HomeMy WebLinkAbout107 E 13th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
RS7 RESDNTL SINGLE EAIVIIIJY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applica'Lion Number
Application p j.n number
Propertsy Addr:ess
ASSESSOR PARCEL NUMBER:
Application type descripEion
Subdivislon Name .
Property Use
ProperEy Zoning
Application valuation
l-9- 00000944 Date 6 /2o /L9
0 935 S2
107 E 13TII ST
06-3 0- 00- 0-3 - 8050- 0000 -
EI,ECTRICAI. ONIY
IINDAM&SCOTTCEVANS
107 E 13TH ST
PORT ANGETES WA 98362
(817 ) 350-0552
EXTRA MTLE TECH & ELECT,, LLC
418 N, RACE ST.
POR? ANGELES WA 98362
l36O) 457 -5222
Permit
Additional
Permit Fee
Issue Date
58.00
G /20 / i-e
!2 /a'7 /19
ELECTR]CAL AITER RESIDENTIAI
desc
Plan Check Fee
Valuatsion
.00
0
Expiration Date
ory unir Extension
5. 00
53.00
1.00
1.00
Charge
5.0000
53.0000
Per
ECH
ECH
EI-ECH A.DDNT BFANCI{ CIRCUIT
EL-R- BRANCI{ CIR I^IOI SER FEED
Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand ToEal
68.00
.00
68. 00
68 .00
.00
58 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I"A.ST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN 6/s /n AP @)
FINAL L/"1/, c ,e A42
COMMENTS:
Signature of orvner or Electrical Contractor X Date:
Application desc
Ductsless heats pump
INSPECTOR:
1-2SING LE-FAMILY
ICAL P APPLI RECE,VED
JUN
Projec-t Address:
Name:
Mailing Address'
Public Works and Utilities Dcpartment
321 E.5th Street, Port Angeles, WA 98362
360.41 7.473 5 | wwrv-cifofpa.us I electricalpermits@oityofpa-us
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I B Duplex / ARU Buflding Square footage:
I Email:A
t ?019
Phone:9t1 - aLo*DrfZ
co
Name:EX+A 4 ,r1,\LE 'j-E € €1..,di q.tset*:14L@r4r?73 P b
Mailing Add[ess P.o. Box 3I.L6 PA q9?bL Expi aaaiae@
Email x Pnone: 36o-'{{"1-t339
li8m
Soruice/Feeder 200 Arnp.
SeMcdFeeder 201 -"100 Amp,
ServicdFee&r /'{}1.@0Amp
Se.Yicer'Feeder d)1-1CID Arnp.
Sewice,/Feeder 0l,6 10@ &np.
Branci Circuit L/U Seryice Feeder
Branct CiroJit W,O Seflice FeEder
Eadr Addilional Brancfi Cirqrt
Branch Circuits t-4
Temp. Serviie/Feeder 200 rA[lp.
Temp SeryiTdF€€der 201-400 &np.
Temp- Seirice/FeedEr 401dX) Amp.
Temp. Seruice/Feeder 6{}1-1000 Amp.
Portal to Port6{ Houdy
SEnal CircuiL4-arfliEd Energy - tA2 OU.
Mariufact Ied |lorne Connecdon
Reneryable Ebc. Eneqy: 5l(/A SysEm or bss
Thermostat (!6ds: $5 lor ead! dditionaD
F'Ef 1300 Sqt€(! Feet
.. Each Addlfonal 5OO quate ,B€f'
. Edl OdbuldiE / Oebdlcd Ga.sge
Ea(,l $/imning Pool /HoaTub
OrEnll{t Tohl (Qummy x Unfr Charge}unit Charoe
$120.00
$146.@
&05.00
e62.m
$73.m
$5-00
$53.00
s5.00
r/5.00
$93 00
$110.00
$r49.00
$r68"00
s96.00
s4,00
$120.00
$r02.00
$s6.00
$120.00
$40.00
E',r4.00
sr10.00
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TOTAL
Olr&er as defned by RCW192&261: (1) Owneruill ac.lpy tlle strlrdt[€ fu. trre !rea6 ai3rthis ere.tricd lermit is fna6zed- (2) Ormer is
rsquiEd b hile an eb€irical contrador if sbove sid gDp€aty E for sab. lEd or base. Perritoeires afur Eix monlk of lalt hsp€dioll
Affer reading the aborre stabrpnL I hseby certry tH I am tE oxner ofliE sbove nafied plope(y or a lceosed elecfil-cal coriracto[ I
am m*ing lie elecfical ifistaldion or aheralion in cor4]trane wih lte ebcfical larvs. N.E.C., nOf- Oraper t S.Za, It AC. Clrapbr 296.
468, The of Aryeles Muoicipal Code, and Ulility SpecificaforE and PAMC 14.O5.OSO rBgardirlg EbcAiGd permitAFIcatbn8.
b t /7 €-;tr-{nt5tuL.-
Date Print Name Signature (D Owner Contraclor, Adminisffi r)
[fEtec1n-.-cal Permit Appicatims may be submitiad to City HaS or eEdricalpermil@cityoQa ss or tued to 360.417.4711]
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