HomeMy WebLinkAbout1755 E 6th St\-b
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t1-4735
RS? RESDNTL S]NGLE FA]]IIIY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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CO
CN
Appfication Nunber
Applicaeion pin number
Property Address
ASSESSOR PARCEL NUIvIBER :
Application type description
Subdivision Name
ProperEy Use
Property Zoniog
Application valuation
19- O0O0O 88I Date 6/L2/19
a2a316
1755 E 611{ ST
05- 30- 00 - o- 1- 8585 - 0000-
ELECTRICAI, ONLY
Application desc
Replace service
Contractor
OTTO SIMON K
1755 E 5TH ST
PORT ANGELES wA 943524924
ANGEIES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
136O) 4s2-9254
wA 983 52
Pernit
Additsional desc
Permit Fee
lssue Date
Expiratsion Datse
120.00
6/!2/le
t2/09/re
EI,ECIRICAL ALTER RESIDENTIAL
00
0
Qty Unit. Charge Per
1.00 120.0000 ECil EL. O-20O SRV FEEDER
Extsension
120. 00
Charged Paid Cr:edited Due
Permits Fee Total
Plan Check Total
Grand Total
124
t2a
120 _ 00
.00
120 _ 00
.00
.00
.00
00
00
00
00
00
00
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTTON
INSPECTION Tl?E DATE:R.ESULTS:INSPECTOR:
DITCH
SERVICE lA-/s k
ROUGH-IN
FINAL t/t, /re p ,€)
COMMENTS:
Signature of ownff or Electrical Contractor X
Plan Check Eee
Valuation
D
Date:_
06/10/2079 15:19 FAI 360 452 9265 Angeles Electr ic
1 - 2 SINGLE.FAMILY
ELECTRIC AL PER MIT APPLI loN
Public Works and Utilities Depa-rtment
321 E. 5ttt Sheet, Port Angeles, W'A 98362
36A.1fi .47 35 | www.cityofua.us I elcctricalpermitsf@cityofpa.us
75{,{5
ly Residential El Duplex /ARU Building Square footage:
Email:
Phone:
License:
Expiration Dats:
Phone:
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ifr,,,'i',;f 1'ol
ts
Pro!ectAddress:
ton:
Name:
Mailing Address
Name:
Mailing Address:
Email:
Charge)
i120.00
$146.00
$205.00
$262;00
$373.00
$5.00
$63.00
.$5.00
$75;00'
sei:m
$1'10-o0
Temp.
Temp,
Poral
Signal
to Portal Houdy
CirclliVLimited
Manufactured Hqme
TOTAL
Owner as defined by RCVV.I9'28.261: (1)Ownar will occilPy thE structure for two y€ars affBr thb .lectrlcal permlt l. 0nallzed. (2) Offlsr is
requirsd to hire an electrical contractor if above said property i8 for sal6, tent or leaae.Pennit sxptres aftor six months of last irEpsction.
Aftor reading the above stat3msnt, I hersby ce ify that I am ths ownsr of tho abovo narn€d p{oP€rty or s llcanssd alsc&lcal contracloL l
am making the Electrical instellation or alteration in compllance vrith the elecsical blY6, N.E.C-, RCW.Chaptet 1 9.24, WAC. ChaPtrr 29&
468, The of Angeles Mun Ulility ons and PAMC '1 050 Pdntfi Apptlcstbns.
Date Print Name Signature (D Owner Electrhal /Administrator)
[Eleckicat permit Appltcations may be submitted to City Hall or slec'tricalpermib@cityoba.us or hxad io 360.417'47lll
P
B
Item
Service/Feeder 200 AmP.
Service/Feeder 201-400 AmP.
Service/Feeder 40'l-600 AmP-
Service/Feeder 601 -1 000 AmP.
Servic€/Feeder over 1000 AmP.
Branch Circuit W Service Feeder
granch Circuit w/O S€rvice Fgeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. SeMce/Fe6der'200 AmP.
Temp. Service/Feeder 201-400 Arnp.
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OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS