HomeMy WebLinkAbout1713 W 13th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applica'Eion Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application t)'pe description
subdivision Name
Plopertsy use
Property zoning
Application valuation
19 - 00ooo 967 Dare 6/25/a9
219342
1713 W 13TLI ST
05 -3 0- 00- 0 - 3 - 5345- 0000 -
ETECIRICAL ONI,Y
Application desc
Ductless heat pump
Contsractor
ZACHERY MOOFE
1713 W 13TH ST
PORT ANGELES
136A) 45t-2342
[iA 983 53 58 05
EXI'RA MTT,E TECII
4 ].8 N, RACE ST,
PORT ANGELES
(360) 4s7 -s222
& ELECT., LLC
wA 98352
Permit
Additsio[a1 desc
Permit Fee
Issue Datse .. -
Explration Date
Qty UniE Charge
1. 00 53 . 0000
53 .00
G /2s /te
a2/22/19
ELECTRICAI ALTER RESIDENTIAI
Per
ECH Et-R- BRANCH crR wo/ sER FEED
Plan Check Fee
Valuation
.00
0
ExEension
63 .00
Charged Paid Credited Due
Permlf !'ee'1otaL
PIan Check Total
Grand Totsal
63.00
.00
63.00
53 .00
.00
63 .00
.00
. o0
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM Lq.ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN e/zz /n "p ,4e
FINAL 6//zt l, r k /-rg
COMMENTS:
Signature of owrcr or Electrical Contractor X Date
,,
I - 2 SING E-FAMILY
ELECTRICAL PERM IT APPLICATION
Fublic Works and Utilities Departrnent
321 E.5th Street, PortAngeles, WA9E362
360.41 7.4735 | wwwcityofpa.us I electricalpermis@cityofpa.us
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t-$*.i-Project Address
Name:
Mailing Addr6s:
Name:Fx+
Maillng Address:
Ematl: E-X
Ts
o* 3l.LEol
tr Duplex /ARU Buildir8 Square 6otagp:
Email:re 7Ga-
License:
iration Da!e: /-2b ^ 20 t1
Phooe: 360 -'{Cl - tts,ge
l"Lr
lblo
SsfficdFesder 200Amp-
ServiceiFeeder 201{00 Anp.
S€rvice/Fe6dell0l€00 Amp
Servics/FEEder 6011 fi 10 Arnp-
Sewice/Feeder oirer l00O Arp.
Bran* CirEu?t w/ Service Faed.r
BrBnch Circuit WO Serdce Feed€r
Eaoh Additiooal Branch Cirquit
B.aoch Cir. ib 1-4
Temp. Seflrice/Feeder m0 Arp.
Tenp. SewioelFeeder 201-400 Anp.
Temp- Seryioe/Feed.r 401600 Amp.
Temp. Servicey'Feeder 6!l -1mO Amp.
Pofial to Porbl Hourly
Signal Cn'oliuLimibd Energy - l&2 OU.
Manufartured llorne Connec on
Renevrable Elec, Energy; SI(1/A SyeEm or bss
TtlsnnoEtat (!tob: $5 brea& addilioneu
Ftrd t30O SqtE B Fad
.. Ead| &ffili,.lsl 50O squaE ftd"
, Eadt olrrbund(lo ,Ilatlctst Gar€OE
Edr SoinrniB Pool / Hot Tub
Unit Charoe
$120.m
$r46.00
&o5.00
@2-m
s373.00
$5.00
$63.00
9s.00
$75.00
$93 00
s110.00
$149-m
sr68.00
$96.00
$64.00
$r20.@
910200
s56.00
sl20.00
$4O-00
$'r4.m
sl10.00
Ollantllv fghl {Qua. ity x Unit Charge}
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owner as detuEd by Rc1 f 19.26261: (l) Ownerw l oc$py thE stuctr.rre fur tu,o years atiErlhis etefiical p€{mft G fnalized. t2) Oiirner b
r€quired to hire aa ebctical cornt'actor if alove saii pt!pe't, is for sab. rent or loasa Peniit e4ires afur sh mqfls of last iosp€65on,
Affer tBsding lhe sbot s stabflEnt, I ha€by certlty lhd I em l,tE owner oflhe 8!ovE named prrPerty or a lk=os€d electi,al conbcb.- I
an mddl€ tle electical iastdlalbn oralt8ralion h corp[ance witrl the €b.fkal lau,E, N.E.C., RCW. Ctra& t9.2S, lr0qc. Chapbr 296-
--DqV
468, The City of hAngde! irunidpd Code. 8nd Utifity Specifcatiorls ard mMC 14.05.050 Eleclrical PemitApdications.
3-
Oate Print Name Signature (E Crwner Becfical Gontraclor / AdminisFabr)
[Elecfical PermitApplications may be submified b Cily Ha[ or elec-tricalpermits@cityofpa us or ibred to 3&.417.47111
_-a-.
TOTAL