIAL NEIGHBORHOOD
0
19 - 00000434 Date 3/26/a9
864246
617 E 8T1{ ST
06-3 0- 00- 0 -2 -2570 - 0000-
EI,ECTRICA], ONLY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application desc
Bathroom out.let
Contractsor
DANA AND R1IIANNA SHALTRY
511 E 8TH ST
PORT ANGEIES WA 983525223
EXTRA MI],E TECH & EIECT., LLC
418 N. RACE ST.
PORT ANGELES WA 98362
\35O) 457 -5222
Permit
Additsional desc
Per.mits Fee
Issue Datse
Expiration Datse
63.00
3/26/re
9 /22/\9
ELECTRICAL I\I,TER RES]DENTIAL
Plan Check I'ee
Valuat.ion
00
0
Qty Unit Charge
1.00 63 . 00 00
Per
EC}I EL-R- BRANCH CIR WOl SER EEED
Extension
63.00
Fee sumnary Charged Paid Credited Due
Permits Fee Totaf
PIan Check Total
Grand Total
63 .00
.00
53 .00
53_00
.00
63.00
00
00
00
o0
00
00
PERMIT WILL EX?IRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
ROUGH.IN a JDltq .F n$P
FINAI 4'1 nJ rq tr *I ,
Signature ofowner or Electrical Contractor X Date:
SER\'ICE
COMMENTS:
ELECTRI CAt PERMIT APPLICATION
Public Works and Utilities Departrnent
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofua.us I electricalpermir@cityofoa-us
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Mailing Addr6s 1-a l) toln 5-*( s+k'2"-*Phone:n-
Name:€x1 Le Ts
wlailing Addr6s:o.o* 3l :.8
Email:
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ServicdFeedsr ZXI Arp.
Se.vi=/Feder 201-4{X} Anp.
Senrice/Feeder 4gf {00 A,Ilp
SerYice/Feeder fl)t-lm Amp-
ServiceJFeeder o,er I m0 Anp-
Branch Cilq,i VV Serv&e Feeder
Brendr Circuit t/\,/O Servlce Fe€der
Each Addtioflal Brardl Cimrit
Eranafi Cnorb 14
Temp. Se{vioe/Fee.ler 200 Anp.
Temp Servie/Feeder Al-4{X} Amp.
Ternp. Sefl icdFeedE {r1 6{X} Anp.
Temp. Service/ker 6!1-10(x, Amp
Portal to Porbl Holuiy
Signal Cin:Iiulimitsd hergy - 1t2 DU-
Manub€trrsd Horne Connedioo
Rerfl/aue Ehc. Ene{y; sK/A SysEn or bss
TheBro$t (Nob: $5 tur €ch sdditionaD
Frst r& Sql € Fe€t
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Otrner as d€fined by Rof,ll928261: (1) Ownerwi[ ocepy tfie struclure fortwo yeatE afte.this eteclrical Fer it is fnalized. (2) Owner is
required to hire 3n ebcilical cooFsctor if above said property is for sale, rBnt or lease. Permit €xpiGs afrer six montfis of lat inEpgctbn.
Atut reading the above sEErnent I heteby cettry tiat I am lhe owner oftle above named prope0 or I lcensed elecfical contractor- I
am making t ie elertical irEtallalion or gllerslion in complience wilh tie eleclrical huJE, N-E.C., RC1,V. ChapE 19.28, !"rAC. Chapbr2ga
468. The qty of PortAndes Municipal tue, and utility and '14.05.050 Ele.ticd Permit ApplicadorE.
3.-ot9-t7
Date Print Name Signdlrc (E Of,'ner Electrical Conffir / Admirisfrab0
[EEcfical PemitApplications may be submitbd b City Ha[ o, elecricalpermits@dtyofua us or taed to 360.417 -47111
1 .2 SINGLE-FAMILY
E t uplex /ARU Building Squa.e botage:
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ELECTRICAL