HomeMy WebLinkAbout1749 E 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
18-00001021 Date 1/ta/Lg
822384
174 9 E 6TH ST
06-30-00-0-1-8s80-0000-
EI,ECTR]CAI ON],Y
RS7 RESDNTI] SINGLE FA}I]ITY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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N
Application Nurober
Application pin number
Property Address
ASSESSOR PARCEI, NUMBER:
Application Eype description
Subdivision Name
Property Use
Property zoning
ApplicaEion valua!ion
Application desc
Bath remodel
Owne r Contractor I
JOHN AND MARGO
114 9 E 6TH ST
PORT ANGEI,ES
(360) 808-5844
JEFF NEI,SON ELECTRIC
7062 OLD Ol,YlIPIC HWY
PORT A}{GELES
(359) 450 4291
PRUSS
I^iA 98352 riA 98352
Permit
AddiLional desc
Permrt lee
Issue Date
EIECTRICAI] AITER RESIDENTIAI]
14 CIRCUITS
75.00 Plan ChecL Fee
'/ /tA/tB valuaL ion
t/06/teExpiration Date
Qty Unit
00
0
Charge Per
BASE EEE 75. 00
Fee sumrnary Charged Paid Credi Eed Due
PermiE Fee Total
Plan Check Total
Grand Total
75. 00
.00
75.00
75. 00
.00
75. 00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
ROUGH-IN z/r*lB V *mr
FINAL L
COMMENTS fr*.
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
SER\'ICE
1 - 2 SINGLE.FAMILY
ELECTRTCAL PERM tT,APPLIQAT|ON
Public tr\trrlis an<l UtiliiiGbcpartment
i2l E- 5th Street. PoI.t Angeles, WA 91j362
-160.4 I 7.4715 | ut'w.cit-voftra.us I eiech'icalperrnits(A)cityolila.us
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Prci€cl Address 7 Z ilys T4xAt,PI
Proiect Deschption:B-+rv (_
El-fingl6 Famity R6identhl D Duplex / ARU Eulldlrq Sguare footage:
Name:
Mailing
Emsu
Addrsg: /
Narne:
Malllng Address:
Email:
6
7'
con4
Lic6ns€:
Exphstbn Date:
PY66; ?
ELECTRICAL CONTRACTOR I NFORMAT'ON
Ite?n
S6Mco/Feodo. 20OAnp.
SeMcdFeodcr D1.400 Amp,
Se lce/Feede, ll(l1€mAftlp.
$swics/Fe6dGr €01"1 9F nnp.
SeMce/Fesder otbr tqOOanp.
Branch Orq.ritrW Srrvta Fscdcr
Branch Cirarit WrO Se ice Feodor
Each Addltlond Bran€h Pircdl
Branch Circuits 1.4 ,
Iemp. servicelFriidl,loQ 4np.
Temp. ServlcdFcod,r 201 -400 Antp.
Temp. S6rulcdPe.*i 401{00 Ainp.
Tomp. SeMcdF€.ds( 801-1Ofi! Amp.
Portal to Porrd Houdy
Slgnal CiruJiylirrit€d Encrgy - t&2 DU-
Manutacturgd Hqrc Conmcton
Renerirabro Eloc, ErErgry: sl(v ryEl.m t7 lar.
grdg IgU (Crrlr*ry r Ch&igo)It tqhrn
tl20.00
S148.OO
'$?05.00
$tPz;OO
, r$3.73 00
,
$r49.00
35-00
s63,00
s5.00
t75.00
caa,o0
$lrom
,$
e
s
3 --------*r-.{.r,+
$
3
s
$
3t
Thermoetat 35 io. esch addlirrE
TOTAL
Odner as dsfin€d by RCW'19.28.261 : (1 ) Otr,n6r wlll omJpy the stnlcture fof ttto years eter thir d*ro, *rl,t ls flnsllzed. (2) Ome. is
requlred to hlre an eleciJicel contr6ctor iI Bbove said propsrt, is for Ealo, rsnt or l€aso, P€finlt expircs aftar six month8 of tesl tn8pec-0fi.
Aft6t Eading the €bove Biatsment, I h€reby certit that I am thB own€. ol th€ abov€ nern€d HopeIly or a llc€nsed Bloctricat conFaclor. I
am making lhe electrlcal lnslallatlsfl or sheration in cdrnpliarEa 'rith the elgctrical laws, N.E.C., RCW Chapter 19,28, WAC. Chaptsr 29G
468, The City oI Port elss Munlclpq I Code. 6nd Ut)llty SpodffcatidB 6nd PAMC i4.05.05O Bgardhg Etecftcel Pennlt ADpttcrttons.
Namo Signature (F\Et6c* c8l Contraclor / Adminishator)
2
[Eledhc€l Pormlt Applications may be submifted to City Hall or epemits@iq@a.us or faxad la 360.417.47111
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OWNER INFORIVTATION
PROJECT DETAILS
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