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HomeMy WebLinkAbout3221 Regent StELECIRICALPERMIT CITYOPORTAI{CELESm4fl4r5 3 s,\t Applicat.ion Nuniber . - Applicatj.on pin uunber Property Address ASSESSOR PARCEL NIJMBER: Appli.catio4 t!'pe descripEiorr subdi.visi.on Name - . ProperEy Use Property Zo[ing Application valuation 19- 00000507 Date 4 / o5/!9 242626 3221 REEEIIT ST 05-3 0- 15- 5- 3 - 9020 -0000 - ELECTRICAL ONLY 0 Application desc DucE1ess heat pulnp Owner Contsractor ANCETOS ELECTRIC PORT AI.IGEI,ES 13601 4s2-9264 wA 983 62 PermiE Additional PermiE Fee Iggue Date 63 .00 4 /Os/1-9 \o/ 02/19 desc P1a[ Check Fee val.uation 00 0Expilation Date QEy Uoir charge1.00 63 .0000 PerECH EL-R BRANCH CIR WO/ SER FEBD Extension 63.00 Fee summary Due Permi! F'ee Total Plan check ToEa] Orand Total 53_00 .00 53 .00 53 .00 .00 63 .00 00 00 00 00 00 00 EFORTA7AIE,'r,I.sSTAXdrwrcr(&tilfumtoflpWolMA@(LffinWW2) IM'PEETIO!{TYPE DAIE:NESULTS,INSPECTOK DITET{ SBRVIEE ROT'OH-IN q)nln .N TP FII{AL a'l/4ln dP -# EOMMENT$: I TIII T PERMIT WltL EXPIRE Str (6) MONTHS fRO[{ IAtr F*FEI$" Siga{&r,of oms or Eleqricxl Oo*agor X D*e, ELECTRICAL ALTER RESIDENTIAI, ANDERSoN, PETER J/RoNDA ! 3221 S REGENT ST PORT ANGELES WA 9A3623748 :i::::: ::ti :::11:::. 04/04,/2019 09:0S FAI 360 4S2 g26E Project Address: 1 - 2 SINGLE.FAMILY ELECTRICAL PERM IT APPLICATION Fublic Works and Utilities Departrnent 321 E. 5th Street, Porr Angeles. WA 98162 3 60.11 7 .47 3 5 | www.cityofpa.us I elecrricalpemrits@cityofu a.us *-?r* Residential E D /ARU Building Square foolage: Email: @ 00 01/ 0 001 RECEIYED APl'lUN Phone:fiD Yl2 -7tc'7 .:icenae: ANkl.LF L4bf Q I Expiration Data: Phone:0- (Qulntlt, r Unh Ch.r!€) bSao Angeles Electric !o 3,+ TF --$ \no { Pro,iect 9sscriptio EfngWFanity n: Name: Mailing Address: Name Mailing Address: Email: llsD Service/Feeder 200 Amp- Service/Feeder 201 -400 Amp. Sarvice/Feeder 401 -60O Amp. Servic€/Feed€r 601-'1000 Amp. Service/Fssder over 1000 Amp. Branch Circ1lit w/ Serv,ca FaEder Branch Circuit WO Service Feeder Eadr Additional Branch Cirq.it Branch Circuits 1-4 Tamp. Servlco/Feeder 2oo Amp. Tsmp. SoMca/Feedsr 2O140O Amp. llnlt Ch.ro. sl20.00 $146.00 $20s.00 $262.00 s373.00 65,00 $63.00 $5.00 OuantitY s $ s ! 5 s $ ttt E s?s.00 $93-00 $110.00 Temp. Se T6mp. SeMc€y'Feed Portsl to Portal Hourly Signal Circu ivlimiled Manufacturcd Homs TOTAL Ownsr as dsfrnsd by RCW.192E.261: (1) Olvnor wlll ocsupy lhe slructure ior tr'vo yeats sfr.rthis ol.ctlcal potrdt b linrflzod. (2) Ovrnor b r€quhgd to hlra an els€lrical contractor if abova sald prop€rty ls for sala, ront or laaso. Petmit sxpl$s afbr dx mooth! of laat lnrpecdon. Atter t€ading the abovo statamon! I hor3by cs ry lhat I am lha owngr of Itr. rbov6 mmad Foparty ot a lloanlad dccthd Gonbaclor. I am making lhe electrical insEllation or att"ration in compllancc ryith tht decnixl hws, N,E,C., RCa/. Chaptar 19.26, WAC. Cha@29& 468, The Port Angelas Code, and Utility Spsdfications ard PAMC 1 El.cticel Prnnit ApFlh8tlofl 8. Date Print Name Signature (Owner / Ad minishatorl PROJECT DETAILS I OWNER INFORMATION ELECTRICAL CONTRACTOR INFORMATION [Electrical Permit Applications may be submitted to City Hall o.oledricalpermits@cityoha.us or fax€d lo 360.417.47111 q ) {:t