HomeMy WebLinkAbout4300 Old Mill Rd (2)ELECTRICAL PERMIT
CMY OF PORT ANGELES
360-417-4735
os
I
-.tto
-.-t
Application Nuhber
Applicatsion pin number
Property Address
ASSESSOR PARCEL NU}4BER :
AppIicatsio]} i),'pe description
Subdivision Name
Property use
Property zoninq
AppLication valuat j.on
18 - 00 001?07 DaLe 1-1-/26/1A
191401
4 3OO OLD MILI, RD
o5-30-22-2-2- 9060- 0000 -
EIECTRICAL ONLY
Qty UniE Charge Per
1. 00 s6 .0000 EcH EL-I,VT-TSERITOSTAT
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Application desc
T- stat
ContracEor
BIIADLEY, RICHAF'D G & BONNIE
4]OO OLD MIITI. RD
PORT ANGELES \IA 983626244
AlR FLO HEATTNG CO INC
221 W CEDAR ST
sEouIM wA 98382
{360) 581- 3 901
Permit .
Additi.onal desc
Permit Eee
Issue Date ,
Expj.ration DaCe
56 .00
7!/26/t8
s /2s/ts
ELECTRICAL NEW RESIDENTIAL
Plan Check F'ee
Valuat ion
00
0
Extens ion
56.00
Charged Due
Perml E l'ee Iota l
Plan Check Total
Grand Total
55.00
.00
56.00
55.00
. o0
55.00
00
00
00
.00
.00
. o0
PERMTf WILLEXPIRE SIX (6) MONTHS FROM LAST INSPECTION
TNSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN tt/z.,lB dF =€
FINAL q'lz))n {D #
COMMENTS:
Signature of ou:ner or Electrical Contractor X Date
Paid Cledited
Ll/02/2ALB FRt 7:38 FAx 360 683 3971 Airflo Heating copier @oo1/oo1
1 - 2 SINGLE-FAMILY
-
flf0E yEo
ON 2'/i
!i
l-
frctlll-Jloll
Public Works and Utilities DLpartme'nt 6t FlrpnlAt
321 E. 5th Streel Port Angeles, WA 98362 tNs PECTOilS
360.417.47 3 5 | wrvrv.cityoft a.us I electricalpermits/@cityofpa.us
4300 Old Milt Road Port Angeles WA 98362
Proiect Address
Project Desc.iplion:lnsfall Ol1e Trane Heat rmn 2n.l Ona VrrirhlF Snce.l Air Henailer
6 Single-Family Residential E Duplex /ARU Building Square footage
Name
Mailing 360-460-0139Phone:
Name:Ucense:
Mailing Address:Expiration Oata:
Phone:360-683
Service/Feedgr
S€Mc€/Feeder
Servic€/Feeder 401 60o.;{me.
Service/Feeder 50t 199qAmp-
ServiceiFeeder or.er 1Q0q Arnp-
Branch cir@it W.S€wi€ Feeder
Braneh Circuit WIO Service F€eder
Ea€i Additional Branch Cirqiit
BrEnch Circuits 1-4
Temp SeryicelFeeder 200 Am9.
Ternp. SeNicelFeeder 2O1-4OOiAdrp.
$373:0O
$5.00
$]53:oo
$,5.00
$J5.00
$93:00
$t10,00
Temp.
Temp,
Portal
Signal
'Amp"
tq Podal Houtly
CircuirLirnitsd
Manufadured Horr,e,
Rsnevv;ibte Eec. Efleigy:
Owner as defined by RCW.r9.28.261: (1) Ownerwill occupy the slructure for two years after tfiis ele€tdcal perrnit is Iinalized. (2) Owrcr is
required to hire an elecirical cont'actor i, above said p&perty is for sale. rent or lease. Peffit explaes after six fionths of last inspection.
After reading the above staternent, I hereby certiry that I am the owner ofthe abgve named property or a licensed eiectical contactor. I
am making the electrical installation or alteration in compliance with the electdcal laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
-TheCity ot Pid,qlgeles Mu Code, and Utility ing Elec.trical Permit Applica{ons.
nt Name sis (E owner Electrical Cont€ctor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofta.irs or faxed lo 360.417 -47111
I
$
POr