HomeMy WebLinkAbout1729 E 4th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS7 RESDNIL SINCLE FAJ.IILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
s0I
&tcApplication Nufiiber
ApplicaEio[ pin nunber
Propert.y Address
ASSESSOR PARCEI] NWBER:
Applicatio4 t)?e description
Subdivision Name
Property Use
Property Zoning
Application valuation
18 - 00001584 Date 11/01/18
623a2a
1729 E 4TH ST
05-30-00- s- 5 - 0L50- 0000 -
ELECT'RICAL ONTY
Applicatlon desc
Kitchen remodel
OuTler
HUF.D DAVID L
2009 w 15TH ST
PORT ANGELES
EXTRA MILE TECH & ELECT., LLC
418 N. nACE ST.
PORT ANGELES WA 99352
l360) 457 -5222
wA 983535130
Permit
Additsio$af desc
PermiE Eee
Issue Dale
Expiration Date
ELECTRICAL ALTER RESIDENTIAT
1-4 CIRCUfTS
?5.00 Plan Check Fee
t t /ot/t8 valuarion
4/30/t9
BASE FEE
.00
0
Exteusion
75 .00
gEy Unit Charge Per
Fee summary Charged Credi.Eed Due
PermiE Fee Toral
PIan Check TotsaI
Grand Total
?5 .00
.00
75 .00
75.00
.00
75.00
00
00
00
.00
.00
.00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
DATE:RESULTS:INSPECTOR:INSPECTION TYPE
DITCH
SERVICE
r )a/n )tr >$flROUGH.IN
FINAL
1x
TIIII
Signature ofowner or Electrical Contractor X
COMMENTS:
Date:_
ICAL PERMITAPPL
Public Works and Utilities Department
321 8.5& Stre€t, Port Angeles, WA 98362
360.417.4735 | wwrv"cityolpa.us I clectricalpermits@cityofpa.us
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|-.--J,Prol:ec{ Address:/-7 2i 845/ q /L{"+
Projec{ Dessiption:F.,^.J.-\ irJ t<i+t-i,*....411-^ c,,tc,":G
E SingleFamily Resiclential E Ouplex /ARU Bu dtng Square fooEge:
Name:Email:
Phone: il i /t'
License:ExrRt+ilr?73 R b
l"z E(piEtion Oate:/2-aG ^ 2o t1
Phone: 360-'{6f -t3gA
iL
i1 e j {rBTMailing Address:9
Name:Ex+,2 Le TE
MailirE Address:.o. Tl-/ 3rr-8
Emel E-X
Item
SeMce/Fesder 200 Amp.
Se.vice/Feeder 201-400 Arnp.
ServicelFoedelo l 600 Amp
Servi;er'Feeder 6O l -1000 Amp.
Servicer'Feeder ove l000 tunp.
BBnch Circuit W/ Sewr-ce Feedet
Branch Circuit WrO Seruice FEeder
Each Additional Blanch Circuit
Branch Circuits 1+
Temp. Servicer'Feeder 200 AnEr.
Temp. Service/Feeder201-400Amp-
Temp- Servicey'Feeder 401 $00 Arnp.
Temp- Service/Feeder 6011000 Amp.
Portal to Po,tal Houdy
Signal Cirwiylimited En€rgy - 'l&2 OU-
Manuraqtured Home Conne{tion
Renewable Elec, Energy: SKVA System or hss
Thermoslat (Note: $5 for ead| addiliona{)
FiBt t300 Square Fet
Ea6h Additional 500 squaB ftet"
Each Oubulding / tlBtacH Gs'age
Eadr Sdmming Pool / Hot Tub
Unit Charoe
sI20.m
6146.00
$205.00
@62.00
$arc.00
$5.00
$63.00
$5.00
$75"00
$93 00
$110.00
s149.00
$168.00
$96.00
$54.00
$120.00
$102-m
$s6.00
$120.00
s40.00
$4,m
s110.00
Ouanlttv lbbl (Quanlity x Uuit Cha€e)
1t*
25
$
$
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$
$
$
$
$
$
$
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$
$
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O\i&er as d€fin€d by RCUI t 928261: (l) Olvnerwillocc{py the structure fortwo years afrerlhis etectrical Fermit is finalized, (2) O^rner is
requiEd to hire ar eledical cootrador if abo\r'e said prorerty is for sale, rBnt or lease- Permit epires affer sk monlis of last inspeclbn,
Aftet readhg ll€ above statemenq I hereby c6.h'fy that I am lhe owner oftle abgve named property or a licensed electical contractor. I
am making lhe elecfical installation or alteration in collpfance wilh the elecfical laws, N.E.C-, RClr. Chapter 19.2E, lrVAG. ChEpEr 296-
46ts, The gty ot PottAngeles Municipal and calions and PAMC 14,05.050 regarding Elertrical PemitAppticetions
'3 'i -/,f
Date Print Signature (E Owner Contractor / Administrator)
[Eleclrical PermitApplications may be submitted to City Hafl or electricalpermits@cityo&a us or fa(ed tn fiO-417.47111
1 - 2 SINGLE-FAMILY
..-7-
TOTAL
