HomeMy WebLinkAbout202 Dogwood PlELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDNIL SINGLE FAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
--$
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Application Number
Applicat.ion pin nrmber
Property Address
ASSESSOR PARCEL NUMBER:
Applicat.ion ty?e descriplion
Subdivision Name
Propertsy Use
Property zoninq
Application valuation .
19- 00000984 Dare 6/2a /19
840040
202 DOGWOOD PI,
06- 3 0- 15 - 5 -0- 0018 - 0000 -
EIECTRICAI. ON],Y
Applicatsion desc
200 amp service
BI,AINE AND JOAN IIARRIS
202 DOGWOOD PL
PORT ANGEIES WA 983523715
l2O5) '7a3 -'7827
JEFF NELSON ELECTRIC
7 052 OLD OLYMPIC HWY.
PORT ANCELES WA 9A3 62
/.369) 46A- 429a
Permit
Additional desc
Permits Fee
Issue Date
Expiration Date
120.00
5 /28 /a9
a2/2s/19
ELECTRICAL ALTER RESIDENTIAL
Plan Check Eee
Valuation 0
Qty Unit Charge
1 . 00 120 .0000
Per
ECH EI,-O.2OO SRV EEEDER
Extension
120 .00
Charged Cr:edited Due
Permit Fee ?ota1
Plan Check ToEal
Grand ToEal
120. 00
.00
120 .00
120
t20
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
RESULTS:INSPECTOR:
DITCH
SERVICE z lt /t7 *R -IE)
ROUGH-IN
FINA]-?lt ln 4F w
COMMENTS:
Signature ofowner or Electrical Contractor X Date
.00
.00
.00
.00
.00
.00
.00
INSPECTION TYPE DATE:
FR0t''r :Fnx No. :6814254 Jun. 25 2Al9 A7 i 4BAYI P7
1 2 SINGLE-MILY
ELEC AL PE APPLIC N
Public Work* and tltilitics Dc-partmeilr
321 E- 5th Street, Pon Angtli:s, WA 9i136?
360.417.;t735 | wrvw.citytrt'1ra.us ielertricalpenr:its(lr,iciryotla.us
PFr.
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"$0oN.=t-Project Address: 202 Dogwood Lane, Port An geles, wa 98362
Project Descriplion:200 amp service alteration
E Single.Family Residential D Duplex / ARU Building Square footage
Name: Blaine Harris
Mailing Address. 2O2 do od. PA
Name:nelson eloctric
Mailing Addr6ss:wa 98382
Email:do
Item
Service/Feeder
Servica/F
Service/Feador 00
Service/F6ed
Service/F
Branch Clrcuit F€ader
Branch Circuit Fs€der
.706-71T7827
EI984RP
Expi ration Date: 12i/20
Phone : 36H6G4291
Charye)
Ea ch AdditionatiHtrs+.'r!E€i rErrit
Branch circuits i#,rl;:'],
remo. servicerFi{$,{,,!j4 n-,6gp,.
Temp. Service/Feddefl$l+Oti ilmp,'- - "
s
$
$
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t_-t_________
Tamp. S6rvic€/F
Temp- S6Mce/F
slloro*mpn;rLrlld e'rlJ,,h,orr'i$r ius!!
eed
Portd to Portal Hourly
Signal CircuivLimited E
Manufactured Home Con
Renowable Elec. Energy:
Thermostat (Notc: g5 for each
Aft€r reading lhe above statemBnt. I hereby cenify
am making the ele(trical installetion or alteration in
468, The Clty of Port Angeles Munictpal Code, and6t25t1e Jeff Nelson
Date Print Name
Ownea 69 defned by RCW.'t 9.28.26r; ( 1) Owrler will occupy the gtructure f6r twE years afier this elect icsl permjt is finelized. (2) Owner isrequar€d to hirc an electrical contracbr if above said property is tor sale, rent or leas€, Permit gxpires aftei stx morrths of laa inspealon.
TOTAL
thal I am ths owner of the above named prop€(y or a licensBd gloclrical confactor I
comdi ance wilh the elecbical laws, N.E_C. RCW Chapt€r 19-2E. WAC. Chapter 29G
Utility Speciflca and c 14 05O regarding Electrtcal Permit Apptications.
(!Owner E ectrical Contractor / Adminastrator)
OWNER INFORMATION
PROJECT DETAILS
LElectrical Permit Applications may be submitted to C Hall or electrical tyofpa.us or faxBd to 360.417.47111