HomeMy WebLinkAbout1123 Columbia StApplication Nu ber
Application pin number
Property Address
ASSESSOR PARCEL NUMBER I
Application El.pe description
subdivision Name
Property use
Property zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18-00001012 Date '7/A5/18
380120
1123 COLUMBIA ST
06-30-00 5-3-0275-0000-
ELECTRICAIT ONIY
COMMERCIAI, OFFICE
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CO
C)
N
Application desc
Insta]1 paddle fan
ROBERT E CARUTHERS II
112 3 COLUMBIA ST
PORT ANGELES WA 943624247
KIRSCH E]TECTRIC INC
P. O. BOX 3395
SEQU]M(360) 583-5819
wA 983 82
Permit
Additional desc
Permit Eee
Issue Date
Expiration Date
ELECTRICAIT ALTER RESIDENTIAL
14 CIRCUITS
75.00 Plan Check Fee-/0a/tB valuation
a / oa/a9
00
0
Qty UniE Charge Per
BASE FEE
ExLension
75. 00
Charged Due
Permlt tee 10ta1
Plan Check To!al
Grand Total
75.00
.00
75.00
75 .00
.00
75.00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
COMMENTS:aY_
PERMIT WILLEXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature of owner or Electrical Contractor X Date:
Paid Credited
FINAL
1-2 SINGLE-MILY
TRIC ATION
Public \!br*s and (Jriliries Dbparrmcot
i2l l-. 5rh $rrecr, Port Ange !es, wlt 98362
)6U.41 7.47 )i i www.citl'ol'pa.us j oll:crricsipcrmitstrDciryoi'pa.us
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ProJect Descaptlon.r.i
Single-Family Residentjal. C Duplex i ARU Buiiding Square footage
am€: \
Mailing Address'ax:. r---...
Name
ilailing Address o (aq -Email:
Email
Phone:
License
Expiration Datel
Phone'
L^.J
Ilne
Soruica/F6edor 200 Amp.
Se{vicelFeeder 20I -400 Amo.
Servicelreeder 4Ol ,600 Anrp
Service/Feeder 601 -1000 Amp.
ScrviEelFeeder oy6t 1 000 Amp.
BrErcfi Ciltuit W S€rvic€ F€eder
Branch Crrcuit Wo ga{Yica F€eder
Eacir Addilional Branch Circuil
Brsnch Cirojits l-4
Temp- Service./Feeder 200 Arrp
T6ftp. Servi<l6lFe€der 2C1.400 Amp-
r-ErBp. ServicalFeedar 4O'l €00 Anrp.
Temp- ServiceJFoeder 601-10@ Amp.
qortal.to Po(al Hourly
Signal CLcuiyLimited Energy - 1&2 QU.
ManufEchrred Home Conn€cf oa
RenewabG Elec. Ene6gy: 5Ky'Agystsm or lgsg
Thormos{st (Note $5 tor eadr addiliofisr}
Date Print Name
lEleckical Permit Applications may be submifted to C
iD Electrical Contractor i Adminigtrator)
r Untt Chrrga)
$1?0.00
$148.00
$205.00
$262.00
$373.00
$5.00
$03_@
ss.00
$75,00
$93.00
$110.00
s'14s.00
$16E.00
$e6,00
$64.00
s120,00
9102.00
ssB.O0
-T-
$
5
l
s
s
$
s
$
U
$
5
a
$
--l 9.
$
--s
$
$
$
YOTAL
Owner es defined by RC-\ r.19.28 261: i, ) Owner will occupy the struclurs lor two yedE E,ier thjs etectrical permit iE findizsd, (2i Cwner is
required to nire an electdcal contacdor if above sard pmpefty is lor sale, rent or kagsa. Perm( 6xpi.6s afiEr 6ix monthE of laEt inspection-
After Eading the above statement I herEby carii6/ that I am th€ ownor of ih€ above nameci pirperty or a licenGed electrical contractor I
am makrng the el€ctriEai insbllaton or alleralaon in complianco the electrical laws.E.C.. RCW Chapter r 9.28, WAC. ChaDbr 2s6-
468, The City of PorlAngel€s Munrcipal Code. and Utility tions PAMC 1 ing El P€rmit Appllcations
Hall or electriealpermrts@cityofpa.us or faxed to 360 417 471'ti
ProJecl ACd!-ess: