HomeMy WebLinkAbout4509 Old Mill Rd (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
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Appfication Nurber .
Application pin nu cer
Property Address
ASSESSOR PARCEL }WMBER:
Appf icatsion type description
Subdivision Name
Property use
Propertsy Zoning
Application valuatsion
19 0000 0922 Date
045918
450 9 OI,D MII,I, RD
05-30-22 2-1-9000-0000-
EI]ECTRICAI ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of PorI Angeles
(Location Code 0502)
6 /L7 /1.e
RS9 RXSDNIL SINGLE EAMIIIY
0
Applicatsion desc
Landscape featsure
Contractor
GFAY, RANDY/.]ENNIFER
31 NEL],O PLACE
sEourM wA 983 82
(360 ) 583-2318
BOBJ S ELECTRIC INC
22 93 DEER PARK RD.
PORT ANGELES
(360) 4s7-5887
!{A 98352
Permit
AddiEional desc
PermiE Eee
Issue Datse
EI,ECTRf CAI, ALTER RESIDENTIAL
1-4 CIRCUITS
75.00 Plan Check Fee
6/t7/t9 valuation
t2/t4/a9Er:piration Date
Qty Unit Charge
00
0
BASE FEE
Excension
75.00
Charged Paid Credited Due
Permrc bee 'l'oEa1
PLan Check Total
Grand Total
75 .00
.00
75. O0
75_00
.00
75.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM 1-AST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH.IN Llz,a ln w ffi
FINAL llz.t'ls +r =*
Signature of ow]]er or Electrical Contractor X Date
INSPECTOR:
COMMENTS:
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Projecl Address
Project Oescription t citt *-l
P Single-Family Residential D Duplex i ARU
Mailing Address
Name:
irailing
Email
Itm
Servic€Feed€r 200 Amp.
Service,/F€€der 201-4m AInp.
Serv icelFeedor 4016@ Amp
Service/Feeder 60'l-1000 Arno.
Servrce/Feeder over 1000 Afip.
Branch Cucuit W/ S€rvDE Feeder
Branch Cuc!ii w/O Service Feeder
Each Adddronal Branch Crrcuit
Branch Circurts 1.4
Terirp. Servic€r'Feeder 200 Arnp.
Temp Servrco/F6ed er 201-400 Amp.
Temp. Service/Feeder 4015O0 Amp
Temp. Service/Feeder 601-1000 Amp
Portalto Porlal Houdy
Signal CiroJiulimited Energy - 1&2 DU.
Manu[aci]lgd Home ConrEdton
Renewabh Elec. Energy. sKVA Systsm oi tess
Thermoslat (Not€: $5 toreactl addittonat)
Fnd l?OO Square F€et
Etch Additionrl 500 squaE ftet"
EEch Ortbqilding / DcEcied cr.8ge
Esdr Swinming Pool / Hol Tub
ELECTRI CAL P E MITAPPLICATION
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Building Square footage
Email. _
t Phon -Uo*0{6
License gdfiEl*apf
ExDiration Date
Pnone 5 tr b-)./
Unlt Chaaoe
$120.00
$146.00
$205.00
$262.00
s373.00
$5.00
$63 00
$5.00
575 00
593 00
s110.00
s149.00
$168.00
s96.00
$64.00
3r20.00
s102.00
$56.00
t120.00
340.m
gr4.m
tlr0.00
Alllllnl &tlal ((.luantity x Unlt Charg€)
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Owner es defined by RCW19.28.261: (1) Owner will occupy the stuctuE tor two years afterthis eiectriq:t permit is finalized. (2) Ownerjs
required lo hlre an electrical contractor if above said property is lor sale, rent or lease. Permat exolres a\,:r six month8 of last lrso€clion.
Att€r reading lhe above stalement, I hereby cedily that I am the owner of the above named property or .t licansad etectrical contracior I
am making th€ eleclricll instrallation or alteration in compliance with the etectricat taws, N.E C., RCW ChJptrer 10.28, WAC Chapter 296-
468, The of Porl Angeles l unicipal Code, and Uu lity Specificalions and PAMC 14.050 regarding Electrical Permit Applications
e
Name Sign re (E Owner F Electrical lontraclor / Administrator)
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lElectrical Permit Applications may be submitted to City Hall or eleckicalpe.mits@cityofpa u orfaxedto 360.417 47il)
1 - 2 SINGLE.FAMILY
Name:
Date